80 Participants Needed

Text Messaging Programs for Breastfeeding

LF
Overseen ByLydia Furman, MD
Age: 18+
Sex: Female
Trial Phase: Academic
Sponsor: Lydia Furman
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Do I have to stop taking my current medications for this trial?

The trial protocol does not specify whether you need to stop taking your current medications.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the idea that Text Messaging Programs for Breastfeeding is an effective treatment?

The available research shows that text messaging programs for breastfeeding, like the LATCH intervention, are effective in increasing early contact between mothers and breastfeeding peer counselors. In one study, 86.6% of mothers in the texting group had contact with counselors within 48 hours of delivery, compared to only 27.3% in the control group. This suggests that text messaging can help improve support for new mothers, which is important for successful breastfeeding.12345

What data supports the effectiveness of the treatment Text Messaging Programs for Breastfeeding?

Research shows that text messaging programs can improve breastfeeding rates by providing timely support and education. For example, a study found that mothers who received text message support had more frequent contact with breastfeeding counselors and higher exclusive breastfeeding rates compared to those who did not receive text messages.12346

What safety data exists for text messaging programs for breastfeeding?

The studies reviewed focus on the feasibility, acceptability, and effectiveness of text messaging interventions for breastfeeding support, such as the LATCH pilot and other similar programs. These studies indicate that text messaging is a feasible and effective method for providing breastfeeding support, with high engagement and satisfaction among participants. However, specific safety data is not explicitly mentioned in the abstracts provided. The interventions are generally considered safe as they involve communication and support rather than medical procedures.12367

Is text messaging for breastfeeding support safe for participants?

The studies on text messaging programs for breastfeeding, like LATCH, show that they are generally safe and well-received by participants, providing effective communication and support without any reported safety concerns.12367

Is the treatment Team2BF, Text4baby a promising treatment for breastfeeding?

Yes, Team2BF, Text4baby is a promising treatment for breastfeeding. Studies show that text messaging can effectively support and promote breastfeeding by providing education, social support, and immediate communication between mothers and counselors. This approach has been found to increase early contact between mothers and counselors and improve breastfeeding rates.16789

How is the Text Messaging Programs for Breastfeeding treatment different from other treatments for breastfeeding support?

The Text Messaging Programs for Breastfeeding, including Team2BF and Text4baby, are unique because they use automated text messages to provide remote breastfeeding support, education, and encouragement, which can be more immediate and accessible compared to traditional in-person support methods.16789

What is the purpose of this trial?

The purpose of the study is to see if a program of text messages that support and promote breastfeeding for expecting and delivered African-American/Black women (called TEAM2BF), as compared to a national maternal health texting program (called Bright By Text), can result in more women being able to breastfeed their infant. Because breastfeeding is healthy for mothers and babies, and because fewer African-American/Black women decide to breastfeed and continue breastfeeding than many other racial and ethnic groups, researchers like us are trying to figure out ways to be supportive to African-American/Black mothers who might be interested in breastfeeding. The investigators will enroll up to 80 mothers and their infants at UHCMC.

Research Team

LF

Lydia Furman, MD

Principal Investigator

University Hospitals Cleveland Medical Center

Eligibility Criteria

The TOPS trial is for African-American/Black expecting and delivered women interested in breastfeeding. It aims to support these mothers by comparing two text message programs: TEAM2BF, designed specifically to promote breastfeeding, versus Text4baby, a national maternal health program.

