Breast Feeding, HIV Infections
Conditions
Keywords
HIV, infant feeding, mHealth, behavioural intervention
Brief summary
The primary aim of this study is to find out whether it is feasible to conduct a larger study looking at the effect of mobile phone text messaging added to motivational interviewing on number of participants invited to the study who consented to participate and the number with complete evaluation of infant feeding practices at all study visits. Secondary aim: In HIV-infected women initiating breastfeeding after giving birth, does interactive weekly mobile phone text messaging plus motivational interviewing versus usual care, improve self-reported adherence to exclusive or any breastfeeding 6 months post-delivery and to determine the number of women remaining in the group they were assigned until end of study or lost to follow-up (protocol adherence).
Detailed description
Breastfeeding reduces the risks of dying from infections and is currently recommended as the most beneficial feeding option for infants born to HIV-infected women in low-resourced settings. This recommendation contradicts previous recommendations to avoid breastfeeding to prevent mother-to-child transmission of HIV. South Africa, a high HIV prevalent country, recently phased out access to free formula milk in the public sector in support of breastfeeding for HIV-infected women. The investigators previously found that few HIV-infected South African women choose breastfeeding and among those who did, many stop breastfeeding early. This study involves text messaging breastfeeding advice encouraging women to exclusively breastfeed, and inquire if they have any breastfeeding related problems, and motivational interviews exploring and supporting woman's commitment to continue breastfeeding.Participants meeting inclusion criteria who consent participation will be enrolled by a research nurse and immediately randomly assigned to text messaging plus motivational interviewing group or usual standard of care group. The investigators propose a randomized, parallel group, standard of care-controlled pilot trial which will be conducted among HIV-infected women of low socio-economic background, giving birth at a primary healthcare clinic in Cape Town, South Africa. The pilot trial will assess the feasibility of conducting a larger trial on communication and support approaches that may improve HIV-infected woman's adherence to exclusive and continued breastfeeding.
Interventions
BEHAVIORALText messaging-motivational interviewing
Interactive weekly mobile phone text messaging plus prospective motivational interviews
Sponsors
McMaster University
University of British Columbia
University of Stellenbosch
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Women living with HIV * initiated breastfeeding within 24 hours of giving normal birth * on ART * 18 years or older * ownership of a mobile phone * infants judged to be in good health who are discharged soon after delivery
Exclusion criteria
* initiating both breastfeeding and formula feeding or formula feeding within 24 hours of giving birth. * gave birth to more than one infant * birth weight \< 2500 * gestational age \< 36 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants invited to the study who consented to participate. | 6 month post randomization | Number of participants invited to the study who consented to participate. |
| Number of participants with complete evaluation of infant feeding practices at all study visits | 6 month post randomization | Number of participants with complete evaluation of infant feeding practices at all study visits as assessed by infant feeding questionnaire. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants remaining in the group they were assigned until end of study or lost to follow-up (protocol adherence). | 6 month | Number of participants remaining in the group they were assigned until end of study or lost to follow-up (protocol adherence). |
| Number of participants who are exclusively breastfeeding | 6 month post randomization | Number of participants who report giving only breast milk and no other liquids or solid based foods to their infants as assessed by the infant feeding questionnaire |
| Number of participants who are breastfeeding | 6 month post randomization | Number of participants who report giving breast milk and other liquids or solid based foods to their infants as assessed by the infant feeding questionnaire. |
Countries
South Africa
Outcome results
None listed