Evidence map›Paper›PMID 34996401›Full record

ArticleBMC pediatrics2022

Study protocol for reducing disparity in receipt of mother's own milk in very low birth weight infants (ReDiMOM): a randomized trial to improve adherence to sustained maternal breast pump use.

Tricia J Johnson, Paula P Meier, Michael E Schoeny, Amelia Bucek, Judy E Janes, Jesse J Kwiek, John A F Zupancic, Sarah A Keim, Aloka L Patel

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04540575 (Reducing Disparity in Receipt of Mother's Own Milk in Very Low Birth Weight Infants), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

NCT04540575 nacompletednot on this map

Reducing Disparity in Receipt of Mother's Own Milk in Very Low Birth Weight Infants: An Economic Intervention to Improve Adherence to Sustained Maternal Breast Pump Use

TypeinterventionalSponsorRush University Medical CenterRan2020 to 2025Enrolled362ConditionsPumping, Breast, Milk, Human, Infant, Very Low Birth Weight, Preterm BirthArmsNICU Acquires MOM, Mother Provides MOM
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Breastfeeding Measurement - How Do We Define and Measure Breastfeeding Cessation Across Scientific Disciplines?Journal of human lactation : official journal of International Lactation Consultant Association · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Milk Biomarkers of Secretory Activation in Breast Pump-Dependent Mothers of Preterm Infants: An Integrative Review.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2024
    Review
  9. Review
  10. 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

9 authors at 5 institutions in 1 country.

Tricia J JohnsonDepartment of Health Systems Management, Rush University, 1700 West Van Buren Street, TOB Suite 126B, Chicago, USA. tricia_j_johnson@rush.edu.ORCID 0000-0003-4768-0042
Paula P MeierDepartment of Pediatrics, Rush University Medical Center, Chicago, USA.
Michael E SchoenyDepartment of Community, Systems and Mental Health Nursing, Rush University, Chicago, USA.
Amelia BucekDepartment of Pediatrics, Rush University Medical Center, Chicago, USA.
Judy E JanesDepartment of Pediatrics, Rush University Medical Center, Chicago, USA.
Jesse J KwiekDepartment of Microbiology, The Center for Retrovirus Research and the Infectious Disease Institute, The Ohio State University, Columbus, USA.
John A F ZupancicDepartment of Neonatology, Beth Israel Deaconess Medical Center, Boston, USA.
Sarah A KeimCenter for Biobehavioral Health, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, USA.
Aloka L PatelDepartment of Pediatrics, Rush University Medical Center, Chicago, USA.
Rush University Medical Center · USRush University · USBeth Israel Deaconess Medical Center · USNationwide Children's Hospital · USThe Ohio State University · US

Funding

Voice-Activated Technology to Improve Mobility & Reduce Health Disparities: EngAGEing African American Older Adult-Care Partner DyadsP50MD017349 · NIMHD · UNIVERSITY OF CHICAGO · PI BAIG, ARSHIYA AHMED · 2021 to 2025
$24.3M
Reducing Disparity in Receipt of Mother’s Own Milk in Very Low Birth Weight Infants: An Economic Intervention to Improve Adherence to Sustained Maternal Breast Pump UseR01MD013969 · NIMHD · RUSH UNIVERSITY MEDICAL CENTER · PI JOHNSON, TRICIA J., PATEL, ALOKA LAHOTI · 2020 to 2024
$3.4M
NIMHD NIH HHS P50 MD017349NIMHD NIH HHS R01 MD013969
6 · The paper itself

Abstract

backgroundBlack very low birth weight (VLBW; < 1500 g birth weight) and very preterm (VP, < 32 weeks gestational age, inclusive of extremely preterm, < 28 weeks gestational age) infants are significantly less likely than other VLBW and VP infants to receive mother's own milk (MOM) through to discharge from the neonatal intensive care unit (NICU). The costs associated with adhering to pumping maternal breast milk are borne by mothers and contribute to this disparity. This randomized controlled trial tests the effectiveness and cost-effectiveness of an intervention to offset maternal costs associated with pumping.

methodsThis randomized control trial will enroll 284 mothers and their VP infants to test an intervention (NICU acquires MOM) developed to facilitate maternal adherence to breast pump use by offsetting maternal costs that serve as barriers to sustaining MOM feedings and the receipt of MOM at NICU discharge. Compared to current standard of care (mother provides MOM), the intervention bundle includes three components: a) free hospital-grade electric breast pump, b) pickup of MOM, and c) payment for opportunity costs. The primary outcome is infant receipt of MOM at the time of NICU discharge, and secondary outcomes include infant receipt of any MOM during the NICU hospitalization, duration of MOM feedings (days), and cumulative dose of MOM feedings (total mL/kg of MOM) received by the infant during the NICU hospitalization; maternal duration of MOM pumping (days) and volume of MOM pumped (mLs); and total cost of NICU care. Additionally, we will compare the cost of the NICU acquiring MOM versus NICU acquiring donor human milk if MOM is not available and the cost-effectiveness of the intervention (NICU acquires MOM) versus standard of care (mother provides MOM). DISCUSSION: This trial will determine the effectiveness of an economic intervention that transfers the costs of feeding VLBWand VP infants from mothers to the NICU to address the disparity in the receipt of MOM feedings at NICU discharge by Black infants. The cost-effectiveness analysis will provide data that inform the adoption and scalability of this intervention.

trial registrationClinicalTrials.gov: NCT04540575 , registered September 7, 2020.

Indexed as

Milk, HumanMothersBreast FeedingFemaleHumansInfantInfant, NewbornInfant, Very Low Birth WeightIntensive Care Units, NeonatalRandomized Controlled Trials as TopicCost-effectiveness analysisEconomic evaluationMaternal breast milkMother’s own milkNeonatal intensive care unitVery low birth weightVery preterm

Identifiers

PMID34996401
PMCPMC8739536
OpenAlexW4206382293

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.