RT Journal Article
T1 Effectiveness of an educational group intervention in primary healthcare for continued exclusive breast-feeding: PROLACT study
A1 Martín Iglesias, Susana
A1 Santamaría Martín, M. Jesús
A1 Alonso Álvarez, Ahinoa
A1 Rico Blázquez, Milagros
A1 del Cura González, Isabel
A1 Rodríguez Barrientosn, Ricardo
A1 Barberá Martín, Aurora
A1 Sanz Cuesta, Teresa
A1 Isabel Coghen Vigueras, M.
A1 de Antonio Ramírez, Isabel
A1 Durand Rincón, Isabel
A1 Garrido Rodriguez, Felisa
A1 Geijo Rincón, María Jesús
A1 Mielgo Salvador, Rebeca
A1 Morales Montalvá, M. Soledad
A1 Reviriego Gutiérrez, M. Asunción
A1 Rivero Garrido, Carmen
A1 Ruiz Calabria, Micaela
A1 Santamaría Mechano, M. Pilar
A1 Santiago Fernández, Roberto
A1 Sillero Quintana, M. Isabel
A1 Soto Almendro, Beatriz
A1 Terol Claramonte, María
A1 Villa Arranz, María
AB BackgroundThe World Health Organization leads a global strategy to promote the initiation and maintenance of breast-feeding.Existing literature shows that education and supportive interventions, both for breast-feeding mothers as well as for healthcare professionals, can increase the proportion of women that use exclusive breast-feeding, however, more evidence is needed on the effectiveness of group interventions.MethodsThis study involves a community-based cluster randomised trial conducted at Primary Healthcare Centres in the Community of Madrid (Spain). The project aims to evaluate the effectiveness of an educational group intervention performed by primary healthcare professionals in increasing the proportion of mother-infant pairs using exclusive breastfeeding at six months compared to routine practice.The number of patients required will be 432 (216 in each arm). All mother-infant pairs using exclusive breastfeeding that seek care or information at healthcare centres will be included, as long as the infant is not older than four weeks, and the mother has used exclusive breastfeeding in the last 24 h and who gives consent to participate.The main response variable is mother-infant pairs using exclusive breast-feeding at six months.Main effectiveness will be analysed by comparing the proportion of mother-infant pairs using exclusive breast-feeding at six months between the intervention group and the control group. All statistical tests will be performed with intention-to-treat. The estimation will be adjusted using an explanatory logistic regression model. A survival analysis will be used to compare the two groups using the log-rank test to assess the effect of the intervention on the duration of breastfeeding. The control of potential confounding variables will be performed through the construction of Cox regression models.DiscussionWe must implement strategies with scientific evidence to improve the percentage of exclusive breast-feeding at six months in our environment as established by the WHO. Group education is an instrument used by professionals in Primary Care that favours the acquisition of skills and modification of already-acquired behaviour, all making it a potential method of choice to improve rates of exclusive breast-feeding in this period.Trial registrationThe trial was registered with ClinicalTrials.gov under code number NCT01869920 (Date of registration: June 3, 2013).
PB BioMed Central Ltd
SN 1471-2393
YR 2018
FD 2018-02-26
LK https://hdl.handle.net/20.500.14352/122658
UL https://hdl.handle.net/20.500.14352/122658
LA eng
NO Martín-Iglesias S, Santamaría-Martín MJ, Alonso-Álvarez A, Rico-Blázquez M, del Cura-González I, Rodríguez-Barrientosn R, et al. Effectiveness of an educational group intervention in primary healthcare for continued exclusive breast-feeding: PROLACT study. BMC Pregnancy and Childbirth. 2018;18(1).
NO Este estudio fue financiado por los proyectos PI12/02609 y PI12/02020 como parte del Plan Nacional de I+D+i, y cofinanciado por el ISCIII–Subdirección General de Evaluación y el Fondo Europeo de Desarrollo Regional (FEDER).  La fuente de financiación no tuvo ningún papel en el diseño de este estudio y no lo tendrá durante su ejecución, análisis, interpretación de los datos ni en la decisión de publicar los resultados.
DS Docta Complutense
RD 25 abr 2026