TY - JOUR
T1 - Counselling and motivational videotapes increase duration of breast- feeding in Africa-American WIC participants who initiate breast-feeding
AU - Gross, Susan M.
AU - Caulfield, Laura E.
AU - Bentley, Margaret E.
AU - Bronner, Yvonne
AU - Kessler, Lisa
AU - Jensen, Joan
AU - Paige, David M.
N1 - Funding Information:
This work was supported in full by project number MCJ-240609 from the Maternal and Child Health Bureau (Title V, Social Security Act), Health Resources and Services Administration, Department of Health and Human Services.
PY - 1998/2
Y1 - 1998/2
N2 - Objective: To evaluate the relative effects introducing motivational videotapes and/or peer counseling in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics serving African-American women have on breast-feeding duration. Design: Experimental intervention study. Pregnant women were enrolled at or before 24 weeks gestation and were followed up until postpartum week 16. Women were interviewed at enrollment, 7 to 10 days, 8 weeks, and 16 weeks postpartum. Subjects:/setting One hundred fifteen African-American WIC participants who initiated breast-feeding and who had been enrolled in 1 of 4 clinics. Intervention Two-by-two factorial design, in which 4 clinics were randomly assigned to receive either no intervention, a motivational video package intervention, a peer-counseling intervention, or both interventions. Main outcome measures Breast-feeding duration in weeks and relative risk ratios for breast-feeding cessation before 16 weeks postpartum. Statistical analysis performed Contingency table analysis, including χ2 tests and log-rank tests; multivariate analysis using Cox proportional hazards regression analysis. Results A higher proportion of women were breast-feeding at 8 and 16 weeks postpartum in the intervention clinics than in the control clinic. The proportion of women reporting breast-feeding declined at 8 and 16 weeks postpartum, but the rate of decline was slower in the 3 intervention clinics than in the control clinic. Being younger than 19 years of age or older than 25 years of age, having a male infant, and returning to work or school all negatively affected breast-feeding duration, whereas previous breast-feeding experience positively influenced breast-feeding duration. Applications/conclusions WIC- based peer counselor support and motivational videos can positively affect the duration of breast-feeding among African-American women. WIC nutritionists and other health professionals in contact with this population should expand their efforts toward promoting increased duration of breast- feeding.
AB - Objective: To evaluate the relative effects introducing motivational videotapes and/or peer counseling in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics serving African-American women have on breast-feeding duration. Design: Experimental intervention study. Pregnant women were enrolled at or before 24 weeks gestation and were followed up until postpartum week 16. Women were interviewed at enrollment, 7 to 10 days, 8 weeks, and 16 weeks postpartum. Subjects:/setting One hundred fifteen African-American WIC participants who initiated breast-feeding and who had been enrolled in 1 of 4 clinics. Intervention Two-by-two factorial design, in which 4 clinics were randomly assigned to receive either no intervention, a motivational video package intervention, a peer-counseling intervention, or both interventions. Main outcome measures Breast-feeding duration in weeks and relative risk ratios for breast-feeding cessation before 16 weeks postpartum. Statistical analysis performed Contingency table analysis, including χ2 tests and log-rank tests; multivariate analysis using Cox proportional hazards regression analysis. Results A higher proportion of women were breast-feeding at 8 and 16 weeks postpartum in the intervention clinics than in the control clinic. The proportion of women reporting breast-feeding declined at 8 and 16 weeks postpartum, but the rate of decline was slower in the 3 intervention clinics than in the control clinic. Being younger than 19 years of age or older than 25 years of age, having a male infant, and returning to work or school all negatively affected breast-feeding duration, whereas previous breast-feeding experience positively influenced breast-feeding duration. Applications/conclusions WIC- based peer counselor support and motivational videos can positively affect the duration of breast-feeding among African-American women. WIC nutritionists and other health professionals in contact with this population should expand their efforts toward promoting increased duration of breast- feeding.
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U2 - 10.1016/S0002-8223(98)00037-6
DO - 10.1016/S0002-8223(98)00037-6
M3 - Article
C2 - 12515413
AN - SCOPUS:0031597722
SN - 0002-8223
VL - 98
SP - 143
EP - 148
JO - Journal of the American Dietetic Association
JF - Journal of the American Dietetic Association
IS - 2
ER -