Evidence map›Paper›PMID 33454986›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2022

Feasibility, acceptability, and preliminary impact of an mHealth supported breastfeeding peer counselor intervention in rural India.

Vanessa L Short, Roopa M Bellad, Patricia J Kelly, Yukiko Washio, Tony Ma, Katie Chang, Niranjana S Majantashetti, Umesh S Charantimath, Frances J Jaeger, Parth Lalakia and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03533725 (Breastfeeding Education Support Tool for Baby), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT03533725 nacompletednot on this map

Breastfeeding Education Support Tool for Baby

TypeinterventionalSponsorThomas Jefferson UniversityRan2019 to 2020Enrolled247ConditionsBreastfeedingArmsBreastfeeding counseling and education services
3 · Its place in the literature

Who cites it

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

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

12 authors.

Vanessa L ShortThomas Jefferson University, Philadelphia, PA, USA.ORCID https://orcid.org/0000-0001-7052-4078
Roopa M BelladJawaharlal Nehru Medical College, KLE Academy of Higher Education and Research, Belgavi, India.
Patricia J KellyThomas Jefferson University, Philadelphia, PA, USA.
Yukiko WashioSubstance Use, Gender and Applied Research, RTI International, Research Triangle Park, NC, USA.
Tony MaBenten Technologies, Manassas, VA, USA.
Katie ChangBenten Technologies, Manassas, VA, USA.
Niranjana S MajantashettiJawaharlal Nehru Medical College, KLE Academy of Higher Education and Research, Belgavi, India.
Umesh S CharantimathJawaharlal Nehru Medical College, KLE Academy of Higher Education and Research, Belgavi, India.
Frances J JaegerThomas Jefferson University, Philadelphia, PA, USA.
Parth LalakiaThomas Jefferson University, Philadelphia, PA, USA.
Shivaprasad S GoudarJawaharlal Nehru Medical College, KLE Academy of Higher Education and Research, Belgavi, India.
Richard DermanThomas Jefferson University, Philadelphia, PA, USA.

Funding

TJU-JNMC Global Network for Women's & Children's Health Research UnitUG1HD076457 · NICHD · THOMAS JEFFERSON UNIVERSITY · PI RICHARD J DERMAN · 2018 to 2026
$5.5M
Breastfeeding Education Support Tool for Baby (BEST4Baby)R21TW010609 · FIC · THOMAS JEFFERSON UNIVERSITY · PI DERMAN, RICHARD J · 2018 to 2019
$370k
FIC NIH HHS R21 TW010609Fogarty International Center, National Institutes of HealthNICHD NIH HHS UG1 HD076457
6 · The paper itself

Abstract

objectiveTo evaluate the feasibility of an mHealth-supported breastfeeding peer counselor intervention implemented in rural India and the preliminary impact of the intervention on maternal breastfeeding behaviors, including exclusive breastfeeding (EBF).

methodsIn this quasi-experimental pilot study, participants received either the intervention plus usual care (n = 110) or usual care alone (n = 112). The intervention group received nine in-home visits during and after pregnancy from peer counselors who provided education about and support for EBF and other optimal infant feeding practices and were aided with an mHealth tool. The control group received routine prenatal and postnatal health education. Progress notes and surveys were used to assess feasibility. Logistic regression models were used for between-group comparisons of optimal infant feeding outcomes, including EBF for 6 months.

resultsThe intervention was delivered as intended, maintained over the study period, and had high acceptability ratings. There were statistically significant differences in all outcomes between groups. The intervention group had a significantly higher likelihood of EBF at 6 months compared to the control group (adjusted odds ratio 3.57, 95% confidence interval 1.80-7.07).

conclusionIntegration of mHealth with community-based peer counselors to educate women about EBF is feasible and acceptable in rural India and impacts maternal breastfeeding behaviors.

Indexed as

CounselorsTelemedicineBreast FeedingFeasibility StudiesFemaleHumansIndiaInfantMothersPilot ProjectsPregnancybreastfeedingIndiainterventionmHealthpeer counselor

Identifiers

PMID33454986
PMCPMC8285457

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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.