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An evaluation of community peer support workers within a programme to improve breastfeeding in Heart of Birmingham Primary Care Trust: a cluster randomised controlled trial
DOI 10.1186/ISRCTN16126175
ClinicalTrials.gov identifier
EudraCT number
Public title An evaluation of community peer support workers within a programme to improve breastfeeding in Heart of Birmingham Primary Care Trust: a cluster randomised controlled trial
Scientific title
Acronym HoBBIT - Heart of Birmingham Breastfeeding Initiation Trial
Serial number at source N/A
Study hypothesis The primary research question is whether antenatal community breastfeeding peer support workers can increase breastfeeding initiation.
Lay summary Not provided at time of registration
Ethics approval Sandwell and West Birmingham Ethics Committee, approved on 2nd February 2006 (ref: 05/Q2709/170)
Study design Single-centre, cluster randomised controlled trial with general practice as the unit of randomistion. General practices were allocated by computer randomisation.
Countries of recruitment United Kingdom
Disease/condition/study domain Breastfeeding initiation and continuation
Participants - inclusion criteria All women booking for maternity care in all the practices within the Heart of Birmingham Primary Care Trust.
Participants - exclusion criteria No exclusion criteria.
Anticipated start date 01/11/2006
Anticipated end date 30/04/2007
Status of trial Completed
Patient information material
Target number of participants 3,000
Interventions The intervention is a community breastfeeding peer support service - trained Peer Support Workers (PSWs) will be available to provide breastfeeding information, advice, skills and support, offered to all women. They will make face-to-face contact with the women antenatally through the midwife at about 24-28 weeks in the antenatal clinic or at home. A minimum of two antenatal face-to-face contacts will be aimed for. The PSWs will continue to give support postnatally as required in order to increase continuation. The comparator is usual care.
Primary outcome measure(s) Breastfeeding initiation rate, defined as the mother either puts the baby to the breast or the baby is given any of the motherís breast milk within the first 48 hours of delivery. Data will be obtained from routine maternity hospital records.
Secondary outcome measure(s) 1. Breastfeeding continuation rate at 10-14 days and 6 weeks, with data obtained from routine Health Visitor records
2. Breastfeeding at 6 months, with data obtained from questionnaires to mothers who consent to be contacted at this time
Sources of funding Heart of Birmingham Primary Care Trust (UK)
Trial website
Publications 2009 results in http://www.ncbi.nlm.nih.gov/pubmed/19181730
Contact name Prof  Christine   MacArthur
  Address Department of Public Health and Epidemiology
Public Health Building
University of Birmingham
  City/town Birmingham
  Zip/Postcode B15 2TT
  Country United Kingdom
  Email c.macarthur@bham.ac.uk
Sponsor Heart of Birmingham Primary Care Trust (UK)
  Address Bartholomew House
142 Hagley Road
  City/town Birmingham
  Zip/Postcode B16 9PA
  Country United Kingdom
Date applied 23/07/2007
Last edited 23/08/2011
Date ISRCTN assigned 11/01/2008
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