Parkdale Infant Nutrition Security Targeted Evaluation Project: Infant Feeding

Study Overview
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Brief Summary
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In Toronto Ontario, the Parkdale Community Health Centre operates a community outreach program entitled Parkdale Parents' Primary Prevention Project (5P's). The 5P's provides weekly pre- and post-natal support and education programs for clients. This includes an infant feeding program for mothers with infants 0-6 months (Feeding Tiny Souls). The 5P's has a diverse client-base; the program is aimed at women who are in challenging life circumstances, therefore, clients may include low-income or single mothers and newcomers to Canada. The aim of this project is to investigate the incidence, duration and exclusivity of breastfeeding and timely complementary feeding based on level of maternal participation in components of a pre and postnatal community outreach program. Exploring infant feeding practices is an evaluation component that will not only characterize infant feeding practices within a vulnerable population, but will elucidate whether there are areas of concern that need to be expanded upon within pre or postnatal programming. A prospective infant feeding questionnaire will be administered to participants at 2 weeks and at 2, 4 and 6 months postpartum. The study population will consist of women who enrolled in 5P's prenatally. The hypothesis is that exclusive breastfeeding rates will be low, but higher breastfeeding rates will be observed among women who utilize provided postnatal services more readily.

Official Title
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Parkdale Infant Nutrition Security Targeted Evaluation Project (PINSTEP): Formative Research (Objective 3-Infant Feeding)

Conditions
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Breastfeeding, Breastfeeding, Exclusive, Infant Nutrition, Vulnerable Population, Complementary Feeding, Food Security

Intervention / Treatment
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* Other: Infant feeding questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Enrolled in Parkdale Parents' Primary Prevention Project (5P's) prenatally Enrolled prenatally in 5P's as of August 17, 2017 onwards Exclusion Criteria: Only enrolled in Parkdale Parents' Primary Prevention Project (5P's) postnatally Unavailable to participate in infant feeding questionnaire by telephone or in-person during 5P's programming
Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Program Clients<br>Parkdale Parents' Primary Prevention Project (5P's) clients | Other: Infant feeding questionnaire<br>* Prospective infant feeding questionnaire administered over the telephone or in-person at 2 weeks and at 2, 4 and 6 months postpartum<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Exclusive breastfeeding as assessed by responses to an infant feeding questionnaire | Reported exclusive breastfeeding from birth to 6 months in response to a prospective infant feeding questionnaire | birth to 6 months postpartum | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Breastfeeding initiation as assessed by responses to an infant feeding questionnaire administered at 2 weeks postpartum | Reported started breastfeeding at birth in response to a prospective infant feeding questionnaire | birth to 2 weeks postpartum | 
| Breastfeeding duration as assessed by responses to an infant feeding questionnaire administered at 2 weeks and 2, 4 and 6 months postpartum | Reported length of breastfeeding from birth to 6 months in response to a prospective infant feeding questionnaire | birth to 6 months | 
| Introduction of complementary foods as assessed by responses to an infant feeding questionnaire administered at 2 weeks and 2, 4 and 6 months postpartum | Reported timing of the introduction of complementary foods from birth to 6 months in response to a prospective infant feeding questionnaire | birth to 6 months | 
| Types of complementary foods introduced as assessed by responses to a prospective infant feeding questionnaire administered at 2 weeks and 2, 4 and 6 months postpartum | Reported types of foods introduced to infants from birth to 6 months in response to an infant feeding questionnaire | birth to 6 months | 
| Vitamin and mineral supplementation as assessed by responses to an infant feeding questionnaire administered at 2 weeks and 2, 4 and 6 months postpartum | Reported provision of vitamin or mineral supplementation to infants from birth to 6 months in response to a prospective infant feeding questionnaire | birth to 6 months |