Texting to Promote Breastfeeding (TOPS)

NCT06375655 | Completed Results

• 1 other identifier: STUDY20240085
• Study Type: interventional
• Target: 83
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to see if a program of text messages that support and promote breastfeeding for expecting and delivered African-American/Black women (called TEAM2BF), as compared to a national maternal health texting program (called Bright By Text), can result in more women being able to breastfeed their infant. Because breastfeeding is healthy for mothers and babies, and because fewer African-American/Black women decide to breastfeed and continue breastfeeding than many other racial and ethnic groups, researchers like us are trying to figure out ways to be supportive to African-American/Black mothers who might be interested in breastfeeding. The investigators will enroll up to 80 mothers and their infants at UHCMC.

Conditions

Increased Breastfeeding

Keywords

African American; Texting; Breastfeeding

Outcome Measures

Primary Outcomes (3)

• Number of Participants Who do Not Opt Out of Receipt of Text Messages

  Up to 6 months postpartum

• Number of Participants Who Said Texts Were Helpful as Measured by Questionnaire

  Participants were asked if texts were helpful- yes or no. Reported on number of participants who said yes.

  Up to 6 months postpartum

• Number of Participants Who Would Refer a Friend/Family to the Texting Program

  This will be a yes/no answer

  Up to 6 months postpartum

Secondary Outcomes (3)

• Number of Participants Who Are Exclusively Breastfeeding at 2 Months Postpartum as Measured by Participant Report/Chart Review

  Up to 2 months postpartum

• Change in the Number of Participants Who Are Exclusively Breastfeeding as Measured by Participant Report/Chart Review

  1 month, 3 months, 6 months postpartum

• Change in the Number of Participants Who Are Partially Breastfeeding as Measured by Participant Report/Chart Review

  1 month, 2 months, 3 months, 6 months postpartum

Study Arms (2)

Team2BF

EXPERIMENTAL

Team2BF includes 3-4 breastfeeding-supportive messages per time interval, sent weekly from 28 weeks gestation through delivery, daily through 2 weeks postpartum, weekly from 2 to 10 weeks, and then monthly to one year. Other maternal health topics are not addressed.

Behavioral: Team2BF

Bright By Text

ACTIVE COMPARATOR

Bright By Text sends 2-4 messages per week from the first trimester through and beyond one year postpartum about a wide range of maternal and child health topics as outlined on their website; 8 messages are specifically about breastfeeding.

Behavioral: Bright By Text

Interventions

Team2BF BEHAVIORAL

Team2BF includes 3-4 breastfeeding-supportive messages per time interval, sent weekly from 28 weeks gestation through delivery, daily through 2 weeks postpartum, weekly from 2 to 10 weeks, and then monthly to one year. Other maternal health topics are not addressed.

Team2BF

Bright By Text BEHAVIORAL

Bright By Text sends 2-4 messages per week from the first trimester through and beyond one year postpartum about a wide range of maternal and child health topics as outlined on their website; 8 messages are specifically about breastfeeding.

Bright By Text

Eligibility Criteria

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

You may qualify if:

• Expectant women initiating obstetrical care \<34 weeks or at any prenatal visit up to 34 weeks gestation
• Daily access to a mobile phone with text message capabilities,
• Self-identify as African-American/Black,
• English speaking, and
• Infant feeding plan of "might or will breastfeed"
• Receive care at Ahuja Midtown or MAC1200

You may not qualify if:

• Committed to feeding formula only to their infant
• No mobile phone with text capability

Sponsors & Collaborators

• Case Western Reserve University: lead
• University Hospitals Cleveland Medical Center: collaborator

Study Sites (1)

Ahuja Rainbow Center for Women and Children

Cleveland, Ohio, 44103, United States

Location

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Results Point of Contact

• Title: Dr. Furman
• Organization: University Hospitals Cleveland Medical Center

Lydia.Furman@UHhospitals.org

216-844-3971

Study Officials

• Lydia Furman, MD

  University Hospitals Cleveland Medical Center

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 16, 2024
• First Posted: April 19, 2024
• Study Start: July 15, 2024
• Primary Completion: August 8, 2025
• Study Completion: August 8, 2025
• Last Updated: November 18, 2025
• Results First Posted: November 18, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)