Healthy DietNCT05729581
Effectiveness of Educational Intervention on Sustainable Breastfeeding: The GREEN MOTHER Project
A study testing The educational programme on sustainable and healthy diet and breastfeeding in people with Healthy Diet and Health Behaviour, run by Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina at 1 site in Spain.
Trial summary
Breastfeeding is the healthiest form of nutrition for the baby and is recommended to use exclusive breastfeeding (EB) until 6 months. The environmental footprint of artificial lactation (AL) has been studied, but that of EB is unknown. Read more about this study
- Who is it for?
- Ages 16 years and older, women onlyHealthy volunteers can take part
- Conditions the study is for
- Healthy Diet, Health Behaviour, Environmental-Pollution-Related Condition
- What is being tested?
- The educational programme on sustainable and healthy diet and breastfeeding
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 429 participants
- Where
- 1 siteSpain
- Study dates
- 11 Apr 2022to 31 Dec 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 16 years and older
- Women only
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- pregnant women over 16 years of age, between 24 and 32 weeks of gestation
Who cannot join
- women with a language barrier, under 16 years of age and those who do not want to participate or who do not give birth in the study associated centers
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effectiveness of a Reinforcement Intervention in the Breastfeeding Practice From Nutritional, Environmental and Postpartum Problem-solving Aspects to Increase the Prevalence of Breastfeeding at 6 Months Postpartum: The GREEN MOTHER Project
Breastfeeding is the healthiest form of nutrition for the baby and is recommended to use exclusive breastfeeding (EB) until 6 months. The environmental footprint of artificial lactation (AL) has been studied, but that of EB is unknown.
Objectives:
Read more
The main objective of the first phase of the study is to identify the environmental impact in terms of the carbon footprint of breastfeeding and artificial breastfeeding, taking into account the accessories necessary for breastfeeding and of the diet and the factors associated with the diet of postpartum women in first month of life of the babies.
The main objective of the second phase is to evaluate the impact of a standardized intervention of educational programme on sustainable breastfeeding, diet and environment protection, providing inputs obtained from the first phase on the carbon footprint in the first month of life of the child and the prevalence of breastfeeding at the first month of the baby's life.
- Conditions
- Healthy Diet, Health Behaviour, Environmental-Pollution-Related Condition, Mothers, Child, Only
- Being tested
- The educational programme on sustainable and healthy diet and breastfeeding
- Keywords
- lactation type, breastfeeding, sustainable diet, environmental impact, carbon footprint, one health
- Medical subject headings
- Breast Feeding
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
The educational programme on sustainable and healthy diet and breastfeedingBehavioural
Also called The role of diet, products consumption, type of cooking, energy used and breastfeeding vs. artifitial lactancy in the carbon footprint
In the interventional group the educational programme of sustainable diet and breastfeeding will be provided before the delivery to see the impact on the prevalence of the breastfeeding at 1 and 6 months after delivery (compared with the group of control, without intervention)
| Study group | Role | What they receive |
|---|---|---|
| Control group | No intervention | This group of pregnant women (24-32 SG) will not be provided educational programme and information on sustainlably and healthy diet and sustainable breastfeeding. It is a control group. |
| Experimental group | Experimental | This group of pregnant women (24-32 SG) will be provided educational programme and information on sustainlably and healthy diet and sustainable breastfeeding Receives: Behavioral: The educational programme on sustainable and healthy diet and breastfeeding |
What is being measured
The primary outcome is the main question the study is designed to answer.
Rates (number of participants, %) that use breastfeeding (exclusive) up to 6 months after the delivery
The rate of breastfeeding (exclusive) will be observed up to 6 months after the participant's baby delivery and calucalted as a percentage or fraction compared to all participants: at month of the delivery (0 month) and 1, 3 and 6 months after the delivery (giving a birth)
Measured: months 30-36 of the project life
Rates (number of participants, %) that use EB (excusive breastfeeding) in EG (experimental group) vs. CG (group of control)
Rates (number of participants, fractions or percentages) of breasfeeding will be calculated and compared in both groups: CG (control) vs. EG (experimental).
