Evidence map›Paper›PMID 39532292›Full record

Trial reportJournal of public health (Oxford, England)2025

Evaluation of a complex intervention: the Latch On randomized controlled trial of multicomponent breastfeeding support for women with a raised body mass index.

Catherine McNestry, Anna Hobbins, Niamh Donnellan, Paddy Gillespie, Fionnuala M McAuliffe, Sharleen L O'Reilly, Latch On Consortium

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of public health (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Catherine McNestryUCD Perinatal Research Centre, University College Dublin, National Maternity Hospital, Dublin 2, Ireland.
Anna HobbinsHealth Economics and Policy Analysis Centre, J.E. Cairnes School of Business and Economics and the Institute for Lifecourse and Society, University of Galway, Upper Newcastle, Galway, Ireland.
Niamh DonnellanUCD Perinatal Research Centre, University College Dublin, National Maternity Hospital, Dublin 2, Ireland.
Paddy GillespieHealth Economics and Policy Analysis Centre, J.E. Cairnes School of Business and Economics and the Institute for Lifecourse and Society, University of Galway, Upper Newcastle, Galway, Ireland.
Fionnuala M McAuliffeUCD Perinatal Research Centre, University College Dublin, National Maternity Hospital, Dublin 2, Ireland.
Sharleen L O'ReillyUCD Perinatal Research Centre, University College Dublin, National Maternity Hospital, Dublin 2, Ireland.
Latch On Consortium

Funding

HSE Nursing and Midwifery Planning and Development Unit Dublin South, Kildare and Wicklow
6 · The paper itself

Abstract

backgroundLatch On's objective was to achieve improved breastfeeding rates in women with raised body mass indices using a multicomponent breastfeeding support intervention.

methodsA hybrid type 1 implementation-effectiveness trial with mixed-methods process and health economics analyses were conducted. Data collection included stakeholder questionnaires, interviews, focus groups, fidelity data, participant and health system costs.

resultsThe intervention was delivered with fidelity but the high breastfeeding rates at 3 months were not different between intervention and usual care. Participants receiving the minimum intervention dose were more likely to initiate breastfeeding (P = 0.045) and be breastfeeding at hospital discharge (P = 0.01) compared with participants below the threshold. Participant exit interview themes highlighted the importance of improving breastfeeding support to women, the effect of COVID-19 on the breastfeeding experience, and found that the intervention improved the experience of establishing breastfeeding. The intervention cost €157 per participant, with no other cost difference between groups. Process analysis found that follow-up breastfeeding services continued in half of sites after study completion.

conclusionsThis low-cost intervention resulted in a more enjoyable breastfeeding experience for participants and changed practice in some study sites. The intervention dose received may impact effectiveness, but further research is needed to provide definitive evidence of clinical and cost effectiveness.

Indexed as

Body Mass IndexBreast FeedingHealth PromotionSocial SupportAdultCOVID-19FemaleHumansbreastfeedingobesitypregnancy and childbirth disorders

Identifiers

PMID39532292
PMCPMC11879023

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.