Improving Exclusive Breastfeeding Via Mobile Phone Text Messages

NCT03890978 | Completed

• 1 other identifier: 2432019
• Study Type: interventional
• Target: 201
• Locations: 1 country
• Sites: 1

Brief Summary

World Health Organization (2001) recommended that infants should be exclusively breastfed for the first 6 months and could be continued in the second year of life or longer. The rate of exclusive breastfeeding (EBF) in Jordan is in progressive decline. In 2002 the EBF rate among babies less than 6 months old was 26.7% and unfortunately this rate dropped to 22% in 2007 and to 23% in 2012. In Jordan, 68% of babies receive breast milk within 24 hours of birth and the large majority continues to do so for 12.5 months, but EBF rates are very low. While health and nutrition experts recommend that introduction of complementary foods should start only when an infant is six months old, other liquids such as water, juice, and formula milk are being introduced to most Jordanian infants in the first couple of months . Thus, urgent attention is directed towards improving exclusive breastfeeding rates during the first six months of life.Despite scientific evidence concerning the benefits of breast milk, the practice of EBF is still uncommon in Jordan. Even with the consolidation of numerous strategies to promote breastfeeding and the general public health recommendation that infants should be exclusively breastfed during the first six months of life, the duration of breastfeeding in Jordan is in progressive decline and the percentage of infants exclusively breastfed for the first six months of life is still low and worrisome. A review of previous studies in Jordan, showed that most of these are descriptive studies focused on studying the factors affecting the rate of EBF and the reasons why women stop breastfeeding their children. There is no study on improving EBF for women in Jordan so far. To date there have been no interventions using mobile phones to improve breastfeeding and other feeding practices in Jordan. The aim of this research is to improve the EBF rates and duration through using a mobile phone-based EBF promotion (Text message). A randomized controlled trial with follow-up from recruitment until 6 months post-delivery will be conducted to implement EBF promotion intervention using mobile phone text messages in southern Jordan, and evaluate its impact on breastfeeding practices. The intervention group will receive EBF promotional messages and the control group will receive child health care-related messages (except breastfeeding messages) from the time of discharge until 6 months post delivery.

Conditions

Breastfeeding

Keywords

exclusive, breastfeeding, text messages, Jordan

Outcome Measures

Primary Outcomes (1)

• The rate of the Exclusive Breastfeeding

  The primary outcome is the rate of EBF at 1 to 6 months of the infants' age measured at monthly intervals after delivery

  from birth of baby to 6 months post birth

Secondary Outcomes (2)

• median duration of EBF

  from birth of baby to 6 months post birth

• rates of early initiation of breastfeeding

  within 1 hour after birth

Study Arms (2)

intervention

EXPERIMENTAL

The intervention group will receive EBF promotional messages from the time of discharge until 6 months post delivery.

Other: promotional Exclusive breastfeeding text messages

control

OTHER

the control group will receive child health care-related messages (except breastfeeding messages) from the time of discharge until 6 months post delivery.

Other: promotional Exclusive breastfeeding text messages

Interventions

promotional Exclusive breastfeeding text messages OTHER

promotional Exclusive breastfeeding text messages will be send to women via mobile phone

control; intervention

Eligibility Criteria

• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age and older
• speak and write in Arabic language
• could access a mobile phone that could display Arabic language fonts,
• express interest in breastfeeding
• had an uncomplicated singleton pregnancy
• who lived in an area with mobile network coverage

You may not qualify if:

• Non-Arabic speaking mothers
• who do not express interest in breastfeeding
• had pregnancy complications, a multiple pregnancy, and known medical conditions including mental illness that might hinder breastfeeding.

Sponsors & Collaborators

• Mutah University: lead

Study Sites (1)

Ministry Of Health

Karak, 61166, Jordan

Location

Related Publications (21)

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  PMID: 28469519 BACKGROUND

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  PMID: 24639004 BACKGROUND

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• Whittaker R, McRobbie H, Bullen C, Rodgers A, Gu Y. Mobile phone-based interventions for smoking cessation. Cochrane Database Syst Rev. 2016 Apr 10;4(4):CD006611. doi: 10.1002/14651858.CD006611.pub4.

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• Palmer MJ, Henschke N, Bergman H, Villanueva G, Maayan N, Tamrat T, Mehl GL, Glenton C, Lewin S, Fonhus MS, Free C. Targeted client communication via mobile devices for improving maternal, neonatal, and child health. Cochrane Database Syst Rev. 2020 Jul 14;8(8):CD013679. doi: 10.1002/14651858.CD013679.

  PMID: 32813276 DERIVED

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Study Officials

• Reham M Khresheh, PhD

  Mutah University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Reham Mohammad Khresheh

Study Record Dates

• First Submitted: March 24, 2019
• First Posted: March 26, 2019
• Study Start: January 1, 2018
• Primary Completion: September 20, 2018
• Study Completion: March 20, 2019
• Last Updated: March 27, 2019

Record last verified: 2019-03

Data Sharing

• IPD Sharing: Will not share

Locations

JO (1)