Essential Coaching for Every Mother, a Postpartum Text Message Program for Canadian Mothers

NCT04730570 | Completed

• 1 other identifier: 1024984
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate a text message-based program called Essential Coaching for Every Mother which sends daily text messages during the immediate six-week postnatal period. Essential Coaching for Every Mother consists of standardized text messages that provide evidence-based information that women should be aware of related to caring for their newborn and maternal mental health.

Conditions

Maternal Distress

Keywords

maternal self-efficacy; postpartum depression; postpartum anxiety; mobile health education; postpartum support

Outcome Measures

Primary Outcomes (1)

• Self Efficacy

  Karitane Parenting Confidence Scale (Minimum: 0, Maximum: 45; Higher score indicates greater self-efficacy)

  Change from enrolment (baseline) to six-weeks

Secondary Outcomes (7)

• Social support

  Change from enrolment (baseline) to six-weeks

• Postpartum anxiety

  Change from enrolment (baseline) to six-weeks

• Postpartum depression

  Change from enrolment (baseline) to six-weeks

• Self-Efficacy

  Change from six-weeks to six-months postpartum

• Social Support

  Change from six-weeks to six-months postpartum

Other Outcomes (4)

• Implementation extent (Reach)

  Through study completion, an average of 1 year

• Implementation extent (completion)

  Through study completion, an average of 6 weeks

• Implementation extent (dose)

  Through study completion, an average of 6 weeks

Study Arms (2)

Essential Coaching for Every Mother Intervention

EXPERIMENTAL

Women in the intervention arm will receive the Essential Coaching for Every Mother messages up to six-weeks postpartum. No changes in standard care.

Behavioral: Essential Coaching for Every Mother

Standard care

NO INTERVENTION

Women in the control group will receive no content messages. No changes in standard care.

Interventions

Essential Coaching for Every Mother BEHAVIORAL

Essential Coaching for Every Mother consists of 53 standardized text messages that provide evidence-based information that women should be aware of related to caring for their newborn and maternal mental health. Messages are personalized with the name of the child. Messages sent from birth to six-weeks postpartum, with two messages sent per day in the first two weeks and a daily message for weeks 3-6. The following topics covered in Essential Coaching for Every Mother include anxiety, depression, maternal self-care, postnatal follow-up, breastfeeding or formula feeding, infant concerns, cord care, well-baby care, normal development, crying, and safe sleep. Women who receive the messages will be able to self-select breastfeeding or formula feeding messages.

Essential Coaching for Every Mother Intervention

Eligibility Criteria

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

You may qualify if:

• To enroll antenatally, participants must:
• be at least 37 weeks pregnant
• have daily access to a mobile phone with text message capabilities
• are over 18 years of age
• speak and read English
• live in Nova Scotia, Canada.
• To enroll postnatally, participants must:
• have an infant under 10 days of age
• have daily access to a mobile phone with text message capabilities
• are over 18 years of age
• speak and read English
• live in Nova Scotia, Canada.

You may not qualify if:

• newborn die or are expected to die prior to leaving the hospital
• they have no access to mobile phone, either personal or shared
• unwilling to receive text messages
• decline or withdraw to participate
• participated in Phase I of this project.

Sponsors & Collaborators

• IWK Health Centre: lead
• Dalhousie University: collaborator

Study Sites (1)

IWK Health

Halifax, Nova Scotia, Canada

Location

Related Publications (3)

• Dol J, Aston M, McMillan D, Tomblin Murphy G, Campbell-Yeo M. Effectiveness of a Postpartum Text Message Program (Essential Coaching for Every Mother) on Maternal Psychosocial Outcomes: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2021 Mar 25;10(3):e27138. doi: 10.2196/27138.

  PMID: 33764309 BACKGROUND

• Dol J, Aston M, McMillan D, Tomblin Murphy G, Campbell-Yeo M. Participants' Perceptions of Essential Coaching for Every Mother-a Canadian Text Message-Based Postpartum Program: Process Evaluation of a Randomized Controlled Trial. JMIR Form Res. 2022 May 13;6(5):e36821. doi: 10.2196/36821.

  PMID: 35559855 BACKGROUND

• Dol J, Tomblin Murphy G, Aston M, McMillan D, Campbell-Yeo M. Design, development and usability testing of Essential Coaching for Every Mother: A postnatal text message educational intervention. Women Birth. 2021 May;34(3):e228-e236. doi: 10.1016/j.wombi.2020.05.004. Epub 2020 May 29.

  PMID: 32475782 RESULT

MeSH Terms

Conditions

Depression, Postpartum

Condition Hierarchy (Ancestors)

Puerperal Disorders; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Depressive Disorder; Mood Disorders; Mental Disorders

Study Officials

• Justine Dol, MSc

  Dalhousie University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, OUTCOMES ASSESSOR
• Masking Details: Blinding is not possible for participants and thus participants will be informed of their group allocation. To minimize personnel blinding related to data collection, no hospital staff (nurse midwives, physicians, other healthcare providers) are required to be aware of participant's involvement in the study. This is possible as Essential Coaching for Every Mother is sent to the participant's personal cell phone with no intervention occurring in person. The PI will be aware of participant allocation and will be responsible for collecting data but will not be involved in the randomization procedure which occurs directly in the TextIt platform. Additionally, there is no interaction with the participants from the PI or anyone on the research team as everything occurs remotely via a previously set up process, reducing any risk of influencing participant response and influencing outcome assessment.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: The current study is a 2-group parallel arm randomized controlled trial, stratified by parity.

Study Record Dates

• First Submitted: January 19, 2021
• First Posted: January 29, 2021
• Study Start: January 5, 2021
• Primary Completion: July 13, 2021
• Study Completion: January 21, 2022
• Last Updated: September 25, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)