LATCH: Lactation Advice Thru Texting Can Help
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 249
- 试验地点
- 1
- 主要终点
- Change in Exclusive Breastfeeding Rate
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
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.
干预措施: LATCH Intervention (Behavioral)
结局指标
主要结局
Change in Exclusive Breastfeeding Rate
时间窗: 6 months after birth
Change in Exclusive Breastfeeding Rate
时间窗: 2 weeks after birth
Change in Exclusive Breastfeeding Rate
时间窗: 3 months after birth
次要结局
- 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 coping planning(6 months)
- Change in breastfeeding self-efficacy(6 months after birth)
- Change in Number of Contact Between WIC Participants and Breastfeeding Peer Counselors(2 weeks after birth)
- Change in Number of Contact Between WIC Participants and Breastfeeding Peer Counselors(3 months after birth)
- Change in breastfeeding self-efficacy(2 weeks after birth)
- Change in breastfeeding self-efficacy(3 months after birth)
- Change in breastfeeding action planning(2 weeks)
- Change in breastfeeding action planning(3 months)
- Change in breastfeeding coping planning(2 weeks)
- Change in breastfeeding coping planning(3 months)