Collateral benefits from a school-readiness intervention on breastfeeding: A cross-domain impact evaluation.
Collateral benefits from a school-readiness intervention on breastfeeding: A cross-domain impact evaluation.
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DOI：
10.1111/mcn.13446
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发表时间：
2023-01
影响因子：
3.4
通讯作者：
Gross, Rachel S.
中科院分区：
文献类型：
--
作者：
Miller, Elizabeth B.;Whipps, Mackenzie D. M.;Bogen, Debra L.;Morris, Pamela A.;Mendelsohn, Alan L.;Shaw, Daniel S.;Gross, Rachel S.
本研究评估了智能起点 (SB) 对低收入样本中母乳喂养强度的附带或意外影响，这是一种双点分层干预措施，旨在促进响应式育儿和入学准备。 SB 干预的影响分析是利用双臂随机分配结构的意向治疗设计进行的。在一个研究中心，分配到 SB 干预组的母亲在婴儿 6 个月大时将母乳作为唯一乳汁来源的可能性是分配到对照组的母亲的三倍多，这一效应在另一个研究中心并不明显。由于发育和成长是儿童健康的两个最突出的领域，了解干预措施如何影响这两个领域的后续育儿实践对于解决长期经济和种族/民族差异至关重要。讨论了研究结果对提高基于儿科初级保健的干预措施的有效性的影响。我们发现，在初始母乳喂养率较低的研究地点，智能开始 (SB) 干预提高了母乳作为唯一乳源的提供率。我们的研究为早期学习干预的潜在健康益处提供了少量但不断增长的文献，并将这些发现扩展到母乳喂养（婴儿营养的关键指标）。它进一步增加了关于在不同背景下调整干预措施和最大化积极成果方面的附带计划效益的研究。我们发现，智能开始 (SB) 干预措施提高了母乳作为初始母乳喂养率较低的研究地点唯一乳源的提供率。我们的研究为早期学习干预的潜在健康益处提供了少量但不断增长的文献，并将这些发现扩展到母乳喂养（婴儿营养的关键指标）。它进一步增加了对在不同背景下调整干预措施和最大化积极成果方面的附带计划效益的研究。我们研究的政策含义表明医疗之家护理模式如何利用有限的资源进行干预。额外成果的附带好处与计划性知识相结合表明，像 SB 这样的入学准备育儿计划可能会产生超出儿童发展范围的影响。这项研究进一步补充了越来越多的文献，即基于儿科初级保健的育儿干预可能会使用单一干预模型产生跨领域的协同效应。这些发现表明，开展育儿干预的初级保健诊所可以利用具有跨领域溢出效应的资源，因为附带利益可以继续提供有关更广泛的综合模型的有用信息。
This study evaluated the collateral, or unanticipated, impacts of Smart Beginnings (SB), a two‐site, tiered intervention designed to promote responsive parenting and school readiness, on breastfeeding intensity in a low‐income sample. Impact analyses for the SB intervention were conducted using an intent‐to‐treat design leveraging a two‐arm random assignment structure. Mothers assigned to the SB intervention group were more than three times more likely to give breastmilk as the only milk source at infant age 6 months than mothers assigned to the control group at one site, an effect not evident at the other study site. As development and growth are the two most salient domains of child health, understanding how interventions impact subsequent parenting practices across both domains is critical to address long‐term economic and racial/ethnic disparities. Implications of the findings are discussed for improving the efficacy of interventions based on paediatric primary care. We found that the Smart Beginnings (SB) intervention increased the rates of providing breast milk as the only milk source in the study site with low initial rates of breastfeeding. Our study contributes to the small, but growing, literature on the potential health benefits of early learning interventions and extends these findings to breastfeeding, a key indicator of infant nutrition. It further adds to the study of collateral programme benefits in adapting interventions across contexts and maximising positive outcomes We found that the Smart Beginnings (SB) intervention increased the rates of providing breast milk as the only milk source in the study site with low initial rates of breastfeeding. Our study contributes to the small, but growing, literature on the potential health benefits of early learning interventions and extends these findings to breastfeeding, a key indicator of infant nutrition. It further adds to the study of collateral programme benefits in adapting interventions across contexts and maximizing positive outcomes. The policy implications of our study indicate how the medical home model of care can leverage limited resources for intervention delivery. Collateral benefits to additional outcomes, combined with programmatic knowledge, suggest that school readiness parenting programmes like SB may have impacts beyond child development. This study further adds to a growing literature that parenting interventions based in paediatric primary care may lead to synergistic effects across domains using a single intervention model. These findings illustrate that primary care clinics that host parenting interventions may leverage resources with cross‐domain spillover effects in mind, as collateral benefits can continue to provide helpful information about integrated models more broadly.
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影响因子：
8
作者：
Brotman, Laurie Miller;Dawson-McClure, Spring;Ogedegbe, Gbenga
通讯作者：
Ogedegbe, Gbenga
影响因子：
3.1
作者：
Gross RS;Messito MJ;Klass P;Canfield CF;Yin HS;Morris PA;Shaw DS;Dreyer BP;Mendelsohn AL
通讯作者：
Mendelsohn AL
影响因子：
2.4
作者：
Bigelow, Ann E.;Power, Michelle;McDonald, Claudette
通讯作者：
McDonald, Claudette
DOI：
10.1111/nyas.12284
发表时间：
2014-01-01
期刊：
EVERY CHILD'S POTENTIAL: INTEGRATING NUTRITION AND EARLY CHILDHOOD DEVELOPMENT INTERVENTIONS
影响因子：
--
作者：
Grantham-McGregor, Sally M.;Fernald, Lia C. H.;Walker, Susan
通讯作者：
Walker, Susan
影响因子：
5.5
作者：
Johnston, BD;Huebner, CE;Thompson, RS
通讯作者：
Thompson, RS