Measured: months 30-36 of the project life
Secondary outcomes (3)
To calculate the CO2 footprint and water consumption of different types of mother diet and lactation (breastfeeding and artificial one) based on data obtained from the questionnaires
Calculation (with help of the external experts) of the environmental impacts on CO2 emissions (Climate change) and water consumption (Water scarcity), using the ISO 14040 and 14044, and other related ISOs impacts of a mother's daily diet and type of breastfeeding based on data obtained from questionnaires
Measured: fase I) months 15-17 of the project life & phase 2) 30-36 of the project life
Assess the nutritional quality of the diet of postpartum mothers at the month of their children's life based on data obtained from the questionnaires
Assess the nutritional quality of the diet of postpartum mothers at the month of their newborn child's life: calculation of proportions of macro i micronutrients and comparison with standard recommendations (to see if the sustainable diet and breastfeeding is within healty standards or any supplementary of elements are required for it)
Measured: months 22-31 of the project life
Comparison of rates on breastfeeding vs. artificial lactation in the population of the Northern Metropolitan area: current study results (2022/2023 based on data obtained from the questionnaire) vs. 2017 (already published)
Compare the results obtained for the rates on breastfeeding in the population of the Northern Metropolitana in the current study (2022/2023) with those obtained in 2017 (reported in the Lactem study) to see if any trends on dynamical changes in lactancy patterns are observed with time.
Measured: months 30-36 of the project life
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Feb 2023
- Study start11 Apr 2022
- Primary completion15 Oct 2025
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Healthy DietStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Our study has 2 phases: 1) observational and 2) interventional (with educational programme): 1. st group - CG (control group) - mothers without intervention 2. nd group - EG (experimental group) - mothers with applied educational intervention on sustainable diet and breastfeeding
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 429 participants (actual)
Sponsor and investigators
- Lead sponsor
- Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
- Sponsor type
- University, hospital or other
- Collaborators
- Parc Taulí Hospital Universitari, Fundació Institut Germans Trias i Pujol, Hospital de Granollers, University of Barcelona
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05729581
- Sponsor's protocol ID
- 22/101-P
- Status last verified
- Nov 2025
- First submitted
- 27 Jan 2023
- Last updated
- 6 Aug 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Cabedo-Ferreiro RM, Cos-Busquets J, Liutsko L, Reyes-Lacalle A, Garcia-Sierra R, Colldeforns-Vidal M, Vicente-Hernandez MM, Gomez-Masvidal M, Montero-Pons L, Lopez-Gimeno E, Cazorla-Ortiz G, Toran-Monserrat P, Falguera-Puig G. The role of midwives in advancing planetary health: Insights from the GREEN MOTHER project in Spain. Women Birth. 2026 Apr;39(2):102169. doi: 10.1016/j.wombi.2026.102169. Epub 2026 Feb 4.
PubMed 41643357Cabedo-Ferreiro RM, Liutsko L, Cos-Busquets J, Garcia-Sierra R, Colldeforns-Vidal M, Reyes-Lacalle A, Toran-Monserrat P, Vicente-Hernandez MM, Gomez-Masvidal M, Violan C, Montero-Pons L, Falguera-Puig G, Cazorla-Ortiz G. Effectiveness of an Educational and Counseling Program (the Green Mother Project Phase 2) to Enhance Breastfeeding and Improve Mothers' Diets From an Environmental Perspective: Protocol for a Cluster Randomized Controlled Trial. JMIR Res Protoc. 2026 Jan 26;15:e80358. doi: 10.2196/80358.
PubMed 41587088Cos-Busquets J, Cabedo-Ferreiro RM, Liutsko L, Reyes-Lacalle A, Garcia-Sierra R, Colldeforns-Vidal M, Andrade EP, Vicente-Hernandez MM, Gomez-Masvidal M, Montero-Pons L, Toran-Monserrat P, Falguera-Puig G, Cazorla-Ortiz G; GREEN MOTHER Group. A Comprehensive Assessment of the Environmental Impact of Different Infant Feeding Types: The Observational Study GREEN MOTHER. J Adv Nurs. 2025 Dec;81(12):8230-8241. doi: 10.1111/jan.16473. Epub 2024 Oct 3.
