Evidence map›Paper›PMID 37968005›Full record

ArticleBMJ open2023

Effectiveness and cost-effectiveness of Assets-based feeding help Before and After birth (ABA-feed) for improving breastfeeding initiation and continuation: protocol for a multicentre randomised controlled trial (Version 3.0).

Joanne Clarke, Stephan U Dombrowski, Eleni Gkini, Pat Hoddinott, Jenny Ingram, Christine MacArthur, Ngawai Moss, Laura Ocansey, Tracy Roberts, Gillian Thomson and 7 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

17 authors.

Joanne ClarkeInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0003-2563-5451
Stephan U DombrowskiDepartment of Kinesiology, University of New Brunswick Fredericton, Fredericton, New Brunswick, Canada.ORCID 0000-0001-9832-2777
Eleni GkiniBirmingham Clinical Trials Unit, University of Birmingham, Bimingham, UK.
Pat HoddinottNursing, Midwifery and Allied Health Professional Research Unit, University of Stirling, Stirling, UK.ORCID 0000-0002-4372-9681
Jenny IngramSchool of Social & Community Medicine, Bristol University, Bristol, UK.ORCID 0000-0003-2366-008X
Christine MacArthurInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Ngawai MossCentre for Public Health and Policy, Queen Mary University of London, London, UK.
Laura OcanseyBirmingham Clinical Trials Unit, University of Birmingham, Birmingham, UK.
Tracy RobertsHealth Economics Unit, University of Birmingham, Birmingham, UK.
Gillian ThomsonSchool of Health, University of Central Lancashire, Preston, Lancashire, UK.ORCID 0000-0003-3392-8182
Julia SandersSchool of Healthcare Sciences, Cardiff University, Cardiff, UK.
Alice J SitchInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Clive StubbsBirmingham Clinical Trials Unit, University of Birmingham, Birmingham, UK.
Beck TaylorWarwick Medical School - Health Sciences, University of Warwick, Coventry, UK.
Sarah TearneBirmingham Clinical Trials Unit, University of Birmingham, Birmingham, UK.
Rebecca WoolleyBirmingham Clinical Trials Unit, University of Birmingham, Bimingham, UK.
Kate JollyInstitute of Applied Health Research, University of Birmingham, Birmingham, UK c.b.jolly@bham.ac.uk.ORCID 0000-0002-6224-2115

Funding

Department of Health NIHR129182
6 · The paper itself

Abstract

introductionBreastfeeding has health benefits for infants and mothers, yet the UK has low rates with marked social inequalities. The Assets-based feeding help Before and After birth (ABA) feasibility study demonstrated the acceptability of a proactive, assets-based, woman-centred peer support intervention, inclusive of all feeding types, to mothers, peer supporters and maternity services. The ABA-feed study aims to assess the clinical and cost-effectiveness of the ABA-feed intervention compared with usual care in first-time mothers in a full trial. METHODS AND ANALYSIS: A multicentre randomised controlled trial with economic evaluation to explore clinical and cost-effectiveness, and embedded process evaluation to explore differences in implementation between sites. We aim to recruit 2730 primiparous women, regardless of feeding intention. Women will be recruited at 17 sites from antenatal clinics and various remote methods including social media and invitations from midwives and health visitors. Women will be randomised at a ratio of 1.43:1 to receive either ABA-feed intervention or usual care. A train the trainer model will be used to train local Infant Feeding Coordinators to train existing peer supporters to become 'infant feeding helpers' in the ABA-feed intervention. Infant feeding outcomes will be collected at 3 days, and 8, 16 and 24 weeks postbirth. The primary outcome will be any breastfeeding at 8 weeks postbirth. Secondary outcomes will include breastfeeding initiation, any and exclusive breastfeeding, formula feeding practices, anxiety, social support and healthcare utilisation. All analyses will be based on the intention-to-treat principle. ETHICS AND DISSEMINATION: The study protocol has been approved by the East of Scotland Research Ethics Committee. Trial results will be available through open-access publication in a peer-reviewed journal and presented at relevant meetings and conferences. TRIAL REGISTRATION NUMBER: ISRCTN17395671.

Indexed as

Breast FeedingMothersCost-Benefit AnalysisDelivery of Health CareFemaleHumansInfantMulticenter Studies as TopicPatient Acceptance of Health CarePregnancyRandomized Controlled Trials as Topiccommunity child healthnutrition & dieteticspublic health

Identifiers

PMID37968005
PMCPMC10660903

What OpenQuestion holds

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Registered trials

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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.