Essential Coaching for Every Mother, a Postpartum Text Message Program for Canadian Mothers
- Conditions
- Maternal Distress
- Interventions
- Behavioral: Essential Coaching for Every Mother
- Registration Number
- NCT04730570
- Lead Sponsor
- IWK Health Centre
- Brief Summary
The purpose of this study is to evaluate a text message-based program called Essential Coaching for Every Mother which sends daily text messages during the immediate six-week postnatal period. Essential Coaching for Every Mother consists of standardized text messages that provide evidence-based information that women should be aware of related to caring for their newborn and maternal mental health.
- Detailed Description
This is a 2-group parallel arm randomized controlled trial. Participants will be randomized into either the intervention or a control group, stratified by parity. No changes to in-person care will occur.
Mothers in the intervention group will receive daily text messages from enrollment after birth until six-weeks postpartum.
Mothers in the control group will receive no content messages.
Mothers will be recruited both antenatally and postnatally through social media and study posters. All recruitment and participant engagement will occur remotely via text message. Women who are 37+ weeks pregnant up to 10 days postpartum will be eligible to send a text to a study specific number and complete an eligibility screening. If determined eligible once they deliver, the participant will be randomized into the intervention or control group and they will be asked to complete an electronic consent form and the baseline survey. 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 only receive reminder texts to complete the follow-up surveys. Both groups will be asked to complete an online survey at enrolment, six-weeks and six-months postpartum.
The investigators aim to recruitment 140 participants in total, 70 per group.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 150
To enroll antenatally, participants must:
- be at least 37 weeks pregnant
- have daily access to a mobile phone with text message capabilities
- are over 18 years of age
- speak and read English
- live in Nova Scotia, Canada.
To enroll postnatally, participants must:
- have an infant under 10 days of age
- have daily access to a mobile phone with text message capabilities
- are over 18 years of age
- speak and read English
- live in Nova Scotia, Canada.
- newborn 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 or withdraw to participate
- participated in Phase I of this project.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Essential Coaching for Every Mother Intervention Essential Coaching for Every Mother Women in the intervention arm will receive the Essential Coaching for Every Mother messages up to six-weeks postpartum. No changes in standard care.
- Primary Outcome Measures
Name Time Method Self Efficacy Change from enrolment (baseline) to six-weeks Karitane Parenting Confidence Scale (Minimum: 0, Maximum: 45; Higher score indicates greater self-efficacy)
- Secondary Outcome Measures
Name Time Method Social support Change from enrolment (baseline) to six-weeks Multidimensional Scale of Perceived Social Support (For the sub-scales of family, friends, and significant other \[Minimum: 0, Maximum: 4\]; for the total score, \[Minimum: 0, Maximum: 12\]; higher scores indicate greater support).
Postpartum anxiety Change from six-weeks to six-months postpartum Postpartum Specific Anxiety Scale (Minimum: 51, Maximum: 204; Higher score indicates higher anxiety)
Self-Efficacy Change from six-weeks to six-months postpartum Karitane Parenting Confidence Scale (Minimum: 0, Maximum: 45; Higher score indicates greater self-efficacy)
Social Support Change from six-weeks to six-months postpartum Multidimensional Scale of Perceived Social Support (For the sub-scales of family, friends, and significant other \[Minimum: 0, Maximum: 4\]; for the total score, \[Minimum: 0, Maximum: 12\]; higher scores indicate greater support).
Postpartum depression Change from six-weeks to six-months postpartum Edinburgh Postnatal Depression Scale (Minimum: 0, Maximum: 30; Higher score indicates higher depression)
Trial Locations
- Locations (1)
IWK Health
🇨🇦Halifax, Nova Scotia, Canada