Poster Topical Area: Community and Public Health Nutrition

Location: Auditorium

Poster Board Number: 94

P06-073 - Evaluation of a Community-Based Breastfeeding Program in African American adolescent mothers on Knowledge, Attitudes, Subjective Norm, and Perceived Behavioral Control

Monday, Jun 11
8:00 AM – 3:00 PM

Objective: To assess the impact of a newly-developed breastfeeding curriculum called Healthy And Proper Parenting for Youth (HAPPY).

African American, adolescent mothers (n=7, M=18.9±1.1 years) who were mostly postpartum (children's age: M=2.4±1.3 years) and their mentors (n=12 M=38.4±9.4 years, children's age: M=10.6±8.2) were exposed to three one-hour breastfeeding education sessions. Using a pretest, posttest study design, knowledge was measured using the Infant Feeding Test, and attitudes, subjective norm and perceived behavioral control were measured using the modified Breastfeeding Attrition Prediction Tool. Significant differences between pretest and posttest were analyzed using paired t-test and log and square root transformation of non-normal variables and multiple imputation for missing data using SAS 9.4. Significance was determined at p value of 0.05.

Comparing those who attended all three workshops (n=14) to those who did not (n=5), there were no significant differences in knowledge, positive breastfeeding sentiment, negative breastfeeding sentiment, subjective norm, control, or intention to breastfeed (p>0.05). Participants who attended the SMART Goals Matter and You Matter workshop (n=10) had significant changes knowledge compared to participants (n=9) who did not attend both workshops (Mean change: 1.8 vs.-0.22; p=0.02). Participants who attended the Breastfeeding Matters workshop (n=7) did not have different scores in knowledge, positive breastfeeding sentiment, negative breastfeeding sentiment, subjective norm, or control compared to participants who did not attend (p>0.05). There was a trend for an increased odds of intention to breastfeed after exposure to the SMART Goals Matter and Breastfeeding Matters (p=0.059, 95% CI 0.016-1.085).

Attending two of three workshops increased breastfeeding knowledge, while there was a trend for increased intention to breastfeed their next child after attending the Breastfeeding Matters workshop. African American, adolescent mothers and their mentors may need more exposure to breastfeeding promotional efforts to observe significant changes in psychosocial antecedents to breastfeeding behavior.

Funding Source: This research was supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, under award number 2011-67001-30101.

CoAuthors: Sharon Donovan, PhD, RD – University of Illinois, Urbana-Champaign

Julia H. Kim

Graduate Student
University of Illinois, Urbana-Champaign
Champaign, Illinois