Developing a Cohort Web Application: Real-time Monitoring of Breastfeeding Indicators
Abstract
Investing in the development of methodologies for timely intervention in breastfeeding practices that provide improved indicators and prolong breastfeeding duration positively impacts the health of women and children. Aim: To develop children cohort data capture interface of a national reference institution for high foetal, neonatal and child risk from birth, covering all hospitalisation up to the second year of life for real-time monitoring of breastfeeding indicators and prevalence. Methods: Four primary criteria were considered: data security (specific permissions for different profiles and encryption of sensitive data), researcher time streamlining, data quality and construction of data export auxiliary tools. Results: A web-based tool for data collection using a mobile device or computer was developed. The tool successfully allowed the ongoing collection for a defined population cohort of measures related to breastfeeding: maternal factors, child-related factors, health service issues, nipple use, introduction of fluids and other processed foods, as well as breastfeeding practice. Conclusion: The developed product enables the validated extraction and collation of data from existing electronic records and other sources for the monitoring of breastfeeding practices. Such data can be used to refine guidelines and individual behaviour to maximise the benefits of breastfeeding and avoid early weaning.
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References
Horta BL. Breastfeeding: Investing in the Future. Breastfeed Med 2019;14(S1):S11-S12. DOI: 10.1089/bfm.2019.0032.
Victora CG, Bahl R, Barros AJ, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet 2016;387:475–490. DOI:10.1016/S0140-6736(15)01024-7.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Bases para a discussão da Política Nacional de Promoção, Proteção e Apoio ao Aleitamento Materno / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. – Brasília: Ministério da Saúde, 2017.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas e Estratégicas. II Pesquisa de Prevalência de Aleitamento Materno nas Capitais Brasileiras e Distrito Federal / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Ações Programáticas e Estratégicas. – Brasília : Editora do Ministério da Saúde, 2009. 108 p. : il. – (Série C. Projetos, Programas e Relatórios)
World Health Organization. Indicators for assessing infant and young child feeding practices: Part 1 Definitions. Geneva: WHO; 2008.
Robinson KA, Dennison CR, Wayman DM, Pronovost PJ, Needham DM. Systematic review identifies number of strategies important for retaining study participants. J Clin Epidemiol. 2007;60(8):757-765. DOI: 10.1016/j.jclinepi.2006.11.023.
Barreto Sandhi Maria, Ladeira Roberto Marini, Bastos Maria do Socorro Castelo Branco de Oliveira, et al. ELSA-Brasil strategies for outcome identification, investigation and ascertainment. Rev Saúde Pública 2013 ; 47(Suppl2):79-86. DOI http://dx.doi.org/10.1590/S0034-8910.2013047003836.
Silva MDB. Breastfeeding in high-complexity neonatal and child care : cohort study. Rio de Janeiro: Escola Nacional de Saúde Pública/FIOCRUZ, 2020. Doctoral Thesis.
Silva MDB, Oliveira RVC, Braga JU, Almeida JAGd, Melo ECP. Breastfeeding patterns in cohort infants at a high-risk fetal, neonatal and child referral center in Brazil: a correspondence analysis. BMC Pediatr 2020; 20:372. DOI: 10.1186/s12887-020-02272-w
Bootstrap Framework. (2019). Available at: https://getbootstrap.com/ accessed 1 November 2019.
Google. (2020). Firebase helps you build and run successful apps. Available at: https://firebase.google.com/?hl=pt-BR accessed 2 November 2019.
Roberts M. (2018). Serverless Architectures. Available at: https://martinfowler.com/articles/serverless.html accessed 12 November 2019
Ventola CL. Mobile devices and apps for health care professionals: uses and benefits. P T 2014;39(5):356-364. PMID: 24883008.
Yu P, De Courten M, Pan E, Galea G, Pryor J. Development and evaluation of a PDA-based method for public health surveillance data collection in developing countries. Int J Med Inform 2009;78(8):532-542. DOI:10.1016/j.ijmedinf.2009.03.002
Lane SJ, Heddle NM, Arnold E, Walker I. A review of randomized controlled trials comparing the effectiveness of hand held computers with paper methods for data collection. BMC Med Inform Decis Mak 2006 May 31;6:23. DOI: 10.1186/1472-6947-6-23.
Fanning J, McAuley E. A comparison of tablet computer and paper-based questionnaires in healthy aging research. JMIR Res Protoc 2014;3(3):e38. DOI: 10.2196/resprot.3291.
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