Inclusion Criteria

Daily access to a mobile phone with text message capabilities
English speaking
Receive care at Ahuja Midtown or MAC1200
See 3 more

Exclusion Criteria

No mobile phone with text capability
Committed to feeding formula only to their infant

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive breastfeeding-supportive text messages from 28 weeks gestation through delivery, daily through 2 weeks postpartum, weekly from 2 to 10 weeks, and then monthly to one year

Up to 1 year

Follow-up

Participants are monitored for the effectiveness of the texting program on breastfeeding rates

6 months postpartum

Treatment Details

Interventions

  • Team2BF
  • Text4baby
Trial Overview This study tests whether the TEAM2BF text messaging program can increase breastfeeding rates among participants compared to those receiving messages from Text4baby. Up to 80 mothers at UHCMC will be enrolled to receive these supportive texts.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Team2BFExperimental Treatment1 Intervention
Team2BF includes 3-4 breastfeeding-supportive messages per time interval, sent weekly from 28 weeks gestation through delivery, daily through 2 weeks postpartum, weekly from 2 to 10 weeks, and then monthly to one year. Other maternal health topics are not addressed.
Group II: Bright By TextActive Control1 Intervention
Bright By Text sends 2-4 messages per week from the first trimester through and beyond one year postpartum about a wide range of maternal and child health topics as outlined on their website; 8 messages are specifically about breastfeeding.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Lydia Furman

Lead Sponsor

Trials
2
Recruited
320+

Case Western Reserve University

Lead Sponsor

Trials
314
Recruited
236,000+

University Hospitals Cleveland Medical Center

Collaborator

Trials
348
Recruited
394,000+

Findings from Research

The Lactation Advice thru Texting Can Help intervention significantly improved early postpartum contact between mothers and peer counselors, with 86.6% of mothers in the texting group contacting their counselors within 48 hours of delivery compared to only 27.3% in the control group.
While exclusive breastfeeding (EBF) rates at 2 weeks postpartum were higher in the texting group (50%) compared to the control group (31.8%), the difference was not statistically significant, suggesting that the texting intervention may help mothers meet their breastfeeding goals.
Feasibility and acceptability of a text message intervention used as an adjunct tool by WIC breastfeeding peer counsellors: The LATCH pilot.Harari, N., Rosenthal, MS., Bozzi, V., et al.[2020]
The text message-based communication platform did not significantly improve overall breastfeeding exclusivity rates at 6 weeks postpartum compared to usual care, with rates of 48.4% in the intervention group versus 41.3% in the control group.
However, among Black participants, those receiving the intervention had 2.6 times higher odds of exclusively breastfeeding compared to their counterparts in the control group, indicating a potential benefit in reducing racial disparities in breastfeeding outcomes.
Text Message-Based Breastfeeding Support Compared With Usual Care: A Randomized Controlled Trial.Bender, W., Levine, L., Durnwald, C.[2022]
A formative assessment involving 42 parents and nutrition experts led to the creation of 16 tailored SMS messages aimed at supporting breastfeeding for expectant couples in Tigray, Ethiopia.
The intervention showed high engagement, with 87% of parents receiving multiple messages and nearly all fathers and 97% of mothers reading them, indicating strong interest in continued SMS support for infant feeding.
Co-design and implementation of a mHealth intervention targeting fathers and mothers to improve breastfeeding.Gebremariam, KT., Mulugeta, A., Gallegos, D.[2023]

References

Feasibility and acceptability of a text message intervention used as an adjunct tool by WIC breastfeeding peer counsellors: The LATCH pilot. [2020]
Text Message-Based Breastfeeding Support Compared With Usual Care: A Randomized Controlled Trial. [2022]
Co-design and implementation of a mHealth intervention targeting fathers and mothers to improve breastfeeding. [2023]
Impact of the Lactation Advice Through Texting Can Help (LATCH) Trial on Time to First Contact and Exclusive Breastfeeding among WIC Participants. [2019]
Effect of Novel Breastfeeding Smartphone Applications on Breastfeeding Rates. [2022]
A qualitative analysis of text message conversations in a breastfeeding peer counselling intervention. [2021]
Tailored text messages to improve breastfeeding practices in Yangon, Myanmar: the M528 individually randomized controlled trial. [2023]
Can a text message a week improve breastfeeding? [2021]
The Development and Evaluation of a Text Message Program to Prevent Perceived Insufficient Milk Among First-Time Mothers: Retrospective Analysis of a Randomized Controlled Trial. [2021]
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