{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:08:20Z","timestamp":1787018900911,"version":"build-2736575974"},"reference-count":13,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,5,26]],"date-time":"2015-05-26T00:00:00Z","timestamp":1432598400000},"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":["J Hum Lact"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:p>Lack of health professional support is an important variable affecting mothers\u2019 achievement of breastfeeding goals. Online continuing education is a recognized pathway for disseminating content for improving clinicians\u2019 knowledge and supporting efforts to change practices. At the time we developed our project, free, accredited continuing education for physicians related to breastfeeding management that could be easily accessed using portable devices (via tablets\/smartphones) was not available. Such resources were in demand, especially for facilities pursuing designation through the Baby-Friendly Hospital Initiative. We assembled a government, academic, health care provider, and professional society partnership to create such a tutorial that would address the diverse content needed for supporting breastfeeding mothers postdischarge in the United States. Our 1.5-hour-long continuing medical and nursing education was completed by 1606 clinicians (1172 nurses [73%] and 434 physicians [27%]) within 1 year. More than 90% of nurses and over 98% of physicians said the tutorial achieved its 7 learning objectives related to breastfeeding physiology, broader factors in infant feeding decisions and practices, the American Academy of Pediatrics\u2019 policy statement, and breastfeeding management\/troubleshooting. Feedback received from the tutorial led to the creation of a second tutorial consisting of another 1.5 hours of continuing medical and nursing education related to breast examination and assessment prior to delivery, provision of anticipatory guidance to pregnant women interested in breastfeeding, maternity care practices that influence breastfeeding outcomes, breastfeeding preterm infants, breastfeeding\u2019s role in helping address disparities, and dispelling common myths. The tutorials contribute to achievement of 8 Healthy People 2020 Maternal, Infant and Child Health objectives.<\/jats:p>","DOI":"10.1177\/0890334415585977","type":"journal-article","created":{"date-parts":[[2015,5,27]],"date-time":"2015-05-27T09:46:33Z","timestamp":1432719993000},"page":"582-586","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Online Continuing Education for Expanding Clinicians\u2019 Roles in Breastfeeding Support"],"prefix":"10.1177","volume":"31","author":[{"given":"Roger A.","family":"Edwards","sequence":"first","affiliation":[{"name":"Consultant, Massachusetts Department of Public Health, and formerly Bouv\u00e9 College of Health Sciences, Northeastern University, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Colchamiro","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Tolan","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Browne","sequence":"additional","affiliation":[{"name":"MA Chapter, American Academy of Pediatrics, Waltham, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Foley","sequence":"additional","affiliation":[{"name":"Melrose-Wakefield Hospital, Hallmark Health System, Melrose, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Melrose-Wakefield Hospital, Hallmark Health System, Melrose, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Mainello","sequence":"additional","affiliation":[{"name":"Bouv\u00e9 College of Health Sciences, Northeastern University, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohith","family":"Vallu","sequence":"additional","affiliation":[{"name":"College of Computer & Information Sciences, Northeastern University, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren E.","family":"Hanley","sequence":"additional","affiliation":[{"name":"Harvard University School of Medicine, Massachusetts General Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Ellen","family":"Boisvert","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Plymouth, Plymouth, MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Forgit","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kara","family":"Ghiringhelli","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Nordstrom","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,5,26]]},"reference":[{"key":"bibr1-0890334415585977","unstructured":"Centers for Disease Control and Prevention. CDC breastfeeding report card 2014. http:\/\/www.cdc.gov\/breastfeeding\/pdf\/2014breastfeedingreportcard.pdf. Accessed September 5, 2014."},{"key":"bibr2-0890334415585977","unstructured":"US Department of Health and Human Services, Office of the Surgeon General. The Surgeon General\u2019s Call to Action to Support Breastfeeding. http:\/\/www.surgeongeneral.gov\/library\/calls\/breastfeeding\/. Published January 20, 2011. Accessed August 27, 2014."},{"key":"bibr3-0890334415585977","doi-asserted-by":"publisher","DOI":"10.1002\/chp.1340240105"},{"key":"bibr4-0890334415585977","unstructured":"Edwards RA, Tolan ER, Colchamiro R, Nordstrom C. Massachusetts: enabling continuity of care for breastfeeding support. https:\/\/apha.confex.com\/apha\/141am\/webprogram\/Paper294679.html. Accessed October 18, 2014."},{"key":"bibr5-0890334415585977","unstructured":"American Academy of Pediatrics. Breastfeeding Residency Curriculum. http:\/\/www2.aap.org\/breastfeeding\/curriculum\/tools.html#preparedPresentations. Accessed January 15, 2015."},{"key":"bibr6-0890334415585977","unstructured":"Wellstart International website. http:\/\/www.wellstart.org\/Self-Study-Module.pdf. Accessed January 15, 2015."},{"key":"bibr7-0890334415585977","unstructured":"CHAMPS: Communities and Hospitals Advancing Maternity Practices. The Breastfeeding Center at Boston Medical Center website. http:\/\/www.champsbreastfeed.org\/training-for-health-care-professionals.html. Accessed January 15, 2015."},{"key":"bibr8-0890334415585977","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"key":"bibr9-0890334415585977","volume-title":"The Adult Learner: A Neglected Species","author":"Knowles M","year":"1984","edition":"3"},{"key":"bibr10-0890334415585977","doi-asserted-by":"publisher","DOI":"10.1002\/chp.20089"},{"key":"bibr11-0890334415585977","unstructured":"Centers for Disease Control and Prevention. HealthyPeople.gov 2020 Topics and Objectives Maternal, Infant, and Child Health website. http:\/\/www.healthypeople.gov\/2020\/topics-objectives\/topic\/maternal-infant-and-child-health\/objectives. Accessed August 31, 2014."},{"key":"bibr12-0890334415585977","unstructured":"National Prevention Council. National Prevention Strategy website. http:\/\/www.surgeongeneral.gov\/initiatives\/prevention\/strategy\/report.pdf. Accessed August 27, 2014."},{"key":"bibr13-0890334415585977","unstructured":"US Breastfeeding Committee. Toolkit: implementing TJC perinatal care core measure on exclusive breast milk feeding. http:\/\/www.usbreastfeeding.org\/HealthCare\/HospitalMaternityCenterPractices\/ToolkitImplementingTJCCoreMeasure\/tabid\/184\/Default.aspx. Accessed September 16, 2014."}],"container-title":["Journal of Human Lactation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0890334415585977","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0890334415585977","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0890334415585977","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:31:15Z","timestamp":1777501875000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0890334415585977"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,26]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,11]]}},"alternative-id":["10.1177\/0890334415585977"],"URL":"https:\/\/doi.org\/10.1177\/0890334415585977","relation":{},"ISSN":["0890-3344","1552-5732"],"issn-type":[{"value":"0890-3344","type":"print"},{"value":"1552-5732","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,26]]}}}