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Abstract Background Lactation support resources are less likely to be located in close proximity to where Black families live and there is a systemic racist health care belief that Black women prefer bottle feeding (with infant formula) over breastfeeding. Together, these lead to lower reported breastfeeding rates of Black babies compared to other racial / ethnic groups. It is imperative to have a deeper understanding of the cultural aspects as well as the underlying limitations that prevent Black women / persons from being supported to breastfeed. There is a need to know how effective breastfeeding interventions are in reaching the intended population; how well they work in promoting breastfeeding initiation and continuation; and how successful they are when implemented at the setting and staff level. The purpose of this investigation was to establish the level of internal and external validity that was reported by breastfeeding intervention studies among Black communities. Methods Studies on breastfeeding interventions on Black people that were published between the years 1990 and 2019 were carefully examined through PubMed, EBSCOhost, Web of Science, and OneSearch. A total of 31 studies fulfilled the requirements to be included for this evaluation. In order to extract the information from the articles, the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework extraction tool was utilized. Results On average, the proportion of studies that reported across reach, effectiveness, adoption, implementation, and maintenance indicators was 54, 35, 19, 48, and 9%, respectively. Across core RE-AIM indicators only sample size (100%) and breastfeeding outcomes (90%) were reported consistently. External validity indicators related to representativeness of participants (16%) and sites (3%) were rarely reported. Similarly, adherence to intervention protocol, and indicator of internal validity, was reported in a small proportion of articles (19%). Conclusion This body of literature under-reported on aspects associated to both internal and external validity across all RE-AIM domains. The reporting of the individual level of representativeness; the setting level of representativeness; the intervention’s adherence to the protocol; the expenses; and the factors of sustainability would benefit from improvement in future research.

Objetivo: O objetivo deste trabalho foi avaliar o perfil socioeconômico e a satisfação dos pacientes atendidos na clínica integrada de Odontologia da Universidade de Fortaleza. Método: Estudo quantitativo transversal realizado com 80 pacientes. Um questionário foi aplicado incluindo: condição socioeconômica, escolaridade, motivo da procura; confiabilidade, empatia, receptividade, autonomia e resolutividade; prevenção, tratamento de canal, restauração, prótese, extração e raspagem. Resultados: Observou-se um perfil predominantemente feminino 71,2% (n=57), que concluiu o ensino fundamental 36,2% (n=29) ou médio 45% (n=36). Ainda, 50% (n=40) apresentaram renda de 1 a 2 salários mínimos, 41,2% (n=33) estavam desempregados e 43,8% (n=39) procuraram o serviço por não ter condições financeiras. Quanto à qualidade funcional, 92,5% (n=74) dos pacientes confiaram no atendimento, 93,7% (n=75) se identificaram com o profissional e 96,2% (n=77) ficaram satisfeitos com o tratamento. 92,5% (n=74) dos alunos demonstraram ser receptivos e 93,7% (n=75) demonstraram respeitar a opinião dos pacientes. Quanto à satisfação técnica, 96,2% (n=77) receberam orientações sobre escovação e a respeito das diversas especialidades, os usuários relataram estar muito satisfeitos com o tratamento de canal 83% (n=49), restauração 84,2% (n=48), prótese 78,7% (n=26), extração 72,5% (n=29) e raspagem 70% (n=28). Conclusão: O perfil socioeconômico é de pessoas de baixa renda. Os usuários estão satisfeitos com a relação interpessoal desenvolvida pelos alunos e também pela qualidade final dos serviços prestados.