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Trial registered on ANZCTR
Registration number
ACTRN12611001014943
Ethics application status
Approved
Date submitted
20/09/2011
Date registered
21/09/2011
Date last updated
21/09/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Telephone lactation counseling and breast feeding practices: a randomized controlled trial
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Scientific title
The effect of telephone lactation counseling versus conventional lactation support on breast feeding practice in mothers
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Secondary ID [1]
263080
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NMRR-09-414-4066, Malaysian National Medical Research Registry www.nmrr.gov.my
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breastfeeding Practice at 6 month postpartum
270831
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Condition category
Condition code
Public Health
271013
271013
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0
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Health promotion/education
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Reproductive Health and Childbirth
271018
271018
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0
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Breast feeding
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Lactation counseling given to mothers by certified lactation counselors via telephone twice monthly to each lactating mother plus the current conventional care (thus it is expected that every mother will receive twelve lactation counselings at the end of the study). Contacts are discontinued at any time if mother decide to completely stop breast feeding. Mothers are allowed to receive the current conventional care (postnatal breast feeding promotion or support by own healthcare provider). The duration of each lactation counseling depends on each of the mothers' need. This intervention will be conducted for 6 months postpartum for every participant in the intervention group.
Lactation counselors in this study are the nursing staffs from Maternity Hospital Kuala Lumpur who are certified as lactation counselors (have undergone 40 hours lactation management and counseling course).
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Intervention code [1]
269432
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Behaviour
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Comparator / control treatment
Mothers receiving current conventional care (postnatal breast feeding promotion or support by own healthcare provider).
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Control group
Active
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Outcomes
Primary outcome [1]
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breastfeeding practice using the "previous 24-hours" and the "ever given the infant anything besides breast milk since birth" definitions (WHO) i.e. exclusive breastfeeding, predominant breastfeeding, complementary breast feeding and stopped breastfeeding.
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Assessment method [1]
279673
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Timepoint [1]
279673
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1, 4 & 6 month postpartum
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Secondary outcome [1]
294170
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number of telephone lactation counselings and the total hour of counseling received in the intervention group, and it will be compared to the duration of breast feeding and its relation to the breast feeding practice (i.e. exclusive, predominant, complementary and stopped breast feeding)
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Assessment method [1]
294170
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Timepoint [1]
294170
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1, 4 & 6 month postpartum
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Eligibility
Key inclusion criteria
Malaysian nationality, delivery at 37 weeks gestation or more, mothers who delivered only single infant, intending to breast feed; able to understand and communicate in spoken Malay Language or English; have received at least once any prenatal breastfeeding education programme; have telephone access and have given informed consent.
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Women with multiple pregnancies or medical problems which may hinder breastfeeding, delivered via Caesarean section or whose baby subsequently required prolonged care in a Special Care Nursery
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/03/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
300
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3855
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Malaysia
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State/province [1]
3855
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Postgraduate Research Fund, Institute of Research Management and Consultancy, University Malaya
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Address [1]
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Institute of Research Management and Consultancy (IPPP)
University Malaya
50603 Kuala Lumpur
MALAYSIA
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Country [1]
269904
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Malaysia
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Primary sponsor type
University
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Name
Institute of Research Management and Consultancy (IPPP), University Malaya
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Address
Institute of Research Management and Consultancy (IPPP)
University Malaya
50603 Kuala Lumpur
MALAYSIA
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Country
Malaysia
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Secondary sponsor category [1]
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None
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Name [1]
268915
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Nil
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Address [1]
268915
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Nil
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Country [1]
268915
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
271876
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University Malaya Medical Centre (UMMC) Medical Ethics Committee
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Ethics committee address [1]
271876
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University Malaya Medical Centre (UMMC) Medical Ethics Committee University Malaya Medical Centre (UMMC) Lembah Pantai 59100 Kuala Lumpur Malaysia
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Ethics committee country [1]
271876
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Date submitted for ethics approval [1]
271876
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Approval date [1]
271876
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Ethics approval number [1]
271876
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Summary
Brief summary
This study attempts to provide data whether the change in the conduct of lactation counseling could help in the promotion of breast feeding, particularly exclusive breast feeding among mothers. The antenatal breast feeding programme within the Malaysian public health care system can be considered as good as almost all of the public hospitals have been certified as Baby Friendly Hospital. However, it was noted from observation and personal experience that there is lacking in the postnatal support for lactating mothers in Malaysia. Among the questions that may be resolved from this research are: 1. Is there any difference in the breast feeding patterns among mothers if there is change in the conduct of lactation counseling, or will telephone lactation counseling cause the change in breast feeding pattern? 2. What are the factors that will influence the mothers’ breast feeding practices? 3. What is the probability of mothers to continue breast feeding if they were subjected to different postnatal support programme? 4. What are the factors associated with the failure of exclusive breastfeeding? 5. What are the common lactating problems among mothers in Malaysia? Thus, the primary objective of this research is to study the effects of telephone-based lactational counseling towards the breast feeding patterns among mothers in Kuala Lumpur. The specific objectives are: 1. To determine the proportion of different breast feeding patterns between the intervention (received proactive lactation counseling and the current breast feeding promotion programme) mainly, exclusive breast feeding, predominant breast feeding, complimentary feeding and stopped breast feeding. 2. To determine the other factors associated with the different breast feeding outcomes. 3. To determine the common problems discussed among the lactating mothers with the lactation counselors 4. To determine the factors associated with the failure of exclusive breastfeeding The Null hypothesis, Ho in this study is: there is no difference in the proportion of different breast feeding practices between the intervention and the control group
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
33188
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Address
33188
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Country
33188
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Phone
33188
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Fax
33188
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Email
33188
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Contact person for public queries
Name
16435
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Dr Norzakiah Mohd Tahir
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Address
16435
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Department of Social & Preventive Medicine
Faculty of Medicine
University Malaya
50603 Kuala Lumpur
Malaysia
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Country
16435
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Malaysia
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Phone
16435
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+60196230311
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Fax
16435
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Email
16435
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[email protected]
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Contact person for scientific queries
Name
7363
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Dr Norzakiah Mohd Tahir
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Address
7363
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Department of Social & Preventive Medicine
Faculty of Medicine
University Malaya
50603 Kuala Lumpur
Malaysia
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Country
7363
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Malaysia
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Phone
7363
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+60196230311
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Fax
7363
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Email
7363
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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