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Matern Child Nutr. 2018 Jan;14(1). doi: 10.1111/mcn.12488. Epub 2017 Aug 1.

Feasibility and acceptability of a text message intervention used as an adjunct tool by WIC breastfeeding peer counsellors: The LATCH pilot.

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Chinle Comprehensive Health Care Facility, Indian Health Services, Chinle, Arizona, USA.
National Clinician Scholars Program, Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine, New Haven, Connecticut, USA.
Breastfeeding Heritage and Pride Program, Yale New Haven Hospital, New Haven, Connecticut, USA.
Connecticut WIC Program, Community, Family and Health Equity Section, State of Connecticut Department of Public Health, Hartford, Connecticut, USA.
Harvard Medical School, Boston, Massachusetts, USA.
Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Graduate School of Nursing, University of Massachusetts, Worcester, Massachusetts, USA.
Yale School of Public Health, New Haven, Connecticut, USA.


Breastfeeding rates among mothers in the Supplemental Nutrition Program for Women, Infants, and Children (WIC) are lower than for other mothers in the United States. The objective of this study was to test the acceptability and feasibility of the Lactation Advice thru Texting Can Help intervention. Mothers were enrolled at 18-30 weeks gestation from two WIC breastfeeding peer counselling (PC) programmes if they intended to breastfeed and had unlimited text messaging, more than fifth-grade literacy level, and fluency in English or Spanish. Participants were randomized to the control arm (PC support without texting) or the intervention arm (PC support with texting). The two-way texting intervention provided breastfeeding education and support from peer counsellors. Primary outcomes included early post-partum (PP) contact and exclusive breastfeeding (EBF) rates at 2 weeks PP. Feasibility outcomes included text messaging engagement and mother's satisfaction with texting platform. Fifty-eight women were enrolled, 52 of whom were available for intention-to-treat analysis (n = 30 texting, n = 22 control). Contact between mothers and PCs within 48 hr of delivery was greater in the texting group (86.6% vs. 27.3%, p < .001). EBF rates at 2 weeks PP among participants in the texting intervention was 50% versus 31.8% in the control arm (p = .197). Intervention group mothers tended to be more likely to meet their breastfeeding goals (p = .06). Participants were highly satisfied with the Lactation Advice thru Texting Can Help intervention, and findings suggest that it may improve early post-delivery contact and increase EBF rates among mothers enrolled in WIC who receive PC. A large, multicentre trial is feasible and warranted.


breastfeeding; breastfeeding support; infant; low income; newborn feeding behaviours; peer support

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