Breastfeeding Support
Conditions
Keywords
Breastfeeding, Breastfeeding peer counseling, Exclusive breastfeeding, Formula supplementation, Mobile health, WIC program
Brief summary
The purpose of this study is to find out if a two-way texting platform to be used as an adjunct tool for breastfeeding peer counselors can improve breastfeeding behaviors among women enrolled in the WIC program in Connecticut. The hypothesis of the study is that providing additional information and support through text messaging starting in pregnancy and continuing after the birth of the child will increase exclusive breastfeeding rates during the first six months of life.
Interventions
BEHAVIORALLATCH Intervention
Sponsors
Yale University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Pregnant women \> 18 years * Prenatal intention to breastfeed * Prenatal enrollment \< 28 weeks gestation * Have an unlimited text message cell phone plan * Knows how to send a text message * 5th grade literacy level
Exclusion criteria
* Lack of fluency in either English or Spanish * Infant born premature (\<37 weeks) * \> 3 days in NICU * Any major maternal-newborn medical problem affecting breastfeeding * Birth weight \<5lbs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Exclusive Breastfeeding Rate | 2 weeks after birth |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Chance in the Percent of WIC Participants Reached by Breastfeedng Counselor | 48 hours after giving birth | — |
| Change in Number of Contact Between WIC Participants and Breastfeeding Peer Counselors | 2 weeks after birth | — |
| Change in breastfeeding self-efficacy | 2 weeks after birth | Self-efficacy refers to an individuals' confidence in their capability to initiate, maintain, and (if stopped) re-start breastfeeding. It will be measured with the scale proposed by Schwarzer. Self-efficacy scale includes 5 questions, each with 4 response options ranging from very false to very true. Average score will be generated by summing responses to questions 1 through 5 and dividing by the total number of questions. Average scores will range from 1 to 4. The higher the score the better the level of self-efficacy. Reference: Schwarzer R. Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology: An International Review. 2008 2008;57(1):1-29. |
| Change in breastfeeding action planning | 2 weeks | Action planning refers to the when, where, and how of the behavior or the sequence of events making up breastfeeding behaviors. It will be measured with the scale proposed by Schwarzer. Action planning scale includes 7 questions, each with 4 response options ranging from very false to very true. An average score will be generated by summing responses to questions 1 through 7 and dividing by the total number of questions. Average scores will range from 1 to 4. The higher the score the better the level of action planning. Reference: Schwarzer R. Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology: An International Review. 2008 2008;57(1):1-29. |
| Change in breastfeeding coping planning | 2 weeks | Coping planning refers to the identification of potential barriers to engaging in and maintaining breastfeeding behavior and the extent to which an individual has developed strategies to cope with those barriers. It will be measured with the scale proposed by Schwarzer. Coping planning scale includes 6 questions, each with 4 response options ranging from very false to very true. An average score will be generated by summing responses to questions 1 through 6 and dividing by the total number of questions. Average scores will range from 1 to 4. The higher the score the better the level of coping planning. Reference: Schwarzer R. Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology: An International Review. 2008 2008;57(1):1-29. |
Countries
United States
Outcome results
None listed