PubMed 39362795Cabedo-Ferreiro RM, Liutsko L, Cos-Busquets J, Garcia-Sierra R, Colldeforns-Vidal M, Reyes-Lacalle A, Vicente-Hernandez MM, Gomez-Masvidal M, Montero-Pons L, Cazorla-Ortiz G, Toran-Monserrat P, Violan C, Falguera-Puig G; GREEN MOTHER Group. Environmental impact of infant feeding type, accessories used and maternal dietary habits: The GREEN MOTHER-I project, a cross-sectional study protocol. Nutr J. 2024 Aug 21;23(1):97. doi: 10.1186/s12937-024-01000-9.
PubMed 39164727
Study at a glance
From the registry record, last updated by the sponsor on 6 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of a Reinforcement Intervention in the Breastfeeding Practice From Nutritional, Environmental and Postpartum Problem-solving Aspects to Increase the Prevalence of Breastfeeding at 6 Months Postpartum: The GREEN MOTHER Project
- ClinicalTrials.gov ID
- NCT05729581
- Acronym / sponsor ID
- 22/101-P
- Conditions
- Healthy Diet, Health Behaviour, Environmental-Pollution-Related Condition, Mothers, Child, Only
- Keywords
- lactation type, breastfeeding, sustainable diet, environmental impact, carbon footprint, one health
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 429 participants (actual)
- Lead sponsor
- Fundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaUniversity, hospital or other
- Collaborators
- Parc Taulí Hospital Universitari, Fundació Institut Germans Trias i Pujol, Hospital de Granollers, University of Barcelona
- Study start
- 11 Apr 2022 (actual)
- Primary completion
- 15 Oct 2025 (actual)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 15 Feb 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Breastfeeding is the healthiest form of nutrition for the baby and is recommended to use exclusive breastfeeding (EB) until 6 months. The environmental footprint of artificial lactation (AL) has been studied, but that of EB is unknown.
Objectives:
The main objective of the first phase of the study is to identify the environmental impact in terms of the carbon footprint of breastfeeding and artificial breastfeeding, taking into account the accessories necessary for breastfeeding and of the diet and the factors associated with the diet of postpartum women in first month of life of the babies.
The main objective of the second phase is to evaluate the impact of a standardized intervention of educational programme on sustainable breastfeeding, diet and environment protection, providing inputs obtained from the first phase on the carbon footprint in the first month of life of the child and the prevalence of breastfeeding at the first month of the baby's life.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- Our study has 2 phases: 1) observational and 2) interventional (with educational programme): 1. st group - CG (control group) - mothers without intervention 2. nd group - EG (experimental group) - mothers with applied educational intervention on sustainable diet and breastfeeding
| Arm | Type | Receives |
|---|---|---|
| Control group | No intervention | –This group of pregnant women (24-32 SG) will not be provided educational programme and information on sustainlably and healthy diet and sustainable breastfeeding. It is a control group. |
| Experimental group | Experimental | Behavioral: The educational programme on sustainable and healthy diet and breastfeedingThis group of pregnant women (24-32 SG) will be provided educational programme and information on sustainlably and healthy diet and sustainable breastfeeding |
Who may qualify
- Ages
- 16 years and older
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- pregnant women over 16 years of age, between 24 and 32 weeks of gestation
Key exclusion criteria (1 listed)
- women with a language barrier, under 16 years of age and those who do not want to participate or who do not give birth in the study associated centers
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| The educational programme on sustainable and healthy diet and breastfeedingAlso: The role of diet, products consumption, type of cooking, energy used and breastfeeding vs. artifitial lactancy in the carbon footprintIn the interventional group the educational programme of sustainable diet and breastfeeding will be provided before the delivery to see the impact on the prevalence of the breastfeeding at 1 and 6 months after delivery (compared with the group of control, without intervention) | Behavioural | Experimental group |
Primary outcome
Rates (number of participants, %) that use breastfeeding (exclusive) up to 6 months after the delivery
Time frame: months 30-36 of the project life
The rate of breastfeeding (exclusive) will be observed up to 6 months after the participant's baby delivery and calucalted as a percentage or fraction compared to all participants: at month of the delivery (0 month) and 1, 3 and 6 months after the delivery (giving a birth)
Rates (number of participants, %) that use EB (excusive breastfeeding) in EG (experimental group) vs. CG (group of control)
Time frame: months 30-36 of the project life
Rates (number of participants, fractions or percentages) of breasfeeding will be calculated and compared in both groups: CG (control) vs. EG (experimental).
