LATCH: Lactation Advice Thru Texting Can Help

Not Applicable

Completed

• Conditions: Breastfeeding Support
• Interventions: Behavioral: LATCH Intervention

• Registration Number: NCT02214849
• Lead Sponsor: Yale University

Brief Summary

The purpose of this study is to find out if a two-way texting platform to be used as an adjunct tool for breastfeeding peer counselors can improve breastfeeding behaviors among women enrolled in the WIC program in Connecticut. The hypothesis of the study is that providing additional information and support through text messaging starting in pregnancy and continuing after the birth of the child will increase exclusive breastfeeding rates during the first six months of life.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-08
• Study First Submitted: 2014-08-01
• Study First Submitted QC: 2014-08-08
• Study First Posted: 2014-08-12
• Primary Completion: 2016-02
• Study Completion: 2016-02
• Status Verified: 2017-04
• Last Update Submitted: 2017-04-28
• Last Update Posted: 2017-05-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 249

Inclusion Criteria

• Pregnant women > 18 years
• Prenatal intention to breastfeed
• Prenatal enrollment < 28 weeks gestation
• Have an unlimited text message cell phone plan
• Knows how to send a text message
• 5th grade literacy level

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Exclusion Criteria

• Lack of fluency in either English or Spanish
• Infant born premature (<37 weeks)
• > 3 days in NICU
• Any major maternal-newborn medical problem affecting breastfeeding
• Birth weight <5lbs

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
LATCH Intervention	LATCH Intervention	Women enrolled in the WIC program and receiving breastfeeding peer counseling services will receive text messages to support them with their breastfeeding intentions. They will start receiving automated text messages starting in pregnancy and continuing throughout the first 6 months after giving birth. Messaging during pregnancy will emphasize what to expect in the hospital, the onset of lactation, skin-to-skin contact with baby, early and often breastfeeding in post-partum period, milk transfer (suck \& swallow), positioning (with links), common breastfeeding problems and how to seek help. Throughout the study, participants will be able to respond to automated text messages with specific questions that will be received and answered by their WIC program peer counselors. Texting will also have prompts to respond occasionally (at minimum once every two weeks) to ensure that phone is still in service and that the participant in the intervention arm are receiving intervention.

Primary Outcome Measures

Name	Time	Method
Change in Exclusive Breastfeeding Rate	6 months after birth

Secondary Outcome Measures

Name	Time	Method
Chance in the Percent of WIC Participants Reached by Breastfeedng Counselor	48 hours after giving birth
Change in Number of Contact Between WIC Participants and Breastfeeding Peer Counselors	6 months after birth
Change in breastfeeding action planning	6 months
Change in breastfeeding self-efficacy	6 months after birth
Change in breastfeeding coping planning	6 months

Trial Locations

Locations (1)

Yale School of Public Health; 🇺🇸 New Haven, Connecticut, United States