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Rafael Perezescamilla - One of the best experts on this subject based on the ideXlab platform.
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an assessment of the social cognitive predictors of exclusive breastfeeding behavior using the health action process approach
The FASEB Journal, 2017Co-Authors: Josefa L Martinezbrockman, Fatma M Shebl, Nurit Harari, Rafael PerezescamillaAbstract:Abstract Rationale In the United States rates of exclusive breastfeeding duration remain exceedingly low. Exclusive breastfeeding is a complex learned behavior that is influenced by social cognitive, interpersonal, and structural factors. Interventions are needed that address factors at multiple levels of the social-ecological model. This study was designed to examine the social cognitive predictors of exclusive breastfeeding behavior in a sample of low-income women attending the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) breastfeeding Peer Counseling program and enrolled in the Lactation Advice Through Texting Can Help (LATCH) study. Objectives The objectives were to examine whether: (1) the theoretical model, the Health Action Process Approach (HAPA), fit the data well; (2) planning mediated the effect of intentions and maintenance self-efficacy on exclusive breastfeeding; and (3) recovery self-efficacy mediated the association between maintenance self-efficacy and exclusive breastfeeding behavior. Methods Outcome expectancies, action self-efficacy and intentions were assessed prenatally at baseline in N = 119 participants. Maintenance self-efficacy, planning, recovery self-efficacy and breastfeeding behavior were measured at two weeks post partum. Structural equation modeling with mean and variance adjusted Weighted Least Squares estimation was used to examine the applicability of the HAPA model to the data. Results Phase specific self-efficacy and planning significantly predicted exclusive breastfeeding status. Planning and recovery self-efficacy mediated the association between maintenance self-efficacy and exclusive breastfeeding. Planning did not emerge as a mediator between intentions and behavior. Conclusion These results demonstrate the utility of the HAPA model in predicting exclusive breastfeeding behavior among low-income women attending WIC. LATCH is a theoretically sound text messaging intervention that can be used to augment and reinforce the WIC breastfeeding Peer Counseling process.
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effectiveness of breastfeeding Peer Counseling in a low income predominantly latina population a randomized controlled trial
JAMA Pediatrics, 2004Co-Authors: Donna J Chapman, Grace Damio, Sara Young, Rafael PerezescamillaAbstract:Background Breastfeeding Peer Counseling has improved breastfeeding rates in developing countries; however, its impact in this country has not been adequately evaluated. Objective To evaluate the effectiveness of an existing, breastfeeding Peer Counseling program within the United States. Design Randomized, prospective, controlled trial in which participants were recruited prenatally and randomly assigned to receive either routine breastfeeding education or routine breastfeeding education plus Peer Counseling. Setting An urban hospital serving a large population of low-income Latinas. Participants Pregnant women (≤26 weeks' gestation) were recruited from the hospital's prenatal clinic. Inclusion criteria specified that participants be low income, be considering breastfeeding, have delivered a healthy, full-term singleton, and have access to a telephone. Intervention Breastfeeding Peer Counseling services included 1 prenatal home visit, daily perinatal visits, 3 postpartum home visits, and telephone contact as needed. Main Outcome Measures Breastfeeding rates at birth and 1, 3, and 6 months postpartum. Results The proportion not initiating breastfeeding was significantly lower in the intervention group than among controls (8/90 [9%] vs 17/75 [23%]; relative risk, 0.39; 95% confidence interval, 0.18-0.86). The probability of stopping breastfeeding also tended to be lower in the intervention group at both 1 month (36% vs 49%; relative risk, 0.72; 95% confidence interval, 0.50-1.05) and 3 months (56% vs 71%; relative risk, 0.78; 95% confidence interval, 0.61-1.00). Conclusion These findings demonstrate that, in the United States, Peer counselors can significantly improve breastfeeding initiation rates and have an impact on breastfeeding rates at 1 and 3 months post partum.
Michaela Richardson - One of the best experts on this subject based on the ideXlab platform.
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associations between Peer Counseling and breastfeeding initiation and duration an analysis of minnesota participants in the special supplemental nutrition program for women infants and children wic
Maternal and Child Health Journal, 2018Co-Authors: Marcia Burton Mccoy, Joni Geppert, Linda Dech, Michaela RichardsonAbstract:Background Peer Counseling (PC) has been associated with increased breastfeeding initiation and duration, but few analyses have examined the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) model for Peer Counseling or the continuation of breastfeeding from birth through 12 months postpartum. Objectives Identify associations between Minnesota WIC Peer Breastfeeding Support Program services and breastfeeding initiation and continuation. Methods Retrospective analysis of observational data from the Minnesota WIC program’s administrative database of women who gave birth in 2012 and accepted a PC program referral prenatally (n = 2219). Multivariate logistic regression and Cox regression models examined associations between Peer services and breastfeeding initiation and continuation of any breastfeeding. Results Among women who accepted referral into a PC program, odds of initiation were significantly higher among those who received Peer services (Odds Ratio (OR): 1.66; 95% CI 1.19–2.32), after adjusting for confounders. Women who received Peer services had a significantly lower hazard of breastfeeding discontinuation from birth through 12 months postpartum than women who did not receive services. (Hazard Ratio (HR) month one: 0.45; 95% CI 0.33–0.61; months two through twelve: 0.33; 95% CI 0.18–0.60). The effect of Peer Counseling did not differ significantly by race and ethnicity, taking into account mother’s country of origin. Conclusion for practice Receipt of Peer services was positively associated with breastfeeding initiation and continued breastfeeding from birth through 12 months postpartum. Making Peer services available to more women, especially in communities with low initiation and duration, could improve maternal and child health in Minnesota.
