Breastfeeding, Infant Death, Sudden Infant Death Syndrome Without Mention of Autopsy
Conditions
Keywords
Safe Sleep, Breastfeeding, Social Media
Brief summary
This study aims to improve adherence to American Academy of Pediatrics safe sleep (SS) recommendations and improve rates of initiation and duration of partial and exclusive breastfeeding (BF); and reduce Black/White disparities in these practices through the use of private Facebook groups providing a) evidence-based education through videos and other multi-media supporting best practices and b) an online community and social network of other pregnant WIC clients and new parents.
Interventions
BEHAVIORALSafe Sleep
Participants will be part of a private Facebook group from approximately 32 weeks gestation to 6 months postpartum. The Facebook group will provide a) evidence-based education through videos and other multi-media supporting best practices for infant safe sleep and b) an online community and social network of other pregnant WIC clients and new parents.
BEHAVIORALBreastfeeding
Participants will be part of a private Facebook group from approximately 32 weeks gestation to 6 months postpartum. The Facebook group will provide a) evidence-based education through videos and other multi-media supporting best practices for breastfeeding and b) an online community and social network of other pregnant WIC clients and new parents.
BEHAVIORALEarly Brain Development and Parent-Child Relationships
Participants will be part of a private Facebook group from approximately 32 weeks gestation to 6 months postpartum. The Facebook group will provide a) evidence-based education through videos and other multi-media supporting best practices for early brain development and parent-child interactions (control intervention) and b) an online community and social network of other pregnant WIC clients and new parents.
Sponsors
Boston University
Washington University School of Medicine
Boston Medical Center
University of Kentucky
National Institute on Minority Health and Health Disparities (NIMHD)
University of Virginia
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* Currently enrolled in WIC, or it not, then have either Medicaid or no health insurance * Must be English speaking * Must be pregnant and less than 30 weeks gestation * Must live in the United States * Must have regular access to Facebook and short message service (SMS) texting (mobile phone)
Exclusion criteria
* Not planning to live in same home as infant after birth. * Prenatal diagnosis expected to impact on infant care practices in a manner not compatible with study goals, including contraindications to feeding any breastmilk or supine infant sleep positioning. * Known or reported mental health or other issues that would preclude custody of the infant or being able to participate in the informed consent process. * Meets the definition of a minor according to applicable state law. * Participants who consent to participation in the study, must complete the Agile Onboarding process before they reach 30+0 weeks gestation. * Currently or previously received a TodaysBaby educational program (randomized to a TodaysBaby program through either the SMARTER, or SUPERSONIC study), either in their current or a previous pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Exclusive infant supine sleep position in the previous two weeks | Between 2 and 6 months | An investigator-developed maternal survey will be used to assess infant's usual sleep position during the previous two weeks with categorical responses of back, stomach, side, and other, with the proportion of infants using exclusive supine sleep position as the primary outcome measure. |
| Infant sleep location (exclusive room sharing without bed sharing) in the previous two weeks | Between 2 and 6 months | An investigator-developed maternal survey will be used to assess the infant's usual sleep location during the previous two weeks with categorical responses of room sharing without bed sharing, room sharing with bed sharing, no room sharing and no bed sharing, with the proportion of infants exclusively room sharing without bed sharing as the primary outcome measure. |
| Soft bedding use in the previous two weeks | Between 2 and 6 months | An investigator-developed maternal survey will be used to assess soft bedding placed in and around the infant (while sleeping) during the previous two weeks with categorical responses of Yes or No. |
| Breastmilk feeding in the previous two weeks | Between 2 and 6 months | An investigator-developed maternal survey will be used to assess whether the infant was breast fed during the previous two weeks with categorical responses of exclusively breast fed, partially breast fed, or not breast fed. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| . Usual infant sleep location in the previous two weeks | Between 2 and 6 months | An investigator-developed maternal survey will be used to assess the infant's usual sleep location during the previous two weeks with categorical responses of room sharing without bed sharing, room sharing with bed sharing, no room sharing and no bed sharing. |
| Pacifier use in the previous two weeks | Between 2 and 6 months | An investigator-developed maternal survey will be used to assess the infant's pacifier use during the previous two weeks with categorical responses of Yes or No. |
| Usual infant sleep position in the previous two weeks | Between 2 and 6 months | An investigator-developed maternal survey will be used to assess infant's usual sleep position during the previous two weeks with categorical responses of back, stomach, side, and other. |
Countries
United States
Contacts
Primary ContactKatherine Boguszewski, MA
Outcome results
None listed