The Effect of Video Education on Skin-to-Skin at the Time of Delivery

NCT03200925 | Completed Results

• 1 other identifier: 1078384-2
• Study Type: interventional
• Target: 240
• Locations: 1 country
• Sites: 1

Brief Summary

The main purpose of this study is to determine the effect of prenatal video education on pregnant women's intention to practice and actual practice of skin to skin contact (SSC) after birth. This study hypothesizes that education in video format will increase patients knowledge about skin to skin in a way that will make them consider participating in skin to skin immediately after birth. Therefore the end point for this study is intention to participate in SCC measured by a single questionnaire item "Do you plan on participating in skin to skin (or kangaroo care) immediately after birth?" Our secondary end-point will measure whether or not the patient was able to participate in skin to skin within five minutes of delivery. All study participants will complete a short survey about their intention of practicing skin to skin after birth upon admission for delivery. Half of the study participants will only complete the brief survey. The other half of study participants will then watch a short video about skin to skin and complete one follow up question regarding their intention to practice skin to skin at the time of delivery. All patients will be followed until after delivery to determine if they were able to participate in skin to skin after delivery.

Conditions

Kangaroo Care; Video; Prenatal Education; Skin-to-skin

Keywords

video; skin-to-skin; kangaroo care; prenatal education

Outcome Measures

Primary Outcomes (2)

• Intention to Practice Skin-to-skin Contact After Birth

  Both groups will be asked a short survey at the time of admission: * their intention to practice skin to skin at the time of delivery * if they participated in skin to skin in a previous pregnancy * if they had any formal education about skin to skin * if they did have formal education was it either * a.) Provided at a prenatal appointment * b.) A formal class led by either a nurse or a lactation consultant Group B will watch a short video about skin-to-skin contact and will be then reasked a question regarding their intention to practice skin-to-skin contact after birth. This information will allow us to determine if video education impacts the intention to practice skin-to-skin contact after birth.

  1 day

• Actual Practice of Skin-to-skin Contact After Birth

  For both video and non-video groups, skin to skin duration (minutes) after delivery will be calculated. The time in minutes from delivery to initiation of skin to skin contact is also collected. This information will allow us to determine if video education impacts the actual practice of skin-to-skin contact after birth.

  1 week

Study Arms (2)

Group A - no video group

NO INTERVENTION

Group A will be asked a short survey: * their intention to practice skin to skin at the time of delivery * if they participated in skin to skin in a previous pregnancy * if they had any formal education about skin to skin * if they did have formal education was it either * a.) Provided at a prenatal appointment, * b.) A formal class led by either a nurse or a lactation consultant. We will also look at patient's medical record number, age, gestational age, any pregnancy complications, race, type of insurance, and the number of times the patient has been pregnant. We will also examine data that is already collected by this hospital after delivery regarding skin to skin. This includes gestational age in weeks at the time of delivery, 5 minute APGAR, delivery date/time, skin to skin initiation time, skin to skin end time, delivery to skin to skin duration (minutes), and skin to skin duration (minutes).

Group B - video group

EXPERIMENTAL

Group B will be asked the same short survey as group A. The patient would then immediately watch "Jumping into Kangaroo Care", and then immediately take the post survey which would ask if they intended to practice skin to skin at the time of delivery. We will also look at patient's medical record number, age, gestational age, any pregnancy complications, race, type of insurance, and the number of times the patient has been pregnant. We will also examine data that is already collected by this hospital after delivery regarding skin to skin. This includes gestational age in weeks at the time of delivery, 5 minute APGAR, delivery date/time, skin to skin initiation time, skin to skin end time, delivery to skin to skin duration (minutes), and skin to skin duration (minutes).

Other: "Jumping into Kangaroo Care" - a video created by the Ohio Department of Health

Interventions

"Jumping into Kangaroo Care" - a video created by the Ohio Department of Health OTHER

The video is 8 minutes and 52 seconds in length. The video discusses the benefits and logistics of Kangaroo Care from professional's perspectives and from new mother's perspectives.

