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Clarke JL, Ingram J, Johnson D, et al. An assets-based intervention before and after birth to improve breastfeeding initiation and continuation: the ABA feasibility RCT. Southampton (UK): NIHR Journals Library; 2020 Apr. (Public Health Research, No. 8.7.)
An assets-based intervention before and after birth to improve breastfeeding initiation and continuation: the ABA feasibility RCT.
Show detailsCharacteristic | Site A | Site B | Overall | ||||||
---|---|---|---|---|---|---|---|---|---|
Intervention (N = 25) | Usual care (N = 28) | All (N = 53) | Intervention (N = 25) | Usual care (N = 25) | All (N = 50) | Intervention (N = 50) | Usual care (N = 53) | All (N = 103) | |
Age at baseline (years), mean (SD) | 27.9 (5.2) | 27.7 (5.9) | 27.8 (5.5) | 29.2 (20.5) | 29.3 (5.6) | 29.3 (5.4) | 28.6 (5.2) | 28.5 (5.8) | 28.5 (5.5) |
Age range (years), minimum–maximum | 17.7–37.7 | 17.9–39.0 | 17.7–39.0 | 20.5–43.0 | 17.9–42.9 | 17.9–43.0 | 17.7–43.0 | 17.9–42.9 | 17.7–43.0 |
Missing, n (%) | 0 (0) | 1 (3.6) | 1 (1.9) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1 (1.9) | 1 (1.0) |
Ethnicity, n (%) | N = 54 | ||||||||
White British | 21 (84.0) | 22 (81.5) | 43 (82.7) | 22 (88.0) | 23 (92.0) | 45 (90.0) | 43 (86.0) | 45 (86.5) | 88 (86.3) |
White other | 1 (4.0) | 3 (11.1) | 4 (7.7) | 2 (8.0) | 1 (4.0) | 3 (6.0) | 3 (6.0) | 4 (7.7) | 7 (6.9) |
Asian | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1 (4.0) | 1 (2.0) | 0 (0) | 1 (1.9) | 1 (1.0) |
Black African | 0 (0) | 1 (3.7) | 1 (1.9) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1 (1.9) | 1 (1.0) |
Black Caribbean | 1 (4.0) | 0 (0) | 1 (1.9) | 0 (0) | 0 (0) | 0 (0) | 1 (2.0) | 1 (1.9) | 1 (1.0) |
Mixed | 1 (4.0) | 1 (3.7) | 2 (3.9) | 1 (4.0) | 0 (0) | 1 (2.0) | 2 (4.0) | 1 (1.9) | 3 (2.9) |
Other | 1 (4.0) | 0 (0) | 1 (1.9) | 0 (0) | 0 (0) | 0 (0) | 1 (2.0) | 0 (0) | 1 (1.0) |
Missing | 0 (0) | 1 (3.6) | 1 (1.9) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1 (1.9) | 1 (1.0) |
Employment status, n (%) | N = 24 | N = 52 | N = 49 | N = 102 | |||||
In paid work | 18 (72.0) | 25 (92.6) | 43 (82.7) | 22 (88.0) | 25 (100) | 47 (94.0) | 40 (80.0) | 50 (96.2) | 90 (88.2) |
Unemployed | 6 (24.0) | 1 (3.7) | 7 (13.5) | 2 (8.0) | 0 (0) | 2 (4.0) | 8 (16.0) | 1 (1.9) | 9 (8.8) |
Looking after family/home | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Unable to work (long-term health problem) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Full-time education or training | 0 (0) | 1 (3.7) | 1 (1.9) | 1 (4.0) | 0 (0) | 1 (2.0) | 1 (2.0) | 1 (2.0) | 2 (2.0) |
Missing | 0 (0) | 1 (3.6) | 1 (1.9) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1 (1.9) | 1 (1.0) |
Highest level of qualification, n (%) | N = 30 | ||||||||
No formal qualification | 1 (4.0) | 0 (0) | 1 (1.9) | 0 (0) | 0 (0) | 0 (0) | 1 (2.0) | 0 (0) | 1 (1.0) |
GCSE or equivalent | 6 (24.0) | 5 (18.5) | 11 (21.2) | 6 (24.0) | 5 (20.0) | 11 (22.0) | 12 (24.0) | 10 (19.2) | 22 (21.6) |
