Watt, R. G., Dowler, Elizabeth, Hardy, R., Kelly, Yvonne, McGlone, P., Molloy, B., Tull, K. I. and Wiggins, M. (2007) Promoting recommended infant feeding practices in a low-income-sample randomised control trial of a peer-support intervention. In: Scientific Meeting of the Nutrition Society, Churchill College, Cambridge, UK, 11-13 Dec 2006. Published in: Proceedings of the Nutrition Society, Volume 66 (Special Issue). 23A. ISSN 0029-6651.

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Abstract

The objective of this project was to assess the effectiveness of a peer-support intervention on infant
feeding practices in Camden and Islington, London, UK over a 15-month period from December 2002 to
February 2004.
A randomised controlled trial compared nutritional and other outcomes for women offered
volunteer support with those for control women who only received standard professional care. The
sample was recruited using advertisements in free local papers and council run hostels, but mainly at
baby clinics. The 312 women were allocated at random to the intervention (157) or control group (155).
Data was collected at baseline when the infants were 10 weeks old, post intervention when the children
were 12 months old, and at 6 months follow up when the children were 18 months old. Nutrient intakes,
fruit and vegetable consumption, feeding practices, growth and use of health services were also assessed
for each child. Mothers were interviewed at each stage of the study, and information was gathered on
mother’s health, fruit and vegetable consumption, nutritional knowledge and confidence. In addition, a
detailed process evaluation was conducted. A group of local volunteers were recruited and trained to
provide non-judgemental support and practical assistance on infant feeding, in particular weaning
practices. Home-based support was offered over a 9-month period until the infants were 12 months old.
Nutrient data from 24-hour multiple pass recalls at each stage was entered and analysed using
the CompEatTM nutrient database. The macro- and micro-nutrient intakes at each stage were similar in
each group (data not shown). Both the macro- and micro-nutrient intakes were in line with the
recommended (RNI) and lower recommended nutrient intake (LRNI) values. Consumption of fresh fruit
and vegetables was gathered through the use of a food frequency questionnaire at the 12 and 18 month
visits. The effect of the intervention on the test group at each project stage is shown below:

Item Type:	Conference Item (Paper)
Subjects:	R Medicine > RA Public aspects of medicine
Divisions:	Faculty of Social Sciences > Sociology
Journal or Publication Title:	Proceedings of the Nutrition Society
Publisher:	Cambridge University Press
ISSN:	0029-6651
Official Date:	2007
Dates:	Date Event 2007 UNSPECIFIED
Volume:	Volume 66
Number:	Special Issue
Number of Pages:	1
Page Range:	23A
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Conference Paper Type:	Paper
Title of Event:	Scientific Meeting of the Nutrition Society
Type of Event:	Conference
Location of Event:	Churchill College, Cambridge, UK
Date(s) of Event:	11-13 Dec 2006
Related URLs:	Organisation

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