Research Article| Volume 50, ISSUE 1, P33-42.e1, January 2018

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Impact of the Lactation Advice Through Texting Can Help (LATCH) Trial on Time to First Contact and Exclusive Breastfeeding among WIC Participants



      Determine the impact of a 2-way text messaging intervention on time to contact between participants and their breastfeeding peer counselors (BFPCs) and on exclusive breastfeeding (EBF) status at 2 weeks and 3 months postpartum.


      Multisite, single-blind, randomized, controlled trial.


      Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) BFPC program.


      Low-income women (n = 174) participating in the WIC BFPC program.


      The control group received the standard of care WIC Loving Support BFPC program. The intervention group received standard of care plus the text messaging intervention.

      Main Outcome Measures

      Time to contact with BFPC and EBF status.


      The 2-sample t test or χ2 test assessed whether an association existed between study variables and each outcome. Multivariable ordinal and binary logistic regression assessed the impact of the intervention on time to contact and EBF status.


      Lactation Advice Through Texting Can Help had a significant impact on early contact between participants and BFPCs (odds ratio = 2.93; 95% confidence interval, 1.35–6.37) but did not have a significant impact on EBF (odds ratio = 1.26; 95% confidence interval, 0.54–2.66).

      Conclusions and Implications

      Lactation Advice Through Texting Can Help has the potential to facilitate the work of BFPCs by shortening the time-to-first-contact with clients after giving birth. Research is needed to identify the level of breastfeeding support staff coverage that WIC clinics must have to meet the demand for services created by Lactation Advice Through Texting Can Help.

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        • Victora C.G.
        • Bahl R.
        • Barros A.J.
        • et al.
        Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect.
        Lancet. 2016; 387: 475-490
        • Rollins N.C.
        • Bhandari N.
        • Hajeebhoy N.
        • et al.
        Why invest, and what it will take to improve breastfeeding practices?.
        Lancet. 2016; 387: 491-504
        • US Department of Agriculture
        About WIC: WIC at a glance.
        Date accessed: February 27, 2015
        • US Department of Agriculture
        Special Supplemental Nutrition Program for Women, Infants, and Children (WIC): breastfeeding policy and guidance.
        • Epstein C.
        • Collins A.
        WIC Breastfeeding Peer Counseling Study: Phase II Follow-up Implementation Report.
        US Department of Agriculture, Food and Nutrition Service, Alexandria, VA2015
        • World Health Organization
        mHealth: new horizons for health through mobile technologies: second global survey on eHealth.
        • Pew Research Center
        The smartphone difference.
        • Pew Research Center
        Mobile fact sheet.
        • Hall A.K.
        • Cole-Lewis H.
        • Bernhardt J.M.
        Mobile text messaging for health: a systematic review of reviews.
        Annu Rev Public Health. 2015; 36: 393-415
        • Head K.J.
        • Noar S.M.
        • Iannarino N.T.
        • Grant Harrington N.
        Efficacy of text messaging-based interventions for health promotion: a meta-analysis.
        Soc Sci Med. 2013; 97: 41-48
        • Cole-Lewis H.
        • Kershaw T.
        Text messaging as a tool for behavior change in disease prevention and management.
        Epidemiol Rev. 2010; 32: 56-69
        • Fjeldsoe B.S.
        • Marshall A.L.
        • Miller Y.D.
        Behavior change interventions delivered by mobile telephone short-message service.
        Am J Prev Med. 2009; 36: 165-173
        • Gallegos D.
        • Russell-Bennett R.
        • Previte J.
        • Parkinson J.
        Can a text message a week improve breastfeeding?.
        BMC Pregnancy Childbirth. 2014; 14: 374
        • Jiang H.
        • Li M.
        • Wen L.M.
        • et al.
        Effect of short message service on infant feeding practice: findings from a community-based study in Shanghai, China.
        JAMA Pediatr. 2014; 168: 471-478
        • Lau Y.
        • Htun T.P.
        • Tam W.S.
        • Klainin-Yobas P.
        Efficacy of e-technologies in improving breastfeeding outcomes among perinatal women: a meta-analysis.
        Matern Child Nutr. 2015; 12: 381-401
        • Harari N.
        • Rosenthal M.S.
        • Bozzi V.
        • et al.
        Feasibility and acceptability of a text message intervention used as an adjunct tool by WIC breastfeeding peer counsellors: the LATCH pilot [published online ahead of print August 1, 2017].
        (Matern Child Nutr)
        • Anderson A.K.
        • Damio G.
        • Young S.
        • Chapman D.J.
        • Perez-Escamilla R.
        A randomized trial assessing the efficacy of peer counseling on exclusive breastfeeding in a predominantly Latina low-income community.
        Arch Pediatr Adolesc Med. 2005; 159: 836-841
        • Chapman D.J.
        • Damio G.
        • Perez-Escamilla R.
        Differential response to breastfeeding peer counseling within a low-income, predominantly Latina population.
        J Hum Lact. 2004; 20: 389-396
        • Chapman D.J.
        • Damio G.
        • Young S.
        • Perez-Escamilla R.
        Effectiveness of breastfeeding peer counseling in a low-income, predominantly Latina population: a randomized controlled trial.
        Arch Pediatr Adolesc Med. 2004; 158: 897-902
        • Chapman D.J.
        • Morel K.
        • Anderson A.K.
        • Damio G.
        • Perez-Escamilla R.
        Breastfeeding peer counseling: from efficacy through scale-up.
        J Hum Lact. 2010; 26: 314-326
        • Chapman D.J.
        • Perez-Escamilla R.
        Breastfeeding among minority women: moving from risk factors to interventions.
        Adv Nutr (Bethesda). 2012; 3: 95-104
        • Schwarzer R.
        Self-efficacy: Thought Control of Action.
        Taylor & Francis, Abingdon, UK2014
        • Schwarzer R.
        Modeling health behavior change: how to predict and modify the adoption and maintenance of health behaviors.
        Appl Psychol. 2008; 57: 1-29
        • Schwarzer R.
        • Renner B.
        Social-cognitive predictors of health behavior: action self-efficacy and coping self-efficacy.
        Health Psychol. 2000; 19: 487-495
        • Martinez-Brockman J.L.
        • Harari N.
        • Perez-Escamilla R.
        An assessment of the social cognitive predictors of exclusive breastfeeding behavior using the Health Action Process Approach.
        Soc Sci Med. 2017; 182: 106-116
        • World Health Organization
        Exclusive breastfeeding. e-Library of Evidence for Nutrition Actions (eLENA).
        • Labbok M.
        • Krasovec K.
        Toward consistency in breastfeeding definitions.
        Stud Fam Plann. 1990; 21: 226-230
        • Centers for Disease Control and Prevention
        Infant Feeding Practices Study II (IFPS II): Neonatal Questionnaire.
        • Martinez J.L.
        • Chapman D.
        • Pérez-Escamilla R.
        Prepregnancy obesity class is a risk factor for failure to exclusively breastfeed at hospital discharge among Latinas.
        J Hum Lact. 2016; 32: 258-268
        • Martinez J.L.
        Predictors of Exclusive Breastfeeding Behavior in Low-Income Women Attending the Special Supplemental Nutrition Program for Women, Infants, and Children.
        (dissertation; New Haven, CT: Yale University)2016
        • Li R.
        • Scanlon K.S.
        • Serdula M.K.
        The validity and reliability of maternal recall of breastfeeding practice.
        Nutr Rev. 2005; 63: 103-110
        • Connecticut State Department of Public Health, 2015
        State WIC program report: 2015 monthly WIC participation by race/ethnicity.

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