A/AS level or equivalent | 8 (32.0) | 6 (22.2) | 14 (26.9) | 12 (48.0) | 7 (28.0) | 19 (38.0) | 20 (40.0) | 13 (25.0) | 33 (32.4) |
Degree level or higher | 10 (40.0) | 16 (59.3) | 26 (50.0) | 7 (28.0) | 13 (52.0) | 20 (40.0) | 17 (34.0) | 29 (55.8) | 46 (45.1) |
Missing | 0 (0) | 1 (3.6) | 1 (1.9) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1 (1.9) | 1 (1.0) |
Relationship status, n (%) | |||||||||
Married/registered civil partnership | 9 (36.0) | 12 (46.2) | 21 (41.2) | 13 (52.0) | 14 (56.0) | 27 (54.0) | 22 (44.0) | 26 (51.0) | 48 (47.5) |
Living together | 9 (36.0) | 11 (42.3) | 20 (39.2) | 9 (36.0) | 9 (36.0) | 18 (36.0) | 18 (36.0) | 20 (39.2) | 38 (37.6) |
Single | 7 (28.0) | 3 (11.5) | 10 (19.6) | 3 (12.0) | 2 (8.0) | 5 (10.0) | 10 (20.0) | 5 (9.8) | 15 (14.9) |
Widowed, divorced or separated | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Missing | 0 (0) | 2 (7.1) | 2 (3.8) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 2 (3.8) | 2 (1.9) |
Index of Multiple Deprivation quintile, n (%) | N = 27 | N = 52 | N = 52 | N = 102 | |||||
1 (most deprived) | 13 (52.0) | 11 (40.7) | 24 (46.2) | 1 (4.0) | 0 (0) | 1 (2.0) | 14 (28.0) | 11 (21.2) | 25 (24.5) |
2 | 3 (12.0) | 6 (22.2) | 9 (17.3) | 2 (8.0) | 2 (8.0) | 4 (8.0) | 5 (10.0) | 8 (15.4) | 13 (12.8) |
3 | 1 (4.0) | 7 (25.9) | 8 (15.4) | 8 (32.0) | 3 (12.0) | 11 (22.0) | 9 (18.0) | 10 (19.2) | 19 (18.6) |
4 | 7 (28.0) | 3 (11.1) | 10 (19.2) | 6 (24.0) | 11 (44.0) | 17 (34.0) | 13 (26.0) | 14 (26.9) | 27 (26.5) |
5 (least deprived) | 1 (4.0) | 0 (0) | 1 (1.9) | 8 (32.0) | 9 (36.0) | 17 (34.0) | 9 (18.0) | 9 (17.3) | 18 (17.7) |
Maternal well-being (WEMWBS), mean (SD) | 54.1 (9.8) | 55.0 (9.2) | 54.6 (9.4) | 53.4 (6.2) | 53.7 (8.4) | 53.6 (7.3) | 53.7 (8.1) | 54.4 (8.7) | 54.1 (8.4) |
Missing, n (%) | 0 (0) | 1 (3.6) | 1 (1.9) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1 (1.9) | 1 (1.0) |
Intention to feed, n (%) | |||||||||
Breastmilk only | 10 (40.0) | 9 (33.3) | 19 (36.5) | 7 (28.0) | 9 (37.5) | 16 (32.7) | 17 (34.0) | 18 (35.3) | 35 (34.7) |
Mainly breastmilk | 7 (28.0) | 7 (25.9) | 14 (26.9) | 10 (40.0) | 6 (25.0) | 16 (32.7) | 17 (34.0) | 13 (25.5) | 30 (29.7) |
Half and half | 4 (16.0) | 6 (22.2) | 10 (19.2) | 6 (24.0) | 6 (25.0) | 12 (24.5) | 10 (20.0) | 12 (23.5) | 22 (21.8) |
Mainly formula | 2 (8.0) | 2 (7.4) | 4 (7.7) | 1 (4.0) | 0 (0) | 1 (2.0) | 3 (6.0) | 2 (3.9) | 5 (5.0) |
Formula milk only | 2 (8.0) | 3 (11.1) | 5 (9.6) | 1 (4.0) | 3 (12.5) | 4 (8.2) | 3 (6.0) | 6 (11.8) | 9 (8.9) |
Missing | 0 (0) | 1 (3.6) | 1 (1.9) | 0 (0) | 1 (4.0) | 1 (2.0) | 0 (0) | 2 (3.8) | 2 (1.9) |
How participant was fed as a baby, n (%) | |||||||||
Breastfed entirely | 7 (28.0) | 8 (29.6) | 15 (28.9) | 9 (36.0) | 12 (48.0) | 21 (42.0) | 16 (32.0) | 20 (38.5) | 36 (35.3) |
Formula fed entirely | 8 (32.0) | 13 (48.2) | 21 (40.4) | 5 (20.0) | 3 (12.0) | 8 (16.0) | 13 (26.0) | 16 (30.8) | 29 (28.4) |
Mixed feeding | 10 (40.0) | 5 (18.5) | 15 (28.9) | 7 (28.0) | 6 (24.0) | 13 (26.0) | 17 (34.0) | 11 (21.2) | 28 (27.5) |
