Counselling and motivational videotapes increase duration of breast- feeding in Africa-American WIC participants who initiate breast-feeding

Susan M. Gross, Laura E. Caulfield, Margaret E. Bentley, Yvonne Bronner, Lisa Kessler, Joan Jensen, David M. Paige

Research output: Contribution to journalArticlepeer-review

64 Scopus citations


Objective: To evaluate the relative effects introducing motivational videotapes and/or peer counseling in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics serving African-American women have on breast-feeding duration. Design: Experimental intervention study. Pregnant women were enrolled at or before 24 weeks gestation and were followed up until postpartum week 16. Women were interviewed at enrollment, 7 to 10 days, 8 weeks, and 16 weeks postpartum. Subjects:/setting One hundred fifteen African-American WIC participants who initiated breast-feeding and who had been enrolled in 1 of 4 clinics. Intervention Two-by-two factorial design, in which 4 clinics were randomly assigned to receive either no intervention, a motivational video package intervention, a peer-counseling intervention, or both interventions. Main outcome measures Breast-feeding duration in weeks and relative risk ratios for breast-feeding cessation before 16 weeks postpartum. Statistical analysis performed Contingency table analysis, including χ2 tests and log-rank tests; multivariate analysis using Cox proportional hazards regression analysis. Results A higher proportion of women were breast-feeding at 8 and 16 weeks postpartum in the intervention clinics than in the control clinic. The proportion of women reporting breast-feeding declined at 8 and 16 weeks postpartum, but the rate of decline was slower in the 3 intervention clinics than in the control clinic. Being younger than 19 years of age or older than 25 years of age, having a male infant, and returning to work or school all negatively affected breast-feeding duration, whereas previous breast-feeding experience positively influenced breast-feeding duration. Applications/conclusions WIC- based peer counselor support and motivational videos can positively affect the duration of breast-feeding among African-American women. WIC nutritionists and other health professionals in contact with this population should expand their efforts toward promoting increased duration of breast- feeding.

Original languageEnglish (US)
Pages (from-to)143-148
Number of pages6
JournalJournal of the American Dietetic Association
Issue number2
StatePublished - Feb 1998

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics


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