Evidence map›Paper›PMID 34294051›Full record

Trial reportBMC pregnancy and childbirth2021

A prenatal group based phone counseling intervention to improve breastfeeding rates and complementary feeding: a randomized, controlled pilot and feasibility trial.

Jennifer S Cauble, Amy Herman, Jo Wick, Jeannine Goetz, Christine M Daley, Debra K Sullivan, Holly R Hull

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

Trial report in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03442517 (Learning About Techniques to Create Healthy Infants Through Nutrition and Proper Growth), which is not on this map. Cited by 9 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 5 pooled it
2.0field-weighted citation impact, top 13% 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.

NCT03442517 nacompletednot on this map

Learning About Techniques to Create Healthy Infants Through Nutrition and Proper Growth

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2017 to 2019Enrolled46ConditionsBreastfeedingArmsBehavior Lifestyle Intervention, Usual prenatal care
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 5 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Effects of Prenatal Breastfeeding Education on Breastfeeding Duration Beyond 12 Weeks: A Systematic Review.Health education & behavior : the official publication of the Society for Public Health Education · 2024
    Pooled it
  6. Article
  7. Global breastfeeding efforts: a long way to go.Clinical and experimental pediatrics · 2025
    Article
  8. Article
  9. 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

7 authors at 1 institution in 1 country.

Jennifer S CaubleSchool of Health Professions, Department of Dietetics & Nutrition, University of Kansas Medical Center, 3901 Rainbow BLVD, Mail Stop 4013, Kansas City, KS 66160, USA.
Amy HermanSchool of Health Professions, Department of Dietetics & Nutrition, University of Kansas Medical Center, 3901 Rainbow BLVD, Mail Stop 4013, Kansas City, KS 66160, USA.
Jo WickSchool of Health Professions, Department of Dietetics & Nutrition, University of Kansas Medical Center, 3901 Rainbow BLVD, Mail Stop 4013, Kansas City, KS 66160, USA.
Jeannine GoetzSchool of Health Professions, Department of Dietetics & Nutrition, University of Kansas Medical Center, 3901 Rainbow BLVD, Mail Stop 4013, Kansas City, KS 66160, USA.
Christine M DaleySchool of Medicine, Department of Preventative Medicine and Public Health, University of Kansas Medical Center, Kansas City, USA.
Debra K SullivanSchool of Health Professions, Department of Dietetics & Nutrition, University of Kansas Medical Center, 3901 Rainbow BLVD, Mail Stop 4013, Kansas City, KS 66160, USA.
Holly R HullSchool of Health Professions, Department of Dietetics & Nutrition, University of Kansas Medical Center, 3901 Rainbow BLVD, Mail Stop 4013, Kansas City, KS 66160, USA. hhull@kumc.edu.
University of Kansas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite numerous benefits for both mom and baby, few infants are exclusively breastfed for the recommended first six months. Additionally, infants are given solids too early. Prenatal education increases rates of breastfeeding initiation and we hypothesize it can also improve exclusive breastfeeding rates and prevent the early introduction of solids. We conducted a randomized controlled pilot and feasibility trial to understand the feasibility and maternal acceptance of a prenatal behavioral lifestyle intervention (PBLI) delivered via group based phone counseling (GBPC) and its effectiveness on rates of exclusive breastfeeding up to six months postpartum. Secondary aims included rates of any breastfeeding up to six months, rates of early introduction of solids, and infant feeding progression.

methodsForty-one pregnant women were recruited from a Kansas City Metropolitan Obstetrics and Gynecology office and randomly assigned to a usual care group or a PBLI. Women in the PBLI participated in six GBPC sessions where they learned about breastfeeding and introducing solids. Feeding questionnaires to assess breastfeeding and introduction of solids were sent at two weeks, two months, four months, and six months postpartum. Structured interviews were also conducted after the intervention and at six months postpartum to assess maternal acceptance and intervention feasibility.

resultsParticipants overwhelmingly found the intervention acceptable and beneficial. Rates of exclusive breastfeeding and any breastfeeding did not differ between groups at any time point. No between group differences were found for early introduction of solids or infant feeding progression.

conclusionsMothers discontinue breastfeeding earlier than recommended despite high rates of initiation. A PBLI delivered via GBP is feasible, acceptable to participants, and showed positive impacts such as maternal empowerment for both breastfeeding and introducing solids. Future interventions should incorporate both prenatal and postpartum components.

trial registrationStudy protocols were approved by the University of Kansas Medical Center's Human Subjects Committee (STUDY00140506) and registered at ClinicalTrials.gov on 02/22/2018 ( NCT03442517 , retrospectively registered). All participants gave written informed consent prior to data collection.

Indexed as

AdolescentAdultBreast FeedingCounselingFeasibility StudiesFemaleHumansInfantInfant, NewbornInfant Nutritional Physiological PhenomenaMissouriMothersPilot ProjectsPregnancyPrenatal CareTelephoneBreastfeedingHuman milkInfant FeedingIntroducing SolidsLactationPrenatal Education

Identifiers

PMID34294051
PMCPMC8296528
OpenAlexW3186241179

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.