2025
Support or Interference: Relational Influences on Mother's Exclusive Breastfeeding Practices in Ghana
Esteves G, Sandow A, Segbedji C, Addo A, Pérez‐Escamilla R, Aryeetey R, Hromi‐Fiedler A. Support or Interference: Relational Influences on Mother's Exclusive Breastfeeding Practices in Ghana. Maternal And Child Nutrition 2025, 21: e70080. PMID: 40697090, PMCID: PMC12454191, DOI: 10.1111/mcn.70080.Peer-Reviewed Original ResearchConceptsExclusive breastfeeding practiceInfluence of fathersPractice of Exclusive BreastfeedingMother-child dyadsExclusive breastfeedingSemi-structured in-depth interviewsRegion of GhanaRelative influenceIn-depth interviewsCentral Region of GhanaNursing recommendationsChildren's physical growthGrandmother's supportFather presenceWorld Health OrganizationMothers' adherenceFamily membersSocial normsFamily supportCommunity peersChild healthGhanaFamily members' beliefsInterpersonal levelFathersValidation of the Latin American and Caribbean Food Security Scale (ELCSA) for use in Samoa
Tanawattanacharoen V, Choy C, Anesi T, Hromi-Fiedler A, Naseri T, Reupena M, Duckham R, Wang D, Hawley N, Soti-Ulberg C. Validation of the Latin American and Caribbean Food Security Scale (ELCSA) for use in Samoa. Journal Of Nutrition 2025, 155: 1474-1484. PMID: 40127734, PMCID: PMC12121424, DOI: 10.1016/j.tjnut.2025.03.023.Peer-Reviewed Original ResearchCaribbean Food Security ScaleFood Security ScaleFood insecurityInternal consistencySecurity ScaleDegree of food insecurityChildren's dietary intakeLongitudinal cohort studyRasch modelProtective factorsItem infit statisticsFocus group discussionsObesity riskInfit statisticsContent validityMaternal educationConstruct validityHealthy foodSamoan mothersSamoan womenCohort studyDietary intakeHousehold incomeGroup discussionsCohort characteristicsCommunity-Engaged Codesign and Piloting of the FOOD4MOMS Produce Prescription Program for Pregnant Latina Women
Segura-Pérez S, Tristán Urrutia A, He A, Hromi-Fiedler A, Gionteris K, Duffany K, Rhodes E, Pérez-Escamilla R. Community-Engaged Codesign and Piloting of the FOOD4MOMS Produce Prescription Program for Pregnant Latina Women. Current Developments In Nutrition 2025, 9: 104572. PMID: 40145018, PMCID: PMC11938078, DOI: 10.1016/j.cdnut.2025.104572.Peer-Reviewed Original ResearchListening sessionsPrescription programPilot participantsSpecial Supplemental Nutrition ProgramMaternal health programsSupplemental Nutrition ProgramPilot study participantsHigh levels of satisfactionAdult pregnant womenElectronic benefits transfer cardsLow-income individualsRatings of benefitVegetable consumptionLevel of satisfactionHealth programsNutrition classesNutrition ProgramEating plentyCodesign phaseLow-income familiesThematic analysisStudy participantsPregnancy trimesterPregnant mothersPregnant womenContent Analysis of Austrian Print and Online Newspaper Coverage of Breastfeeding Over Two Decades
Zuckerhut B, Naderer B, Eberl J, Tolochko P, Lercher L, Jirovsky‐Platter E, Winzer E, Hromi‐Fiedler A, Pérez‐Escamilla R, Wakolbinger M. Content Analysis of Austrian Print and Online Newspaper Coverage of Breastfeeding Over Two Decades. Maternal And Child Nutrition 2025, 21: e13795. PMID: 39783777, PMCID: PMC11956076, DOI: 10.1111/mcn.13795.Peer-Reviewed Original ResearchNewspaper coverageCoverage of breastfeedingExtensive media coveragePrint newspapersAustrian newspapersAustrian mediaMedia coverageNewspapersContent analysisEvent announcementsCommercial milk formulaPrintingSocial normsMediumBreastfeeding advocatesJournalistsBroadsheetSocial environmentTabloidsHealth benefits of breastfeedingGenreExclusive breastfeeding ratesPortrayalBenefits of breastfeedingCoverage
2024
Clients’ experiences and satisfaction with produce prescription programs in California: a qualitative evaluation to inform person-centered and respectful program models
