Dol Justine, Aston Megan, McMillan Douglas, Tomblin Murphy Gail, Campbell-Yeo Marsha
Faculty of Health, Dalhousie University, Halifax, NS, Canada.
School of Nursing, Faculty of Health, Dalhousie University, Halifax, NS, Canada.
JMIR Res Protoc. 2021 Mar 25;10(3):e27138. doi: 10.2196/27138.
Women experience changes both physically and psychologically during their transition to motherhood. The postnatal period is a critical time for women to develop maternal self-efficacy. Mobile health interventions may offer a way to reach women during this critical period to offer support and information. Essential Coaching for Every Mother is a text message program that seeks to educate and support women during the first 6 weeks postpartum.
The primary effectiveness objective is to compare the effectiveness of the Essential Coaching for Every Mother program on maternal psychosocial outcomes (self-efficacy, social support, postpartum depression, and postpartum anxiety) immediately after the intervention and 6 months postpartum, collectively as well as stratified by parity. The primary implementation objective is to evaluate the implementation extent and quality of the Essential Coaching for Every Mother program.
This will be a hybrid type 1 effectiveness-implementation randomized controlled trial. A total of 140 mothers-to-be or new mothers from Nova Scotia will be recruited and randomized to the intervention or control arm, stratified by parity. The intervention arm will receive the Essential Coaching for Every Mother program, which consists of 53 messages sent twice a day for the first 2 weeks and daily for weeks 3 through 6. The control group will receive usual care. Messages are personalized based on the infant's age and the woman's self-selected preference for breastfeeding or formula feeding and tailored with the infant's name and gender. Women can enroll in the program if they are ≥37 weeks pregnant or within 10 days postpartum, with the first message designed to be sent on the second evening after birth. The actual number of messages received will vary based on the timing of enrollment and the infant's date of birth. Participants will complete questionnaires assessing self-efficacy, social support, and postpartum depression and anxiety at baseline (enrollment after birth) and 6 weeks (postintervention) and 6 months postpartum. Implementation data will be collected throughout the trial, and evaluation feedback will be collected at 6 weeks from women who received the intervention.
Recruitment for this study started on January 5, 2021, and is currently ongoing, with an anticipated date of recruitment completion of January 2022.
This study will assess the effectiveness of a postpartum text message program to improve maternal self-efficacy and social support while decreasing postpartum depression and anxiety. It will also shed light on the implementation effectiveness of the program.
ClinicalTrials.gov NCT04730570; https://clinicaltrials.gov/ct2/show/NCT04730570.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/27138.
女性在向母亲角色转变的过程中会经历身体和心理上的变化。产后时期是女性培养母亲自我效能感的关键时期。移动健康干预可能为在这一关键时期接触女性提供支持和信息提供一种途径。“每位母亲的基本指导”是一个短信项目，旨在在产后前6周对女性进行教育和支持。
主要有效性目标是比较“每位母亲的基本指导”项目对产妇心理社会结局（自我效能感、社会支持、产后抑郁和产后焦虑）在干预后即刻以及产后6个月时的有效性，包括总体情况以及按产次分层的情况。主要实施目标是评估“每位母亲的基本指导”项目的实施程度和质量。
这将是一项1型混合有效性-实施随机对照试验。总共将招募140名来自新斯科舍省的准母亲或新妈妈，并按产次分层随机分为干预组或对照组。干预组将接受“每位母亲的基本指导”项目，该项目包括在最初2周每天发送两次共53条信息，第3周至第6周每天发送一次。对照组将接受常规护理。信息根据婴儿年龄以及女性自行选择的母乳喂养或配方奶喂养偏好进行个性化设置，并使用婴儿的姓名和性别进行定制。如果女性怀孕≥37周或产后10天内，即可参加该项目，第一条信息设计在出生后的第二个晚上发送。实际收到的信息数量将根据登记时间和婴儿出生日期而有所不同。参与者将在基线（出生后登记时）、6周（干预后）和产后6个月完成评估自我效能感、社会支持以及产后抑郁和焦虑的问卷。在整个试验过程中收集实施数据，并在6周时从接受干预的女性中收集评估反馈。
本研究于2021年1月5日开始招募，目前仍在进行中，预计招募完成日期为2022年1月。
本研究将评估一个产后短信项目在提高产妇自我效能感和社会支持、同时降低产后抑郁和焦虑方面的有效性。它还将揭示该项目的实施效果。
ClinicalTrials.gov NCT04730570；https://clinicaltrials.gov/ct2/show/NCT04730570。
国际注册报告识别码（IRRID）：DERR1-10.2196/27138。
