Evidence map›Paper›PMID 30825414›Full record

Trial reportMaternal & child nutrition2019

Online participatory intervention to promote and support exclusive breastfeeding: Randomized clinical trial.

Débora Silva Cavalcanti, Caroline Sousa Cabral, Rodrigo Pinheiro de Toledo Vianna, Mônica Maria Osório

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04478682 (The Effect of Continuous Breastfeeding Support Provided to Mothers Through WhatsApp Messaging Application on Breastfeeding), which is not on this map. Cited by 22 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 7 pooled it
3.2field-weighted citation impact, top 8% of its field
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.

NCT04478682 nacompletednot on this mapstarted 2020, after this paper: background citation

The Effect of Continuous Breastfeeding Support Provided to Mothers Through WhatsApp Messaging Application on Breastfeeding: A Randomized Controlled Trial

TypeinterventionalSponsorAhi Evran University Education and Research HospitalRan2020 to 2021Enrolled150ConditionsExclusive Breastfeeding, Breastfeeding SupportArmsBreastfeeding Support Provided to Mothers Through WhatsApp Messaging Application
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 7 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Australian postpartum women want reputable health information delivered via social networking sites.The Australian & New Zealand journal of obstetrics & gynaecology · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Academy of Breastfeeding Medicine Clinical Protocol #2: Guidelines for Birth Hospitalization Discharge of Breastfeeding Dyads, Revised 2022.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2022
    Article
  18. Review
  19. Review
  20. Review
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

4 authors at 2 institutions in 1 country.

Débora Silva CavalcantiPost-Graduate Program in Nutrition, Pernambuco Federal University, Recife, Brazil.ORCID 0000-0002-3985-5992
Caroline Sousa CabralPost-Graduate Program in Nutrition, Paraíba Federal University, João Pessoa, Brazil.ORCID 0000-0002-7899-7846
Rodrigo Pinheiro de Toledo ViannaPost-Graduate Program in Nutrition, Paraíba Federal University, João Pessoa, Brazil.ORCID 0000-0002-5358-1967
Mônica Maria OsórioPost-Graduate Program in Nutrition, Pernambuco Federal University, Recife, Brazil.ORCID 0000-0002-7641-1098
Universidade Federal da Paraíba · BRUniversidade Federal de Pernambuco · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The support offered to mothers after hospital discharge can be decisive in maintaining exclusive breastfeeding during the first 6 months post-partum. The objective of this study was to assess the impact on the duration of exclusive breastfeeding of a participatory intervention using an online social network. A randomized clinical trial was performed involving 251 mother-child pairings in a university hospital in the Northeast of Brazil, 123 of which assigned to the intervention group and 128 to the control group. After hospital discharge, the intervention group was followed through a closed group of an online social network, where weekly posters were published on topics related to breastfeeding and an active communication was established with the mothers. The groups were interviewed monthly over the phone until the child reached 6 months of age. The duration of exclusive breastfeeding was calculated through survival analysis, and the effect of the intervention was estimated through the Cox regression model. The exclusive breastfeeding frequencies were higher in the intervention group in all follow-up months, reaching 33.3% in the sixth month versus 8.3% in the control group. The median exclusive breastfeeding duration was 149 days (95% CI [129.6, 168.4]) in the intervention group and 86 days (95% CI [64.9, 107.1]) in the control group (P < 0.0001). The proportional risk of early interruption of exclusive breastfeeding was 0.38 (95% CI [0.28, 0.51], P < 0.0001). This intervention had a positive impact on the duration and frequency of exclusive breastfeeding.

Indexed as

Breast FeedingInternet-Based InterventionPostpartum PeriodSocial MediaAdultBrazilDuration of TherapyFemaleHumansInterviews as TopicProportional Hazards ModelsSurvival AnalysisTreatment OutcomeYoung Adultbreastfeedingclinical trialhealth educationpuerperiumsocial mediasocial support

Identifiers

PMID30825414
PMCPMC7198959
OpenAlexW2919079163

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.