The Salud con Hyland's Project: Comienzo Saludable, Familia Sana [Health With Hyland's Project: Healthy Start, Healthy Family],was developed to provide education and support to Latina mothers regarding healthy infant feeding practices and maternal health. The promotora-delivered intervention was comprised of two charlas (educational sessions) and a supplemental, culturally and linguistically relevant infant feeding and care rolling calendar. Results indicate that the intervention increased intention to breastfeed exclusively, as well as to delay infant initiation of solids by 5 to 6 months. Qualitative feedback identified barriers to maternal and child health education as well as highlighted several benefits of the intervention.

Engaging Community With Promotores de Salud to Support Infant Nutrition and Breastfeeding Among Latinas Residing in Los Angeles County: Salud con Hyland's

Based on input from four focus groups the authors developed a culturally and linguistically appropriate material (CLAM) that used a pictorial format to promote breast feeding and age-appropriate introduction of solids for Hispanics/Latinos that attended a public health clinic in the northeast region of Florida. The handout focused on five key, but simple educational messages. Clients were randomly assigned to receive 1) the physician's usual oral instruction or 2) instruction that incorporated the use, and provision of, the handout. Among the group (n=12) that received the handout the mean month for introduction of solids was 5 months compared to 4.07 months for the group (n=16) that did not receive the handout. The preliminary data suggest positive outcomes, but a more rigorous methodology and larger study sample will be needed to determine overall effectiveness of this educational material. Florida Public Health Review, 2008; 5, 93-95. Introduction Healthy infant feeding practices have a positive impact on children’s health outcomes (Lenderman et al., 2004). Promoting proper infant feeding practices addresses two of the major goals of Healthy People 2010 (U.S. Department of Health and Human Services [DHHS], 2005a) as well as several of the 40 objectives related to infant health. Using American Academy of Pediatrics policies on infant feeding practices and input from a total of four focus groups the authors developed a culturally and linguistically appropriate material (CLAM) that used a pictorial format to promote breastfeeding and age-appropriate introduction of solids for Hispanics/Latinos with limited English proficiency (LEP) and low level of literacy (American Academy of Pediatrics Committee on Nutrition, 2001; American Academy of Pediatrics Section on Breastfeeding, 2005; Kimbrough, 2007; American Academy of Pediatrics Committee on Nutrition, 2004; DHHS, 2005a; 2005b). Target Population The target population for the project was Spanishspeaking parents with children less than one year of age attending a public health clinic in Northeast Florida. Approximately 75% of the Spanish-speaking patients seen at the clinic are from Mexico. The remaining 25% are rather evenly distributed between Honduras, Ecuador, Columbia, Peru, Venezuela, Guatemala and Puerto Rico. Focus groups were conducted by facilitators fluent in Spanish and sensitive to issues related to dialectical and other Spanish language differences and no Spanish dialect related issues were detected during the focus group discussions. In that the handout is totally pictorial, the issue of language and dialects is not an issue, and one of the advantages of the handout. Goals and Objectives Pediatricians at a public health clinic that serves a Latino/Hispanic population observed five major problems that became the basis for developing a lowliteracy handout that focused on five educational messages: 1) breastfeed until the first birthday; 2) delay the introduction of solid foods until between four and six months of age, and spoon-feed, rather than bottle-feed; 3) serve fruits and vegetables and avoid sugary fluids and adding sugar to foods and fruit juices; 4) introduce water in a cup at five or six months of age; and 5) if bottle-feeding, replace the bottle with a cup at one year of age. Although there are varied materials available through the WIC Loving Support Makes Breastfeeding WorkTM Campaign, which was part of a cooperative agreement between the U.S. Department of Agriculture’s Food and Nutrition Service and Best Start Social Marketing, Inc. (U.S. Department of Agriculture Food and Nutrition Service, 1996), the center needed to develop a handout that was unique

Development and pilot testing of a low literacy handout for Hispanic/Latino caregivers to promote breastfeeding and introduce age appropriate foods for infants.

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Development and pilot testing of a low literacy handout for Hispanic/Latino caregivers to promote breastfeeding and introduce age appropriate foods for infants.