Rhodes E, Pérez-Escamilla R, Okoli N, Hromi-Fiedler A, Foster J, McAndrew J, Duran-Becerra B, Duffany K. Clients’ experiences and satisfaction with produce prescription programs in California: a qualitative evaluation to inform person-centered and respectful program models. Frontiers In Public Health 2024, 12: 1295291. PMID: 38572012, PMCID: PMC10990041, DOI: 10.3389/fpubh.2024.1295291.Peer-Reviewed Original ResearchPrescription programClient experiencePerson-centeredFederally Qualified Health CentersFramework analysis approachQualified health centersImprove client experienceFocus group discussionsTreated with respectVegetable consumptionPerson-centrednessProgram usabilityHealth centersParticipants' program experiencesPositive experiencesGroup discussionsLife courseGift cardsPrescriptionParticipantsProgram designSatisfactionThemesProgram demandsFresh fruits
2023
Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study
Martinez-Brockman J, Hromi-Fiedler A, Galusha D, Oladele C, Acosta L, Adams O, Maharaj R, Nazario C, Nunez M, Nunez-Smith M, Pérez-Escamilla R, Group O. Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study. Frontiers In Public Health 2023, 11: 1269857. PMID: 38074748, PMCID: PMC10702572, DOI: 10.3389/fpubh.2023.1269857.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyCohort studyRisk factorsHousehold food insecurityPrevalence of HHFIPopulation-based longitudinal cohort studyBivariate analysisCaribbean Food Security ScaleSex stratified analysisImportant risk factorLongitudinal cohort studyPotential risk factorsCohort study dataYears of ageSelf-rated physical healthEnvironmental risk factorsCross-sectional analysisHFI statusPrimary outcomeMultivariable analysisSmoking statusFood insecuritySevere food insecurityOrdinal logistic regressionStratified analysisConsensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis
Daiy K, Arslanian K, Choy C, Manuele-Magele A, Soti-Ulberg C, Hromi-Fiedler A, Hawley N, Pérez-Escamilla R. Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis. PLOS Global Public Health 2023, 3: e0001725. PMID: 37093783, PMCID: PMC10124882, DOI: 10.1371/journal.pgph.0001725.Peer-Reviewed Original ResearchPolicy recommendationsContent analysisFriendly InitiativeQualitative content analysisNational policyEvidence-based toolboxGovernment ministriesCountry contextMeeting notesBreastfeeding environmentCommittee processEmergent wayInductive approachLactation roomsInitiativesSpecific waysPolicyOverarching methodTopic of breastfeedingBBF processSamoaThemesSubthemesCommittee meetingsCommittee
2022
Barriers and Facilitators to Optimal Infant and Young Child Feeding Practices in the Central Region of Ghana: Perceptions of Heath Care Providers
Hromi-Fiedler A, Sandow A, Pérez-Escamilla R, Segbedji C, Addo-Lartey A, Aryeetey R. Barriers and Facilitators to Optimal Infant and Young Child Feeding Practices in the Central Region of Ghana: Perceptions of Heath Care Providers. Current Developments In Nutrition 2022, 6: 576. PMCID: PMC9193413, DOI: 10.1093/cdn/nzac060.034.Peer-Reviewed Original ResearchYoung child feeding practicesBarriers/facilitatorsChild feeding practicesFeeding practicesIYCF counselingOptimal infantCare providersComplementary feeding practicesHeath care providersIndividual-level barriersMulti-level interventionsCross-cutting barriersBreastmilk insufficiencyMaternal hygieneIYCF knowledgeBreast problemsHealth facilitiesHome visitsPolicies/guidelinesCommunity-level characteristicsProvider supportIll healthProvider perspectivesOptimal IYCFLevel barriersInfant and Young Child Feeding Perceptions and Practices Among Caregivers Living in Three Districts in the Central Region of Ghana
Addo-Lartey A, Aryeetey R, Sandow A, Pérez-Escamilla R, Segbedji C, Hromi-Fiedler A. Infant and Young Child Feeding Perceptions and Practices Among Caregivers Living in Three Districts in the Central Region of Ghana. Current Developments In Nutrition 2022, 6: 6009499. DOI: 10.1093/cdn/nzac060.002.Peer-Reviewed Original ResearchExclusive breastfeedingFeeding recommendationsCaregiver practicesFoods/snacksNon-responsive feeding practicesComplementary feeding recommendationsCaregivers of childrenNight feedsResponsive feedingCaregivers' knowledgePersistent cryingSixth monthMeal frequencyFeeding practicesMethods FiftyIYCF counselingComplementary foodsHunger cuesStomach acheNew foodsInfantsCaregiversResults CaregiversEarly foodFamily foodImpact of prelacteal feeds and neonatal introduction of breast milk substitutes on breastfeeding outcomes: A systematic review and meta‐analysis
