{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T03:32:45Z","timestamp":1792467165476,"version":"4.5.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2010,10,28]],"date-time":"2010-10-28T00:00:00Z","timestamp":1288224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2011,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives:<\/jats:title>\n                    <jats:p>Breastfeeding rates in the United States remain below the Surgeon General's Healthy People 2010 goals. Encouragement of breastfeeding and education by maternal\u2013child healthcare (MCH) providers (physicians, residents, and midlevel providers) improves breastfeeding initiation and duration. Surveys of MCH providers show lack of knowledge about breastfeeding. This study evaluated the effect of usage of \u201cBreastfeedingBasics,\u201d a free Internet-based educational course, on the knowledge of MCH providers and evaluation of the baseline knowledge of course users.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A before and after intervention study was done of MCH providers using the \u201cBreastfeedingBasics\u201d website between 1999 and 2008. Baseline knowledge and change in knowledge were assessed by computer-scored pretests and posttests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 3,456 MCH providers enrolled, 2,237 (65%) completed one or more pretest. Total mean pretest\/posttest scores were as follows: midlevel providers, 81%\/89%; residents, 84%\/93%; and physicians, 85%\/92% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001 among groups and between pretests and posttests). Mean pretest\/posttest scores of the modules were as follows: Anatomy\/Physiology, 79%\/93%; Growth\/Development, 72%\/91%; Mother\u2013Infant Couple (normal newborn), 82%\/92%; and Breastfed Infant with Problems, 77%\/91% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001 for all). Specific topics with the lowest pretest scores and subsequent posttest scores were as follows (pretest\/posttest): supplementation with vitamin D, 61%\/93%; breastfeeding physiology, 38%\/65%; growth of breastfed infants at 10 days, 80%\/95%, 14 days, 72%\/91%, and 3\u20134 months, 39%\/84%; and stopping breastfeeding for maternal problems when not indicated, 69%\/93% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001 for all).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Use of an Internet-based educational program improved knowledge of MCH providers as measured by pretest and posttest scores. Knowledge of the growth of breastfed infants is particularly poor. Increasing knowledge is the first step in improving clinical practice that is necessary for increasing breastfeeding rates and duration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/bfm.2010.0061","type":"journal-article","created":{"date-parts":[[2010,10,28]],"date-time":"2010-10-28T23:50:15Z","timestamp":1288309815000},"page":"421-427","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["An Internet-Based Education Program Improves Breastfeeding Knowledge of Maternal\u2013Child Healthcare Providers"],"prefix":"10.1177","volume":"6","author":[{"given":"Mary E.","family":"O'Connor","sequence":"first","affiliation":[{"name":"Community Health Services"},{"name":"University of Colorado School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emil W.","family":"Brown","sequence":"additional","affiliation":[{"name":"Computer Consultant, Golden, Colorado."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda Orkin","family":"Lewin","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2010,10,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-2491"},{"key":"e_1_3_3_3_2","unstructured":"Centers for Disease Control and Prevention. Breastfeeding Among US Children Born 1999\u20132005 CDC National Immunization Survey. www.cdc.gov\/breastfeeding\/data\/NIS_data\/index.htm. 2010 July 16."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2007.12.003"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(95)70342-X"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.323.7325.1358"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.3.677"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.4.413"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.104.3.e28"},{"issue":"1","key":"e_1_3_3_10_2","first-page":"CD001141","article-title":"Support for breastfeeding mothers","author":"Britton C","year":"2007","unstructured":"Britton C, , McCormick FM, , Renfrew MJ et al. Support for breastfeeding mothers. 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