Evidence map›Paper›PMID 36890478›Full record

ArticleBMC public health2023

Effectiveness of a community-based support programme to reduce social inequality in exclusive breastfeeding: study protocol for a cluster-randomised trial.

Henriette Knold Rossau, Ingrid Maria Susanne Nilsson, Marianne Busck-Rasmussen, Claus Thorn Ekstrøm, Anne Kristine Gadeberg, Jonas Cuzulan Hirani, Katrine Strandberg-Larsen, Sarah Fredsted Villadsen

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05311631 (Breastfeeding - a Good Start Together), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 11% 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.

NCT05311631 naactive not recruitingnot on this map

Breastfeeding - a Good Start Together

TypeinterventionalSponsorUniversity of CopenhagenRan2022 to 2028Enrolled5,010ConditionsBreastfeeding, Breastfeeding, ExclusiveArmsBreastfeeding support
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Henriette Knold RossauSection of Social Medicine, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1353, Copenhagen, Denmark. henriette.rossau@sund.ku.dk.
Ingrid Maria Susanne NilssonThe Danish Committee for Health Education, Classensgade 71, 5th floor, 2100, Copenhagen, Denmark.
Marianne Busck-RasmussenThe Danish Committee for Health Education, Classensgade 71, 5th floor, 2100, Copenhagen, Denmark.
Claus Thorn EkstrømSection of Biostatistics, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1353, Copenhagen, Denmark.
Anne Kristine GadebergSection of Social Medicine, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1353, Copenhagen, Denmark.
Jonas Cuzulan HiraniThe Danish Center for Social Science Research, Herluf Trolles Gade 11, 1052, Copenhagen, Denmark.
Katrine Strandberg-LarsenSection of Epidemiology, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1353, Copenhagen, Denmark.
Sarah Fredsted VilladsenSection of Social Medicine, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1353, Copenhagen, Denmark.
University of Copenhagen · DKDanish Medical Association · DKVIVE - The Danish Center for Social Science Research · DK

Funding

Det Obelske Familiefond 29763Nordea-fonden 02-2019-00267Novo Nordisk Fonden NNF22SH0077074
6 · The paper itself

Abstract

backgroundBreastmilk is the ideal nutrition for infants, and breastfeeding protects infants and mothers from a range of adverse health outcomes. In Denmark, most mothers initiate breastfeeding but many cease within the first months resulting in just 14% reaching the World Health Organization recommendation of six months of exclusive breastfeeding. Furthermore, the low breastfeeding proportion at six months is characterised by a marked social inequality. A previous intervention tested in a hospital setting succeeded in increasing the proportion of mothers breastfeeding exclusively at six months. However, most breastfeeding support is provided within the Danish municipality-based health visiting programme. Therefore, the intervention was adapted to fit the health visiting programme and implemented in 21 Danish municipalities. This article reports the study protocol, which will be used to evaluate the adapted intervention.

methodsThe intervention is tested in a cluster-randomised trial at the municipal level. A comprehensive evaluation approach is taken. The effectiveness of the intervention will be evaluated using survey and register data. Primary outcomes are the proportion of women who breastfeed exclusively at four months postpartum and duration of exclusive breastfeeding measured as a continuous outcome. A process evaluation will be completed to evaluate the implementation of the intervention; a realist evaluation will provide an understanding of the mechanisms of change characterising the intervention. Finally, a health economic evaluation will assess the cost-effectiveness and cost-utility of this complex intervention. DISCUSSION: This study protocol reports on the design and evaluation of the Breastfeeding Trial - a cluster-randomised trial implemented within the Danish Municipal Health Visiting Programme from April 2022 to October 2023. The purpose of the programme is to streamline breastfeeding support provided across healthcare sectors. The evaluation approach is comprehensive using a multitude of data to analyse the effect of the intervention and inform future efforts to improve breastfeeding for all.

trial registrationProspectively registered with Clinical Trials NCT05311631 https://clinicaltrials.gov/ct2/show/NCT05311631.

Indexed as

Breast FeedingMothersFemaleHealth PromotionHumansInfantPostpartum PeriodRandomized Controlled Trials as TopicSocioeconomic FactorsBreast feedingCommunity healthComplex interventionsCross-sectoral consistencyDelivery of health careHealth care sectorHealth visitorPostnatal careRandomized controlled trialsSocioeconomic factors

Identifiers

PMID36890478
PMCPMC9993656
OpenAlexW4323653881

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.