Group B - video group

Eligibility Criteria

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

You may qualify if:

• Pregnant women at Southview Medical Center
• Over the age of 18
• Anticipating a vaginal delivery within one week of admission to labor and delivery
• English speaking
• Greater than 37 weeks gestation

You may not qualify if:

• Not female
• Not pregnant
• Less than 37 weeks gestation
• A scheduled cesarean section
• Unstable medical status
• Expecting an unstable baby requiring medical resuscitation
• Under the age of 18
• Non-English speaking requiring translation services
• If a patient has a baby with a 5 minute APGAR less than 7 at the time of delivery or needs to proceed to the operating room for cesarean delivery, the patient would not be included in data collection regarding skin to skin at the time of delivery. For this group, only intention would be measured

Sponsors & Collaborators

• Kettering Health Network: lead
• Ohio University: collaborator

Study Sites (1)

Southview Medical Center

Centerville, Ohio, 45459, United States

Location

Related Publications (13)

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  PMID: 18758336 BACKGROUND

• Burgio MA, Lagana AS, Sicilia A, Prosperi Porta R, Porpora MG, Ban Frangez H, DI Venti G, Triolo O. Breastfeeding Education: Where Are We Going? A Systematic Review Article. Iran J Public Health. 2016 Aug;45(8):970-977.

  PMID: 27928522 BACKGROUND

• Guise JM, Palda V, Westhoff C, Chan BK, Helfand M, Lieu TA; U.S. Preventive Services Task Force. The effectiveness of primary care-based interventions to promote breastfeeding: systematic evidence review and meta-analysis for the US Preventive Services Task Force. Ann Fam Med. 2003 Jul-Aug;1(2):70-8. doi: 10.1370/afm.56.

  PMID: 15040435 BACKGROUND

• Baby-Friendly USA. "Guidelines and Evaluation Criteria for Facilities Seeking Baby-Friendly Designation." Albany, NY: Baby-Friendly USA. 2016

  BACKGROUND

• Charpak N, Ruiz JG. Latin American Clinical Epidemiology Network Series - Paper 9: The Kangaroo Mother Care Method: from scientific evidence generated in Colombia to worldwide practice. J Clin Epidemiol. 2017 Jun;86:125-128. doi: 10.1016/j.jclinepi.2016.05.019. Epub 2016 Oct 17.

  PMID: 27765653 BACKGROUND

• Vila-Candel R, Duke K, Soriano-Vidal FJ, Castro-Sanchez E. Affect of Early Skin-to-Skin Mother-Infant Contact in the Maintenance of Exclusive Breastfeeding: Experience in a Health Department in Spain. J Hum Lact. 2018 May;34(2):304-312. doi: 10.1177/0890334416676469. Epub 2017 Jan 18.

  PMID: 28099044 BACKGROUND

• Chung M, Raman G, Trikalinos T, Lau J, Ip S. Interventions in primary care to promote breastfeeding: an evidence review for the U.S. Preventive Services Task Force. Ann Intern Med. 2008 Oct 21;149(8):565-82. doi: 10.7326/0003-4819-149-8-200810210-00009.

  PMID: 18936504 BACKGROUND

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  PMID: 17636727 BACKGROUND

• Martinez-Galiano JM, Delgado-Rodriguez M. Influence of an education program of pregnant women on delivery. J Matern Fetal Neonatal Med. 2014 May;27(7):719-23. doi: 10.3109/14767058.2013.836486. Epub 2013 Sep 25.

  PMID: 23962180 BACKGROUND

• Krouse HJ. Video modelling to educate patients. J Adv Nurs. 2001 Mar;33(6):748-57. doi: 10.1046/j.1365-2648.2001.01716.x.

  PMID: 11298212 BACKGROUND

• Abu Abed M, Himmel W, Vormfelde S, Koschack J. Video-assisted patient education to modify behavior: a systematic review. Patient Educ Couns. 2014 Oct;97(1):16-22. doi: 10.1016/j.pec.2014.06.015. Epub 2014 Jul 5.

  PMID: 25043785 BACKGROUND

• Shealy KR, Li R, Benton-Davis S, Grummer-Strawn LM. The CDC Guide to Breastfeeding Interventions. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2005

  BACKGROUND

• O'Brien PC, Fleming TR. A multiple testing procedure for clinical trials. Biometrics. 1979 Sep;35(3):549-56.

  PMID: 497341 BACKGROUND

Results Point of Contact

• Title: Catherine Caponero, DO
• Organization: Kettering Health Network

catherine.caponero@ketteringhealth.org

937-723-4124

Study Officials

• Catherine M Caponero, DO

  Kettering Health Network

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Patients will not know which arm of the trial they will be apart of until after they have consented to participate
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 25, 2017
• First Posted: June 27, 2017
• Study Start: June 23, 2017
• Primary Completion: October 26, 2017
• Study Completion: October 26, 2017
• Last Updated: August 2, 2019
• Results First Posted: July 22, 2019

Record last verified: 2019-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)