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).
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
2,126
Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby.
Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby.
Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Boston University Medical Campus
Boston, Massachusetts, United States
Infant sleep position in the previous two weeks
An investigator-developed maternal survey will be used to assess infant's sleep position during the previous two weeks with categorical responses of back, stomach, side, and other. We will examine: A) Usual position; B) Exclusive use of supine position
Time frame: Between 2 and 6 months
Infant sleep location in the previous two weeks
An investigator-developed maternal survey will be used to assess the infant's sleep location during the previous two weeks with categorical responses of room sharing without bed sharing, room sharing with bed sharing, no room sharing and no bed sharing. We will examine: A) Usual location; B) Exclusive location of room sharing without bedsharing
Time frame: Between 2 and 6 months
Any Soft bedding use in the previous two weeks
An investigator-developed maternal survey will be used to assess soft bedding placed in and around the infant (while sleeping) during the previous two weeks with categorical responses of Yes or No.
Time frame: Between 2 and 6 months
Any Pacifier use in the previous two weeks
An investigator-developed maternal survey will be used to assess the infant's pacifier use during the previous two weeks with categorical responses of Yes or No.
Time frame: Between 2 and 6 months
Infant feeding in the previous two weeks
An investigator-developed maternal survey will be used to assess whether the infant was breast fed during the previous two weeks with categorical responses of exclusively breast fed, partially breast fed, or not breast fed. We will examine: A) Any breast milk feeding; B) Exclusive breast milk feeding
Time frame: Between 2 and 6 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Any Initiation of breast milk feeding
The impact of the only the prenatal intervention on initiation of breast milk feeding obtained through maternal survey responses on the prenatal survey
Time frame: Between 36 weeks gestational age and birth
Planned infant sleep position after birth of baby
The impact of the only the prenatal intervention on planned infant sleep position after birth of baby obtained through maternal survey responses on the prenatal survey
Time frame: Between 36 weeks gestational age and birth.
Planned infant sleep location after birth of baby
The impact of the only the prenatal intervention on planned infant sleep location after birth of baby obtained through maternal survey responses on the prenatal survey
Time frame: Between 36 weeks gestational age and birth.
Planned breast milk feeding after birth of baby
The impact of the only the prenatal intervention on planned breast milk feeding after birth of baby obtained through maternal survey responses on the prenatal survey
Time frame: Between 36 weeks gestational age and birth.
Planned duration of breast milk feeding after birth of baby
An investigator-developed maternal prenatal survey will be used to assess planned duration of breast milk feeding after birth of baby obtained through maternal survey responses on the prenatal survey
Time frame: Between 36 weeks gestational age and birth
Days from postnatal randomization to first report of not exclusively in the supine sleep position
The number of days after postnatal randomization when supine sleep position is stopped will be assessed by maternal response to weekly text messages about sleep position during the past week.
Time frame: Weekly until the infant is 26 weeks of age.
Days from postnatal randomization to first report of not exclusively room sharing without bed sharing
The number of days after postnatal randomization when sleep location of room sharing without bed sharing stopped will be assessed by maternal response to weekly text messages about sleep location during the past week.
Time frame: Weekly until the infant is 26 weeks of age.
Days from postnatal randomization to first report of using any soft bedding
The number of days after postnatal randomization when soft bedding use starts will be assessed by maternal response to weekly text messages about type of bedding during the past week.
Time frame: Weekly until the infant is 26 weeks of age.
Days from postnatal randomization to first report of not receiving exclusively Breast Milk feedings
The days from postnatal randomization when breast feeding changed will be assessed by maternal response to weekly text messages about type of breast feeding categorized as either exclusive, partial or no breast milk during the past week.
Time frame: Weekly until the infant is 26 weeks of age.
Days from postnatal randomization to first report of not receiving any Breast Milk feedings
The number of days after postnatal randomization to first report of not receiving any Breast Milk feedings will be assessed by maternal response to weekly text messages about type of breast feeding categorized as or no breast milk during the past week.
Time frame: Weekly until the infant is 26 weeks of age.