Evidence map›Paper›PMID 26832427›Full record

Trial reportBMJ open2016

Supporting breastfeeding In Local Communities (SILC) in Victoria, Australia: a cluster randomised controlled trial.

Helen L McLachlan, Della A Forster, Lisa H Amir, Meabh Cullinane, Touran Shafiei, Lyndsey F Watson, Lael Ridgway, Rhian L Cramer, Rhonda Small

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
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  5. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Helen L McLachlanJudith Lumley Centre, La Trobe University, Melbourne Victoria, Australia School of Nursing and Midwifery, Bundoora, Victoria, Australia.
Della A ForsterJudith Lumley Centre, La Trobe University, Melbourne Victoria, Australia The Royal Women's Hospital, Parkville, Victoria, Australia.
Lisa H AmirJudith Lumley Centre, La Trobe University, Melbourne Victoria, Australia.
Meabh CullinaneJudith Lumley Centre, La Trobe University, Melbourne Victoria, Australia.
Touran ShafieiJudith Lumley Centre, La Trobe University, Melbourne Victoria, Australia.
Lyndsey F WatsonJudith Lumley Centre, La Trobe University, Melbourne Victoria, Australia.
Lael RidgwaySchool of Nursing and Midwifery, Bundoora, Victoria, Australia.
Rhian L CramerJudith Lumley Centre, La Trobe University, Melbourne Victoria, Australia.
Rhonda SmallJudith Lumley Centre, La Trobe University, Melbourne Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBreastfeeding has significant health benefits for mothers and infants. Despite recommendations from the WHO, by 6 months of age 40% of Australian infants are receiving no breast milk. Increased early postpartum breastfeeding support may improve breastfeeding maintenance. 2 community-based interventions to increase breastfeeding duration in local government areas (LGAs) in Victoria, Australia, were implemented and evaluated.

design3-arm cluster randomised trial.

settingLGAs in Victoria, Australia.

participantsLGAs across Victoria with breastfeeding initiation rates below the state average and > 450 births/year were eligible for inclusion. The LGA was the unit of randomisation, and maternal and child health centres in the LGAs comprised the clusters.

interventionsEarly home-based breastfeeding support by a maternal and child health nurse (home visit, HV) with or without access to a community-based breastfeeding drop-in centre (HV+drop-in).

main outcome measuresThe proportion of infants receiving 'any' breast milk at 3, 4 and 6 months (women's self-report).

findings4 LGAs were randomised to the comparison arm and provided usual care (n=41 clusters; n=2414 women); 3 to HV (n=32 clusters; n=2281 women); and 3 to HV+drop-in (n=26 clusters; 2344 women). There was no difference in breastfeeding at 4 months in either HV (adjusted OR 1.04; 95% CI 0.84 to 1.29) or HV+drop-in (adjusted OR 0.92; 95% CI 0.78 to 1.08) compared with the comparison arm, no difference at 3 or 6 months, nor in any LGA in breastfeeding before and after the intervention. Some issues were experienced with intervention protocol fidelity.

conclusionsEarly home-based and community-based support proved difficult to implement. Interventions to increase breastfeeding in complex community settings require sufficient time and partnership building for successful implementation. We cannot conclude that additional community-based support is ineffective in improving breastfeeding maintenance given the level of adherence to the planned protocol. TRIAL REGISTRATION NUMBER: ACTRN12611000898954; Results.

Indexed as

Breast FeedingAdultCluster AnalysisCommunity Health ServicesFemaleHumansMothersProgram EvaluationVictoriaNUTRITION & DIETETICSPUBLIC HEALTH

Identifiers

PMID26832427
PMCPMC4746449

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.