Social Media and Risk Reduction Teaching-Enhanced Reach

Purpose

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) through direct education of mothers using Mobile Health (mHealth) technologies (ex. text messaging).

Conditions

  • Breastfeeding
  • SUID
  • SIDS

Eligibility

Eligible Ages
Over 14 Years
Eligible Genders
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Must be client at a WIC center participating in study. - Must be pregnant and less than 34 weeks gestation - Must speak English or Spanish - Must live in the United States - Must have texting capabilities via mobile phone - Must plan to live in same household as infant after birth.

Exclusion Criteria

  • A prenatal diagnosis expected to have impact on infant care practices not compatible with study goals, including contraindications to breastfeeding or supine infant sleep positioning. - Meets the definition of a minor according to applicable state law.

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Factorial Assignment
Primary Purpose
Prevention
Masking
Single (Participant)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Prenatal SS/Postnatal BF
Prenatal Safe Sleep/Postnatal Breastfeeding Mobile Health Messages
  • Behavioral: Prenatal Safe Sleep Mobile Health (mHealth) Messaging
    Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby.
  • Behavioral: Postnatal Breastfeeding Mobile Health (mHealth) Messaging
    Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Experimental
Prenatal BF/Postnatal SS
Prenatal Breastfeeding/Postnatal Safe Sleep Mobile Health Messages
  • Behavioral: Prenatal Breastfeeding Mobile Health (mHealth) Messaging
    Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby.
  • Behavioral: Postnatal Safe Sleep Mobile Health (mHealth) Messaging
    Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Experimental
Prenatal SS/Postnatal SS
Prenatal Safe Sleep/Postnatal Safe Sleep Mobile Health Messages
  • Behavioral: Prenatal Safe Sleep Mobile Health (mHealth) Messaging
    Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby.
  • Behavioral: Postnatal Safe Sleep Mobile Health (mHealth) Messaging
    Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Experimental
Prenatal BF/Postnatal BF
Prenatal Breastfeeding/Postnatal Breastfeeding Mobile Health Messages
  • Behavioral: Prenatal Breastfeeding Mobile Health (mHealth) Messaging
    Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby.
  • Behavioral: Postnatal Breastfeeding Mobile Health (mHealth) Messaging
    Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.

More Details

Status
Active, not recruiting
Sponsor
Boston University

Study Contact

Detailed Description

The goal of this study is to assess the effectiveness of mHealth prenatal and postnatal interventions aimed at promoting safe sleep (SS) practices and breastfeeding (BF) within a population of pregnant Supplemental Nutrition Program for Women, Infants, and Children (WIC) clients. The study will randomize 2,000 pregnant women, when they reach 34 weeks gestation, to one of four mHealth prenatal/postnatal messaging combinations of safe sleep and breastfeeding practices.