Kevin D Frick1, Linda C Pugh2, Renee A Milligan3. 1. professor in the Johns Hopkins University Bloomberg School of Public Health, Department of Health and Policy Management, Baltimore, MD. 2. professor at York College of Pennsylvania, York, PA.. Electronic address: lpugh@ycp.edu. 3. professor at George Mason University, Fairfax, VA.
Abstract
OBJECTIVE: To describe the costs of providing support to breastfeeding low-income women and compares costs to cost offsets of the intervention. DESIGN: Secondary analysis of data from a randomized controlled trial of an intervention to promote breastfeeding among low-income women with full-term infants. SETTING:A university hospital and a community hospital in Baltimore, Maryland. PARTICIPANTS: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) eligible breastfeeding women (N = 328) were randomized to usual care or the community health nurse/peer counselor intervention. METHODS: The researchers collected and described personnel and mileage costs over the entire duration of the intervention (24 weeks). Researchers also compared (using t tests) change in resources associated with breastfeeding including the number of clinic visits, hospital nights, emergency room visits, prescriptions, and formula feedings per day up to 12 weeks. RESULTS: The cost of the personnel and travel required for the intervention was $296 per woman. The use of medical care and number of formula feedings per day were similar for the intervention and usual care groups. When differences in use of medical care and formula feeding were statistically significant, the intervention group used fewer resources. CONCLUSION: Support for breastfeeding by community health nurses and peer counselors is partially offset by reducing medical care utilization and formula feeding costs.
RCT Entities:
OBJECTIVE: To describe the costs of providing support to breastfeeding low-income women and compares costs to cost offsets of the intervention. DESIGN: Secondary analysis of data from a randomized controlled trial of an intervention to promote breastfeeding among low-income women with full-term infants. SETTING: A university hospital and a community hospital in Baltimore, Maryland. PARTICIPANTS: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) eligible breastfeeding women (N = 328) were randomized to usual care or the community health nurse/peer counselor intervention. METHODS: The researchers collected and described personnel and mileage costs over the entire duration of the intervention (24 weeks). Researchers also compared (using t tests) change in resources associated with breastfeeding including the number of clinic visits, hospital nights, emergency room visits, prescriptions, and formula feedings per day up to 12 weeks. RESULTS: The cost of the personnel and travel required for the intervention was $296 per woman. The use of medical care and number of formula feedings per day were similar for the intervention and usual care groups. When differences in use of medical care and formula feeding were statistically significant, the intervention group used fewer resources. CONCLUSION: Support for breastfeeding by community health nurses and peer counselors is partially offset by reducing medical care utilization and formula feeding costs.
Authors: Alison McFadden; Anna Gavine; Mary J Renfrew; Angela Wade; Phyll Buchanan; Jane L Taylor; Emma Veitch; Anne Marie Rennie; Susan A Crowther; Sara Neiman; Stephen MacGillivray Journal: Cochrane Database Syst Rev Date: 2017-02-28
Authors: Ellen M Janssen; Gerald J Jerome; Arlene T Dalcin; Joseph V Gennusa; Stacy Goldsholl; Kevin D Frick; Nae-Yuh Wang; Lawrence J Appel; Gail L Daumit Journal: Obesity (Silver Spring) Date: 2017-04-11 Impact factor: 5.002
Authors: Ifigeneia Mavranezouli; Jo Varley-Campbell; Sarah Stockton; Jennifer Francis; Clare Macdonald; Sunita Sharma; Peter Fleming; Elizabeth Punter; Charlotte Barry; Maija Kallioinen; Nina Khazaezadeh; David Jewell Journal: BMC Public Health Date: 2022-01-22 Impact factor: 3.295