A Mobile-health Pilot Experiment Targeting Mothers With Newborns in Rural Areas of San Juan Sacatepequez, Guatemala

NCT02263118 | Completed Results

• 1 other identifier: CE/FM UFM 0062-13
• Study Type: interventional
• Target: 100
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study was to determine whether exposure to m-health platforms promoting recommended breastfeeding practices was effective in transmitting the exclusive breastfeeding message to participant mothers, and in improving weight evolution of infants.

Conditions

Exclusive Breastfeeding; Co-production of Health in Communities

Keywords

breastfeeding; rural; m-health; mHealth; Patojitos; Guatemala; exclusive breastfeeding; mobile; eHealth; e-health

Outcome Measures

Primary Outcomes (1)

• Number of Participants With Changes in Knowledge

  Specifically, we were interested in: the number of participants who switched from an incorrect to a correct knowledge regarding exclusive breastfeeding during the experiment (learned the message); the number of participants who had a correct knowledge but switched to an incorrect one during the experiment (forgot the message); the number of participants who had an incorrect knowledge and kept it until the end of the experiment (continued to be unaware); the number of participants who had a correct knowledge and kept it until the end of the experiment (remembered the message).

  December 2013 - May 2014, 23 weeks

Secondary Outcomes (3)

• Qualitative Nature of Health-related Text-messages

  December 2013 - May 2014, 23 weeks

• Number of Text-messages Exchanged in Virtual Communities

  December 2013 - May 2014, 23 weeks

• Mean Change in Weight-for-Age Z-score

  Baseline at December 2013 and 23 weeks later in May 2014

Study Arms (4)

Uni-directional SMS

EXPERIMENTAL

Participants in this group received breastfeeding promoting messages based on the MAMA (http://www.mobilemamaalliance.org/) breastfeeding database. Individuals could only receive text messages.

Other: Uni-directional SMS; Device: Feature phone

Virtual communities

EXPERIMENTAL

Participants were made part of virtual communities in which could exchange about infant's health as groups, via SMS, following the SHM Foundation's (http://www.shmfoundation.org/) m-health methodology.

Other: Uni-directional SMS; Device: Feature phone; Other: Virtual communities

Hybrid setup

EXPERIMENTAL

Participants were made part of virtual communities in which they could exchange about infant's health as groups, via SMS. Additionally, a health professional was included in the virtual community.

Other: Uni-directional SMS; Device: Feature phone; Other: Virtual communities; Other: Hybrid setup

Control group

EXPERIMENTAL

Individuals were given a feature phone (simple mobile phone)

Device: Feature phone

Interventions

Uni-directional SMS OTHER

Exposure to breastfeeding promoting SMSs

Hybrid setup; Uni-directional SMS; Virtual communities

Feature phone DEVICE

Participants were given a feature phone.

Control group; Hybrid setup; Uni-directional SMS; Virtual communities

Virtual communities OTHER

Exposure to virtual community communication via SMS

Hybrid setup; Virtual communities

Hybrid setup OTHER

Exposure to virtual community and access to communications with health professional via SMS

Hybrid setup

Eligibility Criteria

• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Can read
• Has a baby of less than 4 months of age OR is in her 8th month of pregnancy

You may not qualify if:

• Cannot read
• Does not have a newborn

Sponsors & Collaborators

• Universidad Francisco Marroquín: lead
• Ecole Polytechnique, France: collaborator
• The SHM Foundation, UK: collaborator

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Limitations and Caveats

Future work could consider a wider time span and inspect complementary instruments to ensure consistency between answers to interviews and behaviour. SMSs in virtual communities could be further analyzed to locate longitudinal changes in knowledge.

Results Point of Contact

• Title: Dr. Jose Tomas Prieto
• Organization: Ecole Polytechnique

jose-tomas.prieto@polytechnique.edu

+50252800643

Study Officials

• Jorge Tulio Rodriguez, MD

  Universidad Francisco Marroquin, Guatemala

  STUDY CHAIR

• Jose Tomas Prieto

  Ecole Polytechnique, France; Universidad Francisco Marroquin, Guatemala

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Jose Tomas Prieto

Study Record Dates

• First Submitted: October 2, 2014
• First Posted: October 13, 2014
• Study Start: November 1, 2013
• Primary Completion: May 1, 2014
• Study Completion: May 1, 2014
• Last Updated: July 22, 2015
• Results First Posted: June 30, 2015

Record last verified: 2015-06