Evidence map›Paper›PMID 28741134›Full record

Trial reportAIDS and behavior2018

A Cluster Randomised Trial to Determine the Efficacy of the "Feeding Buddies" Programme in Improving Exclusive Breastfeeding Rates Among HIV-Infected Women in Rural KwaZulu-Natal, South Africa.

Penelope Reimers, Kiersten Israel-Ballard, Marlies Craig, Lenore Spies, Ibou Thior, Frank Tanser, Anna Coutsoudis

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Observational
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

7 authors.

Penelope ReimersDepartment of Paediatrics & Child Health, University of KwaZulu-Natal, 719 Umbilo Rd, Durban, 4001, South Africa. pennyreimers@outlook.com.
Kiersten Israel-BallardPATH, Seattle, WA, USA.
Marlies CraigDepartment of Paediatrics & Child Health, University of KwaZulu-Natal, 719 Umbilo Rd, Durban, 4001, South Africa.
Lenore SpiesIntegrated Nutrition Programme at KwaZulu-Natal Department of Health, Pietermaritzburg, KwaZulu-Natal, South Africa.
Ibou ThiorPATH, Washington, DC, USA.
Frank TanserAfrica Health Research Institute, University of KwaZulu-Natal, Somkhele, South Africa.
Anna CoutsoudisDepartment of Paediatrics & Child Health, University of KwaZulu-Natal, 719 Umbilo Rd, Durban, 4001, South Africa.

Funding

Effect of Feeding Buddies on Adherence to WHO PMTCT Guidelines in South AfricaR01HD075090 · NICHD · PATH · PI ISRAEL-BALLARD, KIERSTEN ANNE · 2012 to 2013
$898k
NICHD NIH HHS R01 HD075090NIH HHS NIH.1759-05946-SUB
6 · The paper itself

Abstract

This cluster randomised trial in KwaZulu-Natal South Africa, evaluated the implementation of a Feeding Buddies (FB) programme to improve exclusive breastfeeding (EBF) amongst human immunodeficiency virus infected mothers. Eight clinics were randomly allocated to intervention and control arms respectively. Pregnant women attending the prevention of mother-to-child transmission program and intending to EBF were enrolled: control (n = 326), intervention (n = 299). Intervention mothers selected FBs to support them and they were trained together (four sessions). Interviews of mothers occurred prenatally and at post-natal visits (day 3, weeks 6, 14 and 22). Breastfeeding results were analysed (Stata) as interval-censored time-to-event data, with up to four time intervals per mother. EBF rates at the final interview were similar for control and intervention groups: 44.68% (105/235) and 42.75% (109/255) respectively (p = 0.67). In Cox regression analysis better EBF rates were observed in mothers who received the appropriate training (p = 0.036), had a community care giver visit (p = 0.044), while controlling for other factors. Implementation realities reduced the potential effectiveness of the FBs.

Indexed as

Breast FeedingSocial SupportAdolescentAdultFemaleHIV InfectionsHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalIntentionMothersPregnancyPregnancy Complications, InfectiousRural PopulationSouth AfricaExclusive breastfeedingFeeding buddyHIV/AIDSPrevention of mother -to- child transmission

Identifiers

PMID28741134
PMCPMC5760455

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Registered trials

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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.