Chi Chiao - One of the best experts on this subject based on the ideXlab platform.
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costs and cost effectiveness of adolescent compliance with treatment for latent tuberculosis infection results from a randomized trial
Journal of Adolescent Health, 2007Co-Authors: Gerald F Kominski, Sepideh Farivar Varon, Donald E Morisky, Kevin C Malotte, Vicki J Ebin, Astou Coly, Chi ChiaoAbstract:Purpose: Assess the costs and cost-effectiveness of an incentive-based tuberculosis (TB) program designed to promote adolescents' compliance with treatment for latent TB infection (LTBI). Methods: Randomized controlled trial. Adolescents between the ages of 11 and 19 years who were referred to one of two participating clinics after being screened for TB and receiving a positive diagnosis indicating LTBI (n 794) were assigned to one of four groups: usual care, Peer Counseling, contingency contracting, and combined Peer Counseling/contingency contracting. Pri- mary outcome variables were completion of isoniazid preventive therapy (IPT), total treatment costs, and lifetime TB-related costs per quality-adjusted life year (QALY) in each of the four study groups (three treatment, one control). Cost effectiveness was evaluated using a five-stage Markov model and a Monte Carlo simulation with 10,000 trials. Results: Average costs were $199 for usual care (UC), $277 for Peer Counseling (PC), $326 for contingency contracting (CC), and $341 for PC CC combined. The differences among these groups were all significant at the p .001 level. Only the PC CC group improved the rate of IPT completion (83.8%) relative to usual care (75.9%) (p .051), with an overall incremental CE ratio of $209 per QALY relative to usual care. Conclusion: Incentives combined with Peer Counseling are a cost-effective strategy for helping adolescents to complete care when combined with Peer Counseling. © 2007 Society for Adolescent Medicine. All rights reserved.
Elaine E Schulte - One of the best experts on this subject based on the ideXlab platform.
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a clinic based breastfeeding Peer counselor intervention in an urban low income population interaction with breastfeeding attitude
Journal of Human Lactation, 2015Co-Authors: Ganga L Srinivas, Mary Benson, Sarah Worley, Elaine E SchulteAbstract:Background:Whereas breastfeeding initiation rates have risen in all groups throughout the country, rates of breastfeeding duration have changed more slowly. Peer Counseling has had some success in sustaining breastfeeding, but with intensive programs and variable effects.Objectives:We aimed to improve rates of any and exclusive breastfeeding at 1 and 6 months using a low-intensity Peer Counseling intervention beginning prenatally. We also planned to study the interaction of breastfeeding attitude and self-efficacy with the intervention.Methods:One hundred twenty prenatal women underwent stratified randomization based on breastfeeding attitude, measured by the Iowa Infant Feeding Attitude Scale (IIFAS). The Peer counselor contacted the intervention group by telephone or in clinic up to 4 months postdelivery. Study groups were compared on breastfeeding outcomes, adjusting for IIFAS strata, and on interactions with self-efficacy.Results:One hundred three women were followed to at least 1 month. Women with po...
Kevin C Malotte - One of the best experts on this subject based on the ideXlab platform.
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costs and cost effectiveness of adolescent compliance with treatment for latent tuberculosis infection results from a randomized trial
Journal of Adolescent Health, 2007Co-Authors: Gerald F Kominski, Sepideh Farivar Varon, Donald E Morisky, Kevin C Malotte, Vicki J Ebin, Astou Coly, Chi ChiaoAbstract:Purpose: Assess the costs and cost-effectiveness of an incentive-based tuberculosis (TB) program designed to promote adolescents' compliance with treatment for latent TB infection (LTBI). Methods: Randomized controlled trial. Adolescents between the ages of 11 and 19 years who were referred to one of two participating clinics after being screened for TB and receiving a positive diagnosis indicating LTBI (n 794) were assigned to one of four groups: usual care, Peer Counseling, contingency contracting, and combined Peer Counseling/contingency contracting. Pri- mary outcome variables were completion of isoniazid preventive therapy (IPT), total treatment costs, and lifetime TB-related costs per quality-adjusted life year (QALY) in each of the four study groups (three treatment, one control). Cost effectiveness was evaluated using a five-stage Markov model and a Monte Carlo simulation with 10,000 trials. Results: Average costs were $199 for usual care (UC), $277 for Peer Counseling (PC), $326 for contingency contracting (CC), and $341 for PC CC combined. The differences among these groups were all significant at the p .001 level. Only the PC CC group improved the rate of IPT completion (83.8%) relative to usual care (75.9%) (p .051), with an overall incremental CE ratio of $209 per QALY relative to usual care. Conclusion: Incentives combined with Peer Counseling are a cost-effective strategy for helping adolescents to complete care when combined with Peer Counseling. © 2007 Society for Adolescent Medicine. All rights reserved.