Essential Coaching for Every Mother: Developing and Evaluating a Text Message Postnatal Education Intervention for Mothers of Newborns in Tanzania
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 124
- 试验地点
- 1
- 主要终点
- Newborn Care Knowledge
研究概览
简要总结
The purpose of this study is to evaluate a text message intervention called Essential Coaching for Every Mother in Tanzania to improve mothers' access to essential newborn care information during the immediate six-week postnatal period.
详细描述
This is a 2-group parallel arm randomized controlled trial. Participants will be randomized into either the intervention or a control group. No changes to in-person care will occur.
This study will be conducted in Dar es Salaam, Tanzania with mothers recruited from a Tanzanian postnatal ward who have recently given birth at four different hospitals. Participants in the intervention group will start receiving the Essential Coaching for Every Mother program based on their delivery date up to six weeks postpartum. Mothers in the control group will not receive any text messages. Both groups will be asked to complete a survey at enrolment and six-weeks postpartum.
The investigators aim to recruitment 124 participants in total, 62 per group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Care Provider)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •have recently given birth within the hospital within 48 hours
- •have daily access to a mobile phone with text message capabilities
- •are over 18 years of age
- •speak and read English or Swahili.
排除标准
- •newborns die or are expected to die prior to leaving the hospital
- •they have no access to mobile phone, either personal or shared
- •unwilling to receive text messages
- •decline to participate
- •are experiencing major postnatal complications expected to impact learning or ability to consent while in the hospital (e.g., postpartum hemorrhage, seizures)
- •participated in Phase I of this project.
研究组 & 干预措施
Essential Coaching for Every Mother
Mothers in the intervention group will receive in-hospital education by a non-study nurse midwife while on the postnatal ward prior to discharge as per standard protocol on the unit. On the third day after birth, mothers will receive daily text messages to 6 weeks postpartum. The messages will be sent automatically each day based on the date of birth of the infant.
干预措施: Essential Coaching for Every Mother (Behavioral)
Standard Care
Mothers will receive in-person education provided by a non-study nurse midwife while on the postnatal ward prior to discharge as per current standard protocol on the unit. Mothers in this group will not receive any further text messages from the program.
结局指标
主要结局
Newborn Care Knowledge
时间窗: Baseline (enrolment), and six-weeks postpartum (follow-up)
Knowledge will be assessed using a modified questionnaire developed by McConnell and colleagues. Questions will determine whether mothers can identify danger signs, hand washing practices, cord care, newborn thermal care, and breastfeeding. A summative score will be created with a maximum of five points and a minimum of zero, where each point represents knowledge on the above postnatal health topics.
次要结局
- Maternal Self-Efficacy(Baseline (enrolment), and six-weeks postpartum (follow-up))
- Breastfeeding Self-Efficacy(Baseline (enrolment), and six-weeks postpartum (follow-up))
- Postpartum Depression(Baseline (enrolment), and six-weeks postpartum (follow-up))
- Postpartum Anxiety(Baseline (enrolment), and six-weeks postpartum (follow-up))
- Newborn morbidity(Six-weeks postpartum (follow-up))
- Newborn mortality(Six-weeks postpartum (follow-up))
- Need for readmission(Six-weeks postpartum (follow-up))
- Postnatal Clinic Attendance(Six-weeks postpartum (follow-up))
研究者
Justine Dol
Principal Investigator
Unity Health Toronto