ArticleJournal of human lactation : official journal of International Lactation Consultant Association2020
Engaging African American Parents to Develop a Mobile Health Technology for Breastfeeding: KULEA-NET.
Article in Journal of human lactation : official journal of International Lactation Consultant Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effectiveness of real-time telelactation intervention on breastfeeding outcomes among employed mothers: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- Designing and developing a mobile app (BeBo) in a randomized controlled trial study to promote breastfeeding among Vietnamese mothers.International breastfeeding journal · 2023Trial
- Evaluating the Effectiveness of the Supportive Parenting App on Parental Outcomes: Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Equity-Oriented Design Processes and Evaluation of Digital Health Technologies for Black Communities Beyond Usability: Scoping Review.Journal of medical Internet research · 2026Article
- Designing a Digital Intervention to Increase Human Milk Feeding Among Black Mothers: Qualitative Study of Acceptability and Preferences.JMIR formative research · 2025Article
- Examining the Perceptions of mHealth on Racial and Ethnic Disparities in Postpartum Health for Black Women: A Scoping Review.Health promotion practice · 2024Article
- Retention and the Intersection of Structural Inequities in a Breastfeeding Intervention Study.medRxiv : the preprint server for health sciences · 2024Article
- A Web-Based Intervention to Address Risk Factors for Maternal Morbidity and Mortality (MAMA LOVE): Development and Evaluation Study.JMIR pediatrics and parenting · 2023Article
- Mobile applications as a strategy to support parents in the care of newborns: a scoping review.Revista da Escola de Enfermagem da U S P · 2023Article
- A scoping review on current technology-based approaches to support breastfeeding and informal human milk exchange practices.PloS one · 2023Article
- Mobile Phone Applications to Support Breastfeeding Among African-American Women: a Scoping Review.Journal of racial and ethnic health disparities · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundAfrican Americans breastfeed less than other groups, which has implications for health throughout the life course. Little is known about mobile health technologies to support breastfeeding. RESEARCH
aimsThis study proceeded in two phases. The aim of Phase 1 was to identify ideal technological components and content of a mobile health intervention. The aim of Phase 2 was to determine the usability of a prototype, KULEA-NET, based on the Phase 1 findings.
methodsFor this mixed-methods study, we used community-based participatory research methods and user-centered technology design methods. We used open coding in NVivo 11 to organize data from focus groups and in-depth interviews, then we analyzed the data. We then developed a prototype and tested the prototype's usability with the System Usability Scale. Fifty pregnant and postpartum African Americans from the District of Columbia participated.
resultsParticipants preferred an app with text messaging technology and identified areas for intervention: self-efficacy, parent-child attachment beliefs, social support, public breastfeeding and social desirability, and returning to work. Desired features included local resources, support person access, baby care logs, identification of public breastfeeding venues, and peer discussions. The System Usability Scale score was 73.8, which indicates above average usability.
conclusionsA mobile health technology like KULEA-NET can be used to meet the breastfeeding needs of African Americans, build social desirability, and complement traditional health care. The appeal of an African American-specific intervention is unclear. Responding to mixed feeding practices is challenging. KULEA-NET is a mobile breastfeeding intervention guided by the preferences of African American parents and offers promising usability metrics.
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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.