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Completed

NCT Number: NCT02214849

LATCH: Lactation Advice Thru Texting Can Help

The purpose of this study is to find out if a two-way texting platform to be used as an adjunct tool for breastfeeding peer counselors can improve breastfeeding behaviors among women enrolled in the WIC program in Connecticut. The hypothesis of the study is that providing additional information and support through text messaging starting in pregnancy and continuing after the birth of the child will increase exclusive breastfeeding rates during the first six months of life.

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Key information

Conditions

Breastfeeding Support Behavior Breast Feeding Feeding Behavior

Age range

18 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Yale School of Public Health

New Haven, Connecticut, 06510, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Pregnant women > 18 years
  • Prenatal intention to breastfeed
  • Prenatal enrollment < 28 weeks gestation
  • Have an unlimited text message cell phone plan
  • Knows how to send a text message
  • 5th grade literacy level

Exclusion criteria

  • Lack of fluency in either English or Spanish
  • Infant born premature (<37 weeks)
  • > 3 days in NICU
  • Any major maternal-newborn medical problem affecting breastfeeding
  • Birth weight <5lbs

Treatment and study plan

LATCH Intervention

Behavioral

Primary outcomes

  1. Change in Exclusive Breastfeeding Rate

    Time frame: 2 weeks after birth

  2. Change in Exclusive Breastfeeding Rate

    Time frame: 3 months after birth

  3. Change in Exclusive Breastfeeding Rate

    Time frame: 6 months after birth

Secondary outcomes

  1. Chance in the Percent of WIC Participants Reached by Breastfeedng Counselor

    Time frame: 48 hours after giving birth

  2. Change in Number of Contact Between WIC Participants and Breastfeeding Peer Counselors

    Time frame: 2 weeks after birth

  3. Change in Number of Contact Between WIC Participants and Breastfeeding Peer Counselors

    Time frame: 3 months after birth

  4. Change in Number of Contact Between WIC Participants and Breastfeeding Peer Counselors

    Time frame: 6 months after birth

  5. Change in breastfeeding self-efficacy

    Time frame: 2 weeks after birth

    Self-efficacy refers to an individuals' confidence in their capability to initiate, maintain, and (if stopped) re-start breastfeeding. It will be measured with the scale proposed by Schwarzer. Self-efficacy scale includes 5 questions, each with 4 response options ranging from "very false" to "very true". Average score will be generated by summing responses to questions 1 through 5 and dividing by the total number of questions. Average scores will range from 1 to 4. The higher the score the better the level of self-efficacy.

    Reference: Schwarzer R. Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology: An International Review. 2008 2008;57(1):1-29.

  6. Change in breastfeeding self-efficacy

    Time frame: 3 months after birth

  7. Change in breastfeeding self-efficacy

    Time frame: 6 months after birth

  8. Change in breastfeeding action planning

    Time frame: 2 weeks

    Action planning refers to the "when", "where", and "how" of the behavior or the sequence of events making up breastfeeding behaviors. It will be measured with the scale proposed by Schwarzer. Action planning scale includes 7 questions, each with 4 response options ranging from "very false" to "very true". An average score will be generated by summing responses to questions 1 through 7 and dividing by the total number of questions. Average scores will range from 1 to 4. The higher the score the better the level of action planning.

    Reference: Schwarzer R. Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology: An International Review. 2008 2008;57(1):1-29.

  9. Change in breastfeeding action planning

    Time frame: 3 months

  10. Change in breastfeeding action planning

    Time frame: 6 months

  11. Change in breastfeeding coping planning

    Time frame: 2 weeks

    Coping planning refers to the identification of potential barriers to engaging in and maintaining breastfeeding behavior and the extent to which an individual has developed strategies to cope with those barriers. It will be measured with the scale proposed by Schwarzer. Coping planning scale includes 6 questions, each with 4 response options ranging from "very false" to "very true". An average score will be generated by summing responses to questions 1 through 6 and dividing by the total number of questions. Average scores will range from 1 to 4. The higher the score the better the level of coping planning.

    Reference: Schwarzer R. Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology: An International Review. 2008 2008;57(1):1-29.

  12. Change in breastfeeding coping planning

    Time frame: 3 months

  13. Change in breastfeeding coping planning

    Time frame: 6 months

Sponsors and collaborators

Lead sponsor

Yale University

Other

Registry information

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Aug 12, 2014
Registry last updated
May 1, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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