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Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
AgeNot listed
SponsorUniversity of Virginia

About this trial

This study examines the implementation of the TodaysBaby™ mobile safe sleep intervention program in US hospitals. The main aims of this study are to examine: 1) differences in program penetration and the equity of penetration according to income and race/ethnicity; 2) differences in feasibility, acceptability, sustainability and fidelity top the intervention; and 3) the effectiveness of the intervention.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Must speak English or Spanish

Must live in the United States

Must have given birth to a healthy, term infants (37 weeks or greater) and be discharged within 7 days of birth

Must plan to care for infant and live in the same household as infant after birth

Disqualifiers

A prenatal diagnosis expected to have impact on infant care practices not compatible with study goals, such as supine infant sleep positioning.

Trial design

Design model

Crossover

Treatments tested in this trial

  • TodaysBaby

    Behavioral

    The TodaysBaby intervention is comprised of: 1) Text message-delivered, short educational videos in the first 2 months after birth, with each video timed to match content addressing anticipated barriers and facilitators to adhering to guidelines (e.g. parental concerns that infant will choke while supine). Participants will also have access to a web portal where intervention videos will be maintained. 2) Text queries regarding safe sleep practices, which collect data on sleep practices in near real-time and provide reinforcement of adherence. Mothers will receive 1-2 text message questions weekly that assess sleep practices in near real-time .

Treatment groups

10,000 Participants