Essential Coaching for Every Mother in Tanzania

NCT05362305 | Active Not Recruiting

• 1 other identifier: ECEMTZ
• Study Type: interventional
• Target: 124
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate a text message intervention called Essential Coaching for Every Mother in Tanzania to improve mothers' access to essential newborn care information during the immediate six-week postnatal period.

Conditions

Parenting Self Efficacy; Postpartum Depression; Postpartum Anxiety; Breastfeeding Self-Efficacy; Newborn Knowledge

Outcome Measures

Primary Outcomes (1)

• Newborn Care Knowledge

  Knowledge will be assessed using a modified questionnaire developed by McConnell and colleagues. Questions will determine whether mothers can identify danger signs, hand washing practices, cord care, newborn thermal care, and breastfeeding. A summative score will be created with a maximum of five points and a minimum of zero, where each point represents knowledge on the above postnatal health topics.

  Baseline (enrolment), and six-weeks postpartum (follow-up)

Secondary Outcomes (8)

• Maternal Self-Efficacy

  Baseline (enrolment), and six-weeks postpartum (follow-up)

• Breastfeeding Self-Efficacy

  Baseline (enrolment), and six-weeks postpartum (follow-up)

• Postpartum Depression

  Baseline (enrolment), and six-weeks postpartum (follow-up)

• Postpartum Anxiety

  Baseline (enrolment), and six-weeks postpartum (follow-up)

• Newborn morbidity

  Six-weeks postpartum (follow-up)

Other Outcomes (4)

• Implementation Dose

  Enrolment and study completion (6 weeks)

• Implementation Engagement

  Enrolment and study completion (6 weeks)

• Recruitment Effectiveness

  Enrolment

Study Arms (2)

Essential Coaching for Every Mother

EXPERIMENTAL

Mothers in the intervention group will receive in-hospital education by a non-study nurse midwife while on the postnatal ward prior to discharge as per standard protocol on the unit. On the third day after birth, mothers will receive daily text messages to 6 weeks postpartum. The messages will be sent automatically each day based on the date of birth of the infant.

Behavioral: Essential Coaching for Every Mother

Standard Care

NO INTERVENTION

Mothers will receive in-person education provided by a non-study nurse midwife while on the postnatal ward prior to discharge as per current standard protocol on the unit. Mothers in this group will not receive any further text messages from the program.

Interventions

Essential Coaching for Every Mother BEHAVIORAL

Daily text messages for the first six-weeks postpartum.

Essential Coaching for Every Mother

Eligibility Criteria

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

You may qualify if:

• have recently given birth within the hospital within 48 hours
• have daily access to a mobile phone with text message capabilities
• are over 18 years of age
• speak and read English or Swahili.

You may not qualify if:

• newborns 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 to participate
• are experiencing major postnatal complications expected to impact learning or ability to consent while in the hospital (e.g., postpartum hemorrhage, seizures)
• participated in Phase I of this project.

Sponsors & Collaborators

• IWK Health Centre: lead

Study Sites (1)

Muhimbili University of Health and Allied Sciences

Dar es Salaam, Tanzania

Location

Related Publications (1)

• Dol J, Mselle LT, Campbell-Yeo M, Mbekenga C, Kohi T, McMillan D, Dennis CL, Tomblin Murphy G, Aston M. Essential Coaching for Every Mother Tanzania (ECEM-TZ): Protocol for a Type 1 Hybrid Effectiveness-Implementation Randomized Controlled Trial. JMIR Res Protoc. 2024 Dec 5;13:e63454. doi: 10.2196/63454.

  PMID: 39636672 DERIVED

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 Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 22, 2022
• First Posted: May 5, 2022
• Study Start: June 13, 2024
• Primary Completion: September 21, 2024
• Study Completion: October 10, 2025
• Last Updated: October 15, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

TA (1)