3 secondary outcomes
To calculate the CO2 footprint and water consumption of different types of mother diet and lactation (breastfeeding and artificial one) based on data obtained from the questionnaires
Time frame: fase I) months 15-17 of the project life & phase 2) 30-36 of the project life
Assess the nutritional quality of the diet of postpartum mothers at the month of their children's life based on data obtained from the questionnaires
Time frame: months 22-31 of the project life
Comparison of rates on breastfeeding vs. artificial lactation in the population of the Northern Metropolitan area: current study results (2022/2023 based on data obtained from the questionnaire) vs. 2017 (already published)
Time frame: months 30-36 of the project life
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Aug 2026.
- Derived from this study: PubMed 41643357Cabedo-Ferreiro RM, Cos-Busquets J, Liutsko L, Reyes-Lacalle A, Garcia-Sierra R, Colldeforns-Vidal M, Vicente-Hernandez MM, Gomez-Masvidal M, Montero-Pons L, Lopez-Gimeno E, Cazorla-Ortiz G, Toran-Monserrat P, Falguera-Puig G. The role of midwives in advancing planetary health: Insights from the GREEN MOTHER project in Spain. Women Birth. 2026 Apr;39(2):102169. doi: 10.1016/j.wombi.2026.102169. Epub 2026 Feb 4.
- Derived from this study: PubMed 41587088Cabedo-Ferreiro RM, Liutsko L, Cos-Busquets J, Garcia-Sierra R, Colldeforns-Vidal M, Reyes-Lacalle A, Toran-Monserrat P, Vicente-Hernandez MM, Gomez-Masvidal M, Violan C, Montero-Pons L, Falguera-Puig G, Cazorla-Ortiz G. Effectiveness of an Educational and Counseling Program (the Green Mother Project Phase 2) to Enhance Breastfeeding and Improve Mothers' Diets From an Environmental Perspective: Protocol for a Cluster Randomized Controlled Trial. JMIR Res Protoc. 2026 Jan 26;15:e80358. doi: 10.2196/80358.
- Derived from this study: PubMed 39362795Cos-Busquets J, Cabedo-Ferreiro RM, Liutsko L, Reyes-Lacalle A, Garcia-Sierra R, Colldeforns-Vidal M, Andrade EP, Vicente-Hernandez MM, Gomez-Masvidal M, Montero-Pons L, Toran-Monserrat P, Falguera-Puig G, Cazorla-Ortiz G; GREEN MOTHER Group. A Comprehensive Assessment of the Environmental Impact of Different Infant Feeding Types: The Observational Study GREEN MOTHER. J Adv Nurs. 2025 Dec;81(12):8230-8241. doi: 10.1111/jan.16473. Epub 2024 Oct 3.
- Derived from this study: PubMed 39164727Cabedo-Ferreiro RM, Liutsko L, Cos-Busquets J, Garcia-Sierra R, Colldeforns-Vidal M, Reyes-Lacalle A, Vicente-Hernandez MM, Gomez-Masvidal M, Montero-Pons L, Cazorla-Ortiz G, Toran-Monserrat P, Violan C, Falguera-Puig G; GREEN MOTHER Group. Environmental impact of infant feeding type, accessories used and maternal dietary habits: The GREEN MOTHER-I project, a cross-sectional study protocol. Nutr J. 2024 Aug 21;23(1):97. doi: 10.1186/s12937-024-01000-9.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing The educational programme on sustainable and healthy diet and breastfeeding in people with Healthy Diet and Health Behaviour, run by Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina at 1 site in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 6 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Rates (number of participants, %) that use breastfeeding (exclusive) up to 6 months after the delivery (time frame: months 30-36 of the project life). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05729581, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Aug 2026.