Outcome Evaluation of the You Can Do It Initiative to Promote Exclusive Breastfeeding Among Women Enrolled in the New York State WIC Program by Race/Ethnicity

• Published in: Journal of nutrition education and behavior 2017-07, Vol.49 (7), p.S162-S168.e1
• Main Authors: Edmunds, Lynn S., Lee, Furrina F., Eldridge, Johanna D., Sekhobo, Jackson P.
• Format: Article
• Language: English
• Subjects: African Americans; BAPT; Breast Feeding - ethnology; Cohort Studies; exclusive breastfeeding; Female; Food Assistance; Health Plan Implementation; Health Promotion; Hispanic Americans; Humans; Infant, Newborn; Lost to Follow-Up; Male; New York; outcome evaluation; Power (Psychology); Psychosocial Support Systems; Self Concept; tailored breastfeeding counseling; WIC program
• ISSN: 1499-4046; 1878-2620
• DOI: 10.1016/j.jneb.2017.05.350

To evaluate the effectiveness of You Can Do It at improving exclusive breastfeeding (BF) among New York State women enrolled in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Quasi-experimental study, September, 2013 through February, 2016. Multicomponent intervention paired with a yearlong learning community in 12 clinics. Women who were enrolled in WIC during the first trimester, intended to breastfeed or were undecided, and continued in WIC after delivery, comprised 1 baseline cohort (n = 688) and 2 intervention cohorts: Breastfeeding Attrition Prediction Tool (BAPT) (consented, n = 362) and non-BAPT (declined, n = 408). The BAPT was offered to all eligible women in the intervention enrollment period. Consenting women received multiple counseling sessions tailored to individual BAPT results throughout pregnancy and were contacted promptly after delivery. Prevalence of exclusive BF at 7, 30, and 60 days. Multivariate logistic regression, stratified by race/ethnicity. Statistical significance set at P