NCT06921382

Brief Summary

The goal of this clinical trial is to learn how to improve exclusive breastfeeding rates. The main questions it aims to answer are: Do Hispanic mothers benefit from peer counseling support from peer counselors who can speak Spanish? Are mothers more likely to continue exclusive breastfeeding if additional funds are given so that the WIC exclusive breastfeeding package has the same cash value as the WIC formula feeding package? Researchers will compare participants in the intervention group (who receive peer counseling and additional funds) to a control group (who do not receive peer counseling or additional funds) to see if the intervention package improves breastfeeding rates. All participants (intervention and control) will complete weekly surveys about their feeding experiences ($8 per week). Members of the research team will also take infant weight/length measurements at home (twice during the first month and then at 2, 4, and 6 months). Participants will be recruited during pregnancy and the study will last for the first 6 months after their babies are born. Mothers and their infants are both participants in the study. Participants in the intervention condition will also be matched with Spanish-speaking peer counselors who will visit mothers at home regularly (weekly at the beginning of the study, monthly at the end of the study). In Month 1, mothers can choose to receive a $150 gift card or an electric breast pump. In Months 2-5, if infants are signed up for the WIC exclusive breastfeeding package, infants will receive $100 and mothers will receive $50. If infants are signed up for the WIC partial breastfeeding package, infants will receive $50 and mothers will receive $30.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
170

participants targeted

Target at P75+ for not_applicable

Timeline
14mo left

Started Mar 2025

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress50%
Mar 2025Jun 2027

First Submitted

Initial submission to the registry

February 26, 2025

Completed
19 days until next milestone

Study Start

First participant enrolled

March 17, 2025

Completed
24 days until next milestone

First Posted

Study publicly available on registry

April 10, 2025

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2027

Last Updated

August 8, 2025

Status Verified

August 1, 2025

Enrollment Period

2.3 years

First QC Date

February 26, 2025

Last Update Submit

August 4, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Exclusive breastfeeding

    Weeks of exclusive breastfeeding. Mothers will complete weekly surveys about their feeding experience.

    From enrollment to the end of the study at 6 months

  • Infant measurements

    A member of the research team will take infant weight and length measurements at participants' homes. Measurements will be taken twice during the first month and then at the end of months 2, 4, and 6. Measurements will be converted into weight-for-age z-scores according to the World Health Organization Child Growth Standards (birth to 24 months). Scores typically range from about -6 to +6, with higher scores indicating greater length relative to age. A score of 0 represents the median for the reference population.

    From enrollment to the end of the study at 6 months

Study Arms (2)

Intervention group (peer counseling and funds)

EXPERIMENTAL

Participants in the intervention condition will be matched with Spanish-speaking peer counselors who will visit mothers at home regularly (weekly at the beginning of the study, monthly at the end of the study). In Month 1, mothers can choose to receive a $150 gift card or an electric breast pump. In Months 2-5, if infants are signed up for the WIC exclusive breastfeeding package, infants will receive $100 and mothers will receive $50. If infants are signed up for the WIC partial breastfeeding package, infants will receive $50 and mothers will receive $30.

Behavioral: Peer counselingBehavioral: Additional funds

Control group

NO INTERVENTION

Participants in the control condition will receive care-as-usual. For example, they will have access to WIC services, which can include peer counseling.

Interventions

Peer counselingBEHAVIORAL

Participants in the intervention condition will be matched with Spanish-speaking peer counselors who will visit mothers at home regularly (weekly at the beginning of the study, monthly at the end of the study).

Intervention group (peer counseling and funds)

In Month 1, mothers can choose to receive a $150 gift card or an electric breast pump. In Months 2-5, if infants are signed up for the WIC exclusive breastfeeding package, infants will receive $100 and mothers will receive $50. If infants are signed up for the WIC partial breastfeeding package, infants will receive $50 and mothers will receive $30.

Intervention group (peer counseling and funds)

Eligibility Criteria

Age5 Days+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Confirmation of Hispanic origin
  • Receives or eligible for WIC
  • Mother is 18 years or older
  • Singleton pregnancy
  • Mother intends to breastfeed.
  • Infant gestational age 37 weeks or more
  • Normal infant birth weight (i.e., \> 5 lbs 8 oz.)
  • Breastfeeding has been initiated
  • No congenital or other health issues (such as cleft palate) identified that require specific accommodations for feeding.

You may not qualify if:

  • Mothers below 18 years of age.
  • Mothers do not plan to breastfeed.
  • Mothers not eligible to participate in the WIC program due to high household income
  • Non-singleton pregnancy.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

WIC Guilford County

Greensboro, North Carolina, 27401, United States

RECRUITING

Cone Health

Greensboro, North Carolina, 27405, United States

RECRUITING

Related Links

Study Officials

  • Jasmine M DeJesus, PhD

    UNC Greensboro

    PRINCIPAL INVESTIGATOR
  • Jigna M Dharod, PhD

    UNC Greensboro

    PRINCIPAL INVESTIGATOR
  • Aunchalee E. L. Palmquist, PhD

    Duke University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Jasmine M DeJesus, PhD

CONTACT

Jigna M Dharod, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 26, 2025

First Posted

April 10, 2025

Study Start

March 17, 2025

Primary Completion (Estimated)

June 30, 2027

Study Completion (Estimated)

June 30, 2027

Last Updated

August 8, 2025

Record last verified: 2025-08

Locations