Pérez‐Escamilla R, Hromi‐Fiedler A, Rhodes EC, Neves PAR, Vaz J, Vilar‐Compte M, Segura‐Pérez S, Nyhan K. Impact of prelacteal feeds and neonatal introduction of breast milk substitutes on breastfeeding outcomes: A systematic review and meta‐analysis. Maternal And Child Nutrition 2022, 18: e13368. PMID: 35489107, PMCID: PMC9113480, DOI: 10.1111/mcn.13368.Peer-Reviewed Original ResearchConceptsBF outcomesBreast milkNeonatal periodSystematic reviewProspective studyRisk factorsSuboptimal breastfeeding outcomesLate neonatal periodOnly prospective studiesSignificant risk factorsEarly introductionDays of lifeWeb of SciencePrelacteal feedsBF durationBreastfeeding outcomesWeeks postpartumInclusion criteriaPrelactealsStudy designEffective interventionsObserved associationsOutcomesFeeding studyCessationRisk factors for self‐reported insufficient milk during the first 6 months of life: A systematic review
Segura‐Pérez S, Richter L, Rhodes EC, Hromi‐Fiedler A, Vilar‐Compte M, Adnew M, Nyhan K, Pérez‐Escamilla R. Risk factors for self‐reported insufficient milk during the first 6 months of life: A systematic review. Maternal And Child Nutrition 2022, 18: e13353. PMID: 35343065, PMCID: PMC9113468, DOI: 10.1111/mcn.13353.Peer-Reviewed Original ResearchConceptsRisk factorsCaesarean sectionInsufficient milkSystematic reviewMaternal overweight/obesityStage II laborOverweight/obesityUnnecessary caesarean sectionsMultifactorial risk factorsMonths of lifeIncome countriesBreastfeeding initiationFormula supplementationEpidural anesthesiaOnset of lactationHigh-income countriesMaternity facilitiesBiomedical factorsHospital practiceBaby's behaviorProtective factorsReview protocolTen StepsMental healthMothers' interpretations
2021
A self‐applied valid scale for rapid tracking of household food insecurity among pregnant women in Sri Lanka
Agampodi TC, Hromi‐Fiedler A, Agampodi SB, Amarasinghe GS, Wickramasinghe ND, Jayasinghe IU, Hettiarachchi AU, Perez‐Escamilla R. A self‐applied valid scale for rapid tracking of household food insecurity among pregnant women in Sri Lanka. Maternal And Child Nutrition 2021, 17: e13165. PMID: 33733618, PMCID: PMC8189217, DOI: 10.1111/mcn.13165.Peer-Reviewed Original ResearchConceptsPsychological distressConcurrent validityModel-fitting analysesItem severity scoresGood model fitCognitive testingAdult versionParameter logistic modelPregnant womenPsychometric propertiesSecurity ScaleValid scaleCaribbean Food Security ScalePsychometric validationCOVID-19 pandemicModel fitDistressSTATA version 14Item 8Valid toolPregnancy cohortSeverity scoreSpecial clinicFood Security ScaleHousehold food insecurityImpact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review
Segura-Pérez S, Hromi-Fiedler A, Adnew M, Nyhan K, Pérez-Escamilla R. Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review. International Journal For Equity In Health 2021, 20: 72. PMID: 33676506, PMCID: PMC7936442, DOI: 10.1186/s12939-021-01388-4.Peer-Reviewed Original ResearchConceptsSystematic reviewBF outcomesMinority womenSpecial Supplemental Nutrition ProgramImplementation research studySupplemental Nutrition ProgramMeta-Analyses (PRISMA) checklistPreferred Reporting ItemsCommunity-level interventionsMethodsThe systematic reviewCombination of interventionsImplementation science researchPublic health institutionsCross-sectional designGRADE methodologyMedicine guidelinesBF initiationStudy protocolSocioecological modelStudy interventionHispanic womenElectronical databasesExclusivity ratesReporting ItemsNutrition Program
2020
Analysis of stakeholder networks for breastfeeding policies and programs in Ghana
