Emotional Well-being of First-time Families, Experience of First-time Families, Nutritional Health of Mother and Child, Parenting Self-Efficacy for First-time Families
Conditions
Brief summary
The CRADLE (Community-enabled Readiness-for-1000-Days Learning Ecosystem) initiative seeks to improve first-time families' self-efficacy in parenting and to tangibly impact factors in maternal and child care which will result in improved health of mother and child.
Detailed description
Title: CRADLE (Community enabled Readiness for first 1000-Days Learning Ecosystem) Project Introduction: The developmental origins of health and disease (DOHaD) is a concept that has emerged over the past 50 years, linking the state of health and risk from disease in early childhood and adult life. With increasing evidence in neuroscience of the critical window of the first 1000 days of life which has life- long impact on cognitive, behavioral, physical and mental health of an individual. In present society where new parents learned the skills from social media which are based on personal perception and not evidence. CRADLE (Community-enabled Readiness-for-1000-Days Learning Ecosystem) initiative seeks to improve first-time families' self-efficacy in parenting and to tangibly impact factors in maternal and child care which will result in improved health of mother and child. Hypothesis: Use of an integrated choice architecture in a self-learning eco-community, with calibrated nudges, and group interactions & interaction with midwives and individualised teleconferencing sessions in the first 1000-days for first-time families will improve parenting self-efficacy. Method: This will be an Interventional Cohort Study. Each ARM 250 subjects. ARM 1 : Routine care ARM 2 : Behavioral Intervention with nudges and Facebook interaction ARM 3 : Community Intervention with interaction with midwives and individualised teleconferencing sessions The follow up period will be from first contact till child reaches 2 years old Measurement. The investigators will quantify the impact of this initiative through measurements of specific health & nutrition domains & patient-reported outcome measures (see below) as well as participant satisfaction. The two key health morbidities the investigators are addressing are the overall health and mental wellness of first-time families as well as their metabolic health (ie, nutrition). 1. Mother's Height and Weight (BMI) 2. Child's Height and Weight (BMI) 3. PROMIS Global-10 Scale 4. Patient Health Questionaire-2 5. Edinburgh Postnatal Depression Scale 6. Parental Sense Of Competency Scale 7. Tool To Measure Parenting Self-Efficacy (TOPSE) 8. Birth Satisfaction Scale 9. Breastfeeding Self-Efficacy Scale 10. Infant Feeding Questionnaire
Interventions
BEHAVIORALArm 2:Behavioral Intervention with nudges & Facebook interaction
Participants will receive nudges and be enrolled to Facebook group for self-learning.
OTHERArm 3: Community Intervention with individualised teleconferencing sessions and phone calls.
Participants will receive individualised teleconferencing sessions and phone calls by skilled midwives.
Sponsors
KK Women's and Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Interventional study design
Eligibility
Sex/Gender
FEMALE
Age
17 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. First-time mothers 2. Be at least 17 years of age 3. Is residing in Singapore for the next 3 years 4. Understand English, or has a family member who is able to assist.
Exclusion criteria
1\. Has existing medical conditions such as chronic illnesses
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Parenting self-efficacy | Up to 24 months of age, from 6 weeks after birth until 24 months of age | Parenting self-efficacy as assessed by the Tool to measure Parenting Self-Efficacy, which is domain-specific. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health experience | Up to 18 months of age, from first trimester in pregnancy until 18 months during the postnatal period | Health Experience as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) Global10. |
| Birth experience | At point of birth | Birth Experience as assessed by the Birth Satisfaction Scale - Revised. |
| Mental wellness | Up to 6 months of age, from first trimester in pregnancy up to 6 months during postnatal period | Mental wellness as assessed by the Patient Health Questionnaire-2. |
| Child nutritional status | From birth until up to 24 months during postnatal period | Child nutritional status as assessed based on weight and height. |
| Maternal nutritional status | Through study completion, from first trimester in pregnancy up to 24 months during postnatal period | Maternal nutritional status as assessed based on weight status, i.e. weight gain and weight retention. |
| Breastfeeding self-efficacy | From birth until up to 6 months during postnatal period | Breastfeeding self-efficacy as assessed by the Breastfeeding Self-Efficacy Score-Short Form. |
| Maternal feeding beliefs and practices | At 18 months of age, at 18 months during postnatal period | Maternal feeding beliefs and practices as assessed by the Infant Feeding Questionnaire. |
| Depressive symptoms | Up to 6 months of age, from first trimester in pregnancy up to 6 months during postnatal period | Depressive symptoms as assessed by the Edinburg Postnatal Depression Scale (EPDS). |
Countries
Singapore
Contacts
Primary ContactKee Chong Ng, MMed
Backup ContactJoyce Teo, BBus
Outcome results
None listed