Furthering Equity Through Infant Feeding EDucation and Support
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Ci-BPC with Standard of Care (SOC).
- Who it may be relevant to
- Registry conditions: Breastfeeding. Basic parameters: 18 years — 45 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Clinically Integrated Breastfeeding Peer Counseling to Promote Breastfeeding Equity
Overview
The purpose of this study is to identify whether adding clinically integrated breastfeeding peer counseling (ci-BPC) to standard lactation care is associated with a reduction in disparities in breastfeeding intensity and duration for Black and Hispanic/Latine families.
Detailed description
FEEDS is a randomized control trial comparing standard lactation care to standard lactation care plus a ci-BPC. This trial will take place at three hospitals in the Chicago land area, Swedish Hospital, Highland Park Hospital, and University of Chicago Medicine Hospital. The aims of the study are: (1) To determine whether ci-BPC reduces disparities in breastfeeding outcomes for Black and Hispanic/Latine participants, (2)To determine whether ci-BPC improves breastfeeding knowledge, attitude, access to support, and empowerment, (3) To understand implementation outcomes, facilitators, and barriers, and (4) To identify associated patient centered costs.
Interventions
- Behavioral Ci-BPC with Standard of Care (SOC)
Clinically-integrated breastfeeding peer counseling (ci-BPC) is a practice that, supports the patient and the clinical care team by delivering culturally-appropriate breastfeeding help to motivate breastfeeding initiation, intensity, and duration, inspiring confidence for patients to set breastfeeding goals and meet them. ci-BPC is delivered by community health workers who have breastfed an infant, and have received basic training in breastfeeding support through a qualified BPC training organiz
Primary outcome measures
- Breastfeeding duration [Time frame: 6 weeks postpartum]
- Breastfeeding duration [Time frame: 6 months postpartum]
Secondary outcome measures (3)
- Breastfeeding intensity-inpatient [Time frame: During Delivery Admission]
- Breastfeeding intensity-post discharge [Time frame: 6 weeks postpartum]
- Breastfeeding intensity-post discharge [Time frame: 6 months postpartum]
Eligibility criteria
Inclusion criteria
- 12 and 24 weeks gestation
- English or Spanish speaking
- Planning to parent their infant
- Planning to deliver at SH, HPH or UCM
- No prior exposure to ci-BPC
Exclusion criteria
- considering pregnancy termination or adoption
- Prior exposure to ci-BPC
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 4 centers
- Swedish Hospital — Chicago
- UChicago Medicine Hospital (University of Chicago) — Chicago
- Endeavor Health (NorthShore University HealthSystem) — Evanston
- Highland Park Hospital — Highland Park
Publications
- Keenan-Devlin LS, Smart BP, Hirschhorn L, Meier P, Jefferson U, Solomonides A, Wang CE, Handler A, Silver RK, Borders AEB. Clinically Integrated Breastfeeding Peer Counseling to Promote Breastfeeding Equity. Am J Perinatol. 2024 May;41(S 01):e2313-e2325. doi: 10.1055/s-0043-1771255. Epub 2023 Jul 21. PMID 37494586
Identifiers
NCT: NCT05441709 · EH20-406