title: Clinical translational research hits the road: RCT of breastfeeding promotion interventions in routine prenatal care.
abstract: Translating evidence-based research into practice requires data from clinical trials in real world settings. This paper presents "lessons learned" from the implementation of an RCT of breastfeeding promotion interventions at two busy, urban, prenatal care sites. Data were obtained via direct observations, qualitative interviews, and study statistics. Primary challenges include: time and space burdens, "research vs. service" mission conflict, and the provider learning curve for conducting interventions. Primary facilitators include: researcher presence for enhancing rapport with participants and staff, site staff labeling of both the research interview and intervention as "value added time," and the ability of research staff to assist the clinic beyond the scope of the clinical trial. Specific suggestions are given for building collaborative bonds between the research team, clinicians, administrators, and staff in busy urban practices.
authors.affiliation: Albert Einstein College of Medicine, Department of Family and Social Medicine, Bronx, NY 10461, United States. kbonuck@montefiore.org
authors.forename: Karen A
authors.initials: KA
authors.lastname: Bonuck
authors.forename: Jennifer
authors.initials: J
authors.lastname: Lischewski
authors.forename: Mindy
authors.initials: M
authors.lastname: Brittner
mesh_terms: D000293:Adolescent; D000328:Adult; D001942:Breast Feeding; D019317:Evidence-Based Medicine; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D007231:Infant, Newborn; D007774:Lactation; D010865:Pilot Projects; D011295:Prenatal Care / Q000379:methods*; D016032:Randomized Controlled Trials as Topic / Q000379:methods*; D040241:Social Marketing; D057170:Translational Research, Biomedical; D014481:United States; D055815:Young Adult