Text-based Motivational Interviewing Intervention to Promote Exclusive Breastfeeding Rates

NCT06790654 | Not Yet Recruiting

• 1 other identifier: 2024-465
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

The goal of this clinical trial is to evaluate whether a text-based motivational interviewing (MI) intervention can increase exclusive breastfeeding rates and breastfeeding self-efficacy in mothers of healthy full-term infants. This study focuses on addressing breastfeeding barriers, particularly among mothers in underserved and rural populations. The main questions it aims to answer are:

• Does a text-based MI intervention improve exclusive breastfeeding rates at two, four, and six weeks postpartum?
• Does the intervention increase maternal breastfeeding self-efficacy during the same period? Researchers will compare the outcomes of mothers receiving the text-based MI intervention to standard breastfeeding support to assess its feasibility, acceptability, and initial effectiveness. Participants will:
• Receive weekly personalized motivational text messages for six weeks postpartum.
• Engage in interactive exchanges with MI-trained interviewers addressing breastfeeding challenges.
• Complete surveys at baseline, mid-intervention, and post-intervention to assess breastfeeding behaviors and self-efficacy.

Conditions

Breastfeeding Rate; Breastfeeding Self-Efficacy

Keywords

breastfeeding; motivational interviewing

Outcome Measures

Primary Outcomes (5)

• Enrollment Number

  As a pilot measure of study feasibility, the final sample of participants will be compared against the target sample size of 30.

  End of study (six weeks)

• Retention

  Retention will be calculated as the percentage of participants who complete the study out of those enrolled.

  End of study (six weeks)

• Adherence

  Adherence (consistency of engagement with the text messages) will be measured as the share of interview sessions in which participants' respond to at least one motivational interviewing prompt.

  End of study (six weeks)

• Acceptability

  Acceptability will be assessed using an measure of participant satisfaction with the program. This measure is a 5-item scale covering overall experience, clarity of text messages, helpfulness of guidance, influence on breastfeeding practices, and likelihood of recommending the program to others. Each item will be rated on a 5-point Likert scale ranging from 1 ("Strongly Disagree") to 5 ("Strongly Agree"). Scores will be summed to produce a total satisfaction score, ranging from 5 to 25, with higher scores reflecting greater satisfaction.

  End of study (6 weeks)

• Exclusive breastfeeding rates

  Exclusive breastfeeding status will be self-reported by participants.

  Weeks 3 and 6 of the intervention.

Secondary Outcomes (2)

• Mixed-breastfeeding rates

  Weeks 3 and 6 of the intervention.

• Breastfeeding Self-Efficacy

  Enrollment, week 3, and week 6.

Study Arms (1)

Motivational interviewing

EXPERIMENTAL

All participants will receive the intervention which consists of 6 weeks of text-based motivational interviewing targeted at addressing barriers to exclusive breastfeeding.

Behavioral: Text-message based motivational interviewing

Interventions

Text-message based motivational interviewing BEHAVIORAL

Participants will receive weekly text messages during the pilot study period, initiated and managed by MItrained interviewers. Each text message exchange will begin with a short, MI-consistent prompt developed with input from focus groups of mothers who have previously breastfed. These prompts will address common breastfeeding barriers. Following the initial prompt, MI-trained trainers will engage with participants through text exchanges that utilize the core MI OARS skills (open-ended questions, affirmations, reflections, or summaries) to facilitate change talk.

Motivational interviewing

Eligibility Criteria

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

You may qualify if:

• Mothers who have given birth to a healthy full-term infant, intend to breastfeed, and possess a mobile device capable of receiving texts

Sponsors & Collaborators

• University of Mississippi Medical Center: lead

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Central Study Contacts

Benjamin H Walker, PhD

CONTACT

601-815-9544; bwalker5@umc.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 13, 2025
• First Posted: January 24, 2025
• Study Start: March 1, 2025
• Primary Completion: October 1, 2025
• Study Completion: November 1, 2025
• Last Updated: January 24, 2025

Record last verified: 2025-01