Overview

This trial is active, not recruiting.

Condition breastfeeding support
Treatment latch intervention
Sponsor Yale University
Start date August 2014
End date January 2016
Trial size 200 participants
Trial identifier NCT02214849, 1206010472

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.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Endpoint classification efficacy study
Intervention model single group assignment
Masking open label
Primary purpose health services research
Arm
(Experimental)
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.
latch intervention

Primary Outcomes

Measure
Change in Exclusive Breastfeeding Rate
time frame: 2 weeks after birth
Change in Exclusive Breastfeeding Rate
time frame: 3 months after birth
Change in Exclusive Breastfeeding Rate
time frame: 6 months after birth

Secondary Outcomes

Measure
Chance in the Percent of WIC Participants Reached by Breastfeedng Counselor
time frame: 48 hours after giving birth
Change in Number of Contact Between WIC Participants and Breastfeeding Peer Counselors
time frame: 2 weeks after birth
Change in Number of Contact Between WIC Participants and Breastfeeding Peer Counselors
time frame: 3 months after birth
Change in Number of Contact Between WIC Participants and Breastfeeding Peer Counselors
time frame: 6 months after birth
Change in breastfeeding self-efficacy
time frame: 2 weeks after birth
Change in breastfeeding self-efficacy
time frame: 3 months after birth
Change in breastfeeding self-efficacy
time frame: 6 months after birth
Change in breastfeeding action planning
time frame: 2 weeks
Change in breastfeeding action planning
time frame: 3 months
Change in breastfeeding action planning
time frame: 6 months
Change in breastfeeding coping planning
time frame: 2 weeks
Change in breastfeeding coping planning
time frame: 3 months
Change in breastfeeding coping planning
time frame: 6 months

Eligibility Criteria

Female participants from 18 years up to 40 years old.

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 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

Additional Information

Official title LATCH: Lactation Advice Thru Texting Can Help
Principal investigator Rafael Perez-Escamilla, PhD
Trial information was received from ClinicalTrials.gov and was last updated in October 2015.
Information provided to ClinicalTrials.gov by Yale University.