Aryeetey R, Harding K, Hromi-Fiedler A, Pérez-Escamilla R. Analysis of stakeholder networks for breastfeeding policies and programs in Ghana. International Breastfeeding Journal 2020, 15: 74. PMID: 32831116, PMCID: PMC7444079, DOI: 10.1186/s13006-020-00311-x.Peer-Reviewed Original ResearchConceptsPolicies/programsUnited Nations Children's FundGovernment agenciesKey institutional actorsMulti-sectoral approachGhana Health ServiceInteractive social networksInstitutional actorsDiverse actorsUnique actorsActor groupsDonor agenciesNet-MapDevelopment partnersStakeholder networksFunding linksActor categoriesUnited NationsActorsRelevant institutionsInterview dataFinancial assistanceAppropriate policiesPolicySocial networksDevelopment and Testing of Responsive Feeding Counseling Cards to Strengthen the UNICEF Infant and Young Child Feeding Counseling Package
Hromi-Fiedler AJ, Carroll GJ, Tice MR, Sandow A, Aryeetey R, Pérez-Escamilla R. Development and Testing of Responsive Feeding Counseling Cards to Strengthen the UNICEF Infant and Young Child Feeding Counseling Package. Current Developments In Nutrition 2020, 4: nzaa117. PMID: 32885131, PMCID: PMC7447589, DOI: 10.1093/cdn/nzaa117.Peer-Reviewed Original ResearchGroup education sessionsHealth care providersCare providersEducation sessionsYoung child feeding (IYCF) counselingCultural appropriatenessFocus group discussionsAdult mothersFathers of childrenFGD findingsHunger/satiety cuesIYCF counselingSatiety cuesInfantsCounselingRF messagesChildrenKey messagesNew foodsFood textureSessionsProvidersGroup discussionsFacilitators of Responsive Feeding/Parenting Knowledge and Practices Among Parents in the Central Region of Ghana
Sandow A, Tice M, Pérez-Escamilla R, Aryeetey R, Hromi-Fiedler A. Facilitators of Responsive Feeding/Parenting Knowledge and Practices Among Parents in the Central Region of Ghana. Current Developments In Nutrition 2020, 4: nzaa054_141. PMCID: PMC7258552, DOI: 10.1093/cdn/nzaa054_141.Peer-Reviewed Original ResearchYears of ageHealth care providersIYCF practicesFamily/friendsCare providersFocus group discussionsConclusion Health care providersEducation/counselingMethods Qualitative dataQualitative dataChildren's needsGhanaian parentsGroup discussionsParents of childrenAudiotaped focus group discussionsResults Three factorsPostnatal counsellingPsychosocial needsLeadership InstituteDirect facilitatorGhanaEducation deliveryEmotional supportPracticeFeeding/Design and testing of communication materials for a breastfeeding social media marketing campaign: Breastfeed4Ghana
Aryeetey R, Lasisi O, Hromi-Fiedler A, Carroll G, Pérez-Escamilla R, Harding K. Design and testing of communication materials for a breastfeeding social media marketing campaign: Breastfeed4Ghana. Digital Health 2020, 6: 2055207620909291. PMID: 32206330, PMCID: PMC7079308, DOI: 10.1177/2055207620909291.Peer-Reviewed Original Research
2019
Content analysis of media coverage of breastfeeding in Mexico
Ferré‐Eguiluz I, Buccini G, Hromi‐Fiedler A, Rovelo N, de Cosío T, Pérez‐Escamilla‐Costas J, Pérez‐Escamilla‐González J, Pérez‐Escamilla R. Content analysis of media coverage of breastfeeding in Mexico. Maternal And Child Nutrition 2019, 16: e12905. PMID: 31840404, PMCID: PMC7083503, DOI: 10.1111/mcn.12905.Peer-Reviewed Original ResearchFactors influencing the implementation of the Becoming Breastfeeding Friendly initiative in Ghana
Carroll G, Atuobi‐Yeboah A, Hromi‐Fiedler A, Aryeetey R, Safon C, Pérez‐Escamilla R. Factors influencing the implementation of the Becoming Breastfeeding Friendly initiative in Ghana. Maternal And Child Nutrition 2019, 15: e12787. PMID: 30665255, PMCID: PMC7199075, DOI: 10.1111/mcn.12787.Peer-Reviewed Original ResearchHow does “Becoming Breastfeeding Friendly” work? A Programme Impact Pathways Analysis
Buccini G, Harding KL, Hromi‐Fiedler A, Pérez‐Escamilla R. How does “Becoming Breastfeeding Friendly” work? A Programme Impact Pathways Analysis. Maternal And Child Nutrition 2019, 15: e12766. PMID: 30536582, PMCID: PMC7199040, DOI: 10.1111/mcn.12766.Peer-Reviewed Original Research
This site is protected by hCaptcha and its Privacy Policy and Terms of Service apply