The BIG Trial

The BIG Trial: a randomised controlled trial to evaluate the clinical and cost-effectiveness of breastfeeding support groups in improving breastfeeding initiation, duration and satisfaction

Investigators

Hoddinott, P., Godden, D. and Mollison, J. (Division of Applied Health Sciences, University of Aberdeen) Ludbrook, A. (HERU) Britten, J., McInnes, R. and Tappin, D. (University of Glasgow)

Summary

Randomisation was applied at the level of the LHCC. The cost-effectiveness analysis considered both costs to the NHS and to the participants. Participants were asked to value the breastfeeding support they received through the use of a willingness to pay questionnaire. The same questionnaire explored whether women felt they should be compensated for the peer support they provide to other mothers. The long-term benefits of any increase in breastfeeding were to be modelled and compared with the costs of the intervention. However, the study found no effect of breastfeeding groups on breastfeeding in deprived areas. The findings suggested that earlier engagement with women (during pregnancy) may be an important factor.

Contact

A Ludbrook

Status

Complete

Publications

Hoddinott, P., Britten, J., Prescott, G., Tappin, D., Ludbrook, A. and Godden, D. Effectiveness of a policy to provide breastfeeding groups (BIG) for pregnant and breastfeeding mothers in primary care: a cluster randomised controlled trial. British Medical Journal. 2009; 338(301): a3026.

Hoddinott, P., Britten, J., Godden, D., Prescott, G., Ludbrook, A., Tappin, D. and McInnes, R. The BIG Trial: a randomised controlled trial to evaluate the clinical and cost-effectiveness of breastfeeding support groups in improving breastfeeding initiation, duration and satisfaction. Report submitted to the Chief Scientist Office, (ref no CZH/4/156). November 2007.

Presentations

Hoddinott, P., Britten, J., Prescott, G., Tappin, D., Ludbrook, A. and Godden, D. Effectiveness of a policy to provide breastfeeding groups (BIG) for pregnant and breastfeeding mothers in primary care: a cluster RCT. Society of Academic Primary Care. Galway, July 2008. (Poster awarded conference prize)