Don’t know | 0 | 1 (3.7) | 1 (1.9) | 4 (16.0) | 4 (16.0) | 8 (16.0) | 4 (8.0) | 5 (9.6) | 9 (8.8) |
Missing | 0 (0) | 1 (3.6) | 1 (1.9) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1 (1.9) | 1 (1.0) |
Participant knows anyone who has breastfed their baby, n (%) | 22 (88.0) | 25 (92.6) | 47 (90.4) | 21 (84.0) | 25 (100) | 46 (92.0) | 43 (86.0) | 50 (96.2) | 93 (91.2) |
Missing | 0 (0) | 1 (3.6) | 1 (1.9) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1 (1.9) | 1 (1.0) |
Baby’s gestational age at birth (weeks), mean (SD) | 39.0 (2.3) | 40.1 (1.2) | 39.6 (1.9) | 39.7 (1.7) | 39.3 (1.8) | 39.5 (1.8) | 39.4 (2.0) | 39.7 (1.6) | 39.5 (1.8) |
Missing | 1 (2.0) | 1 (3.6) | 2 (3.8) | 0 (0) | 0 (0) | 0 (0) | 1 (2.0) | 1 (1.9) | 2 (1.9) |
Premature baby, n (%) | 5 (20.8) | 0 (0) | 5 (9.8) | 2 (8.0) | 2 (8.0) | 4 (8.0) | 7 (14.3) | 2 (3.9) | 9 (8.9) |
Missing | 1 (2.0) | 1 (3.6) | 2 (3.8) | 0 (0) | 0 (0) | 0 (0) | 1 (2.0) | 1 (1.9) | 2 (1.9) |
Mode of delivery, n (%) | |||||||||
Vaginal birth | 5 (26.3) | 10 (50.0) | 15 (38.5) | 10 (47.6) | 12 (50.0) | 22 (48.9) | 15 (37.5) | 22 (50.0) | 37 (44.1) |
C-section (planned) | 1 (5.3) | 1 (5.0) | 2 (5.1) | 2 (9.5) | 2 (8.3) | 4 (8.9) | 3 (7.5) | 3 (6.8) | 6 (7.1) |
C-section (emergency) | 4 (21.1) | 4 (20.0) | 8 (20.5) | 4 (19.1) | 6 (25.0) | 10 (22.2) | 8 (20.0) | 10 (22.7) | 18 (21.4) |
Forceps, ventouse, vacuum delivery | 9 (47.4) | 5 (25.0) | 14 (35.9) | 5 (23.8) | 4 (16.7) | 9 (20.0) | 14 (35.0) | 9 (20.5) | 23 (27.4) |
Missing | 6 (24.0) | 8 (28.6) | 14 (26.4) | 4 (16.0) | 1 (4.0) | 5 (10.0) | 10 (20.0) | 9 (17.0) | 19 (18.4) |
Duration of mother’s hospital stay, n (%) | |||||||||
< 24 hours | 3 (15.8) | 6 (30.0) | 9 (23.1) | 5 (23.8) | 4 (16.7) | 9 (20.0) | 8 (20.0) | 10 (22.7) | 18 (21.4) |
24–48 hours | 11 (57.9) | 6 (30.0) | 17 (43.6) | 7 (33.3) | 6 (25.0) | 13 (28.9) | 18 (45.0) | 12 (27.3) | 30 (35.7) |
> 48 hours | 5 (26.3) | 7 (35.0) | 12 (30.8) | 9 (42.9) | 14 (58.3) | 23 (51.1) | 14 (35.0) | 21 (47.7) | 35 (41.7) |
Home birth | 0 | 1 (5.0) | 1 (2.6) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 1 (2.3) | 1 (1.2) |
Missing | 6 (24.0) | 8 (28.6) | 14 (26.4) | 4 (16.0) | 1 (4.0) | 5 (10.0) | 10 (20.0) | 9 (17.0) | 19 (18.4) |
Baby admitted to neonatal unit, n (%) | 4 (21.1) | 2 (10.0) | 6 (15.4) | 3 (14.3) | 2 (8.3) | 5 (11.1) | 7 (17.5) | 4 (9.1) | 11 (13.1) |
Missing | 6 (24.0) | 8 (28.6) | 14 (26.4) | 4 (16.0) | 1 (4.0) | 5 (10.0) | 10 (20.0) | 9 (17.0) | 19 (18.4) |
A/AS level, Advanced/Advanced Subsidiary level; GCSE, General Certificate of Secondary Education; SD, standard deviation.
WEMWBS98 score ranges from 14 to 70; 70 indicates highest level of mental well-being.
- Participant demographic and delivery characteristics by site - An assets-based i...Participant demographic and delivery characteristics by site - An assets-based intervention before and after birth to improve breastfeeding initiation and continuation: the ABA feasibility RCT
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