Online Program

Characteristics of Hispanic rural women enrolled in an Interactive Computer based intervention to promote Breastfeeding practices

Tuesday, November 3, 2015

Ashish Joshi, PhD, MBBS, MPH, City University of New York School of Public health, New York, NY
Sue Wilhelm, PhD, College of Nursing, University of Nebraska Medical Center, Scottsbluff
Trina Aguirre, PhD, Scottsbluff
Chioma Amadi, MPH, City University of New York School of Public health, New York
Jane Meza, PhD, Department of Biostatistics, University of Nebraska Medical Center, Omaha, NE
Background:  Hispanic women are major minority racial group with low breastfeeding rates, high rates of breastfeeding cessation and high rates of formula supplementation within first week of their baby’s lives.

Objective/purpose: Examine study population characteristics of Hispanic rural women enrolled in an interactive, bi-lingual touch screen breastfeeding educational intervention.

Methods:  This 2 year, two group repeated measures quasi-experimental study was conducted during October 2012-September 2014 at Regional West Medical Center (RWMC), a Regional referral hospital in Scottsbluff, Nebraska.  Inclusion criteria comprised of Hispanic females aged 15 years and above, who provided consent, and were available for follow-up interviews. Subjects were excluded if they were not of Hispanic origin, had any mental or physical challenge which limited their ability to use the computer-based breastfeeding program, were not available for follow-up, or were involved in other clinical trials related to breastfeeding. Data collection was done during first prenatal visit and follow up data were collected postpartum including: baseline, days 3 and 7, weeks 2 and 6, months 3 and 6, resulting in seven data collection time periods

Results: An interactive, bi-lingual touch screen breastfeeding educational intervention was developed based on combined principles of human centered, behavioral, learning and humanistic theories. A total of 46 Hispanic women receiving care at the Regional West Medical Center were enrolled with 23 individuals each in the intervention or control groups. More than half of participants were single and had 10 to 12 years of education. Less than half of them had ever breastfed their children. At baseline, no differences in knowledge, self-efficacy and intent to breastfeed scores were seen between 2 groups. Significant positive association was seen between self-efficacy and intent to breastfeed.

Discussion/conclusions: Self-efficacy is an important predictor of intent to breastfeed among rural Hispanic women. Evaluation of touch screen breastfeeding educational intervention is ongoing.

Learning Areas:

Communication and informatics
Diversity and culture
Implementation of health education strategies, interventions and programs
Public health or related education
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Design and develop an Interactive, Bi-Lingual touch screen Health Informational Kiosk

Keyword(s): Breastfeeding

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: . I am an Assistant Dean of Students and an Associate Professor and is a public health informatics research professional with training in medicine, public health and informatics. I am responsible for the overall concept, design of the intervention, received funding from AHRQ as PI and coordinated the overall project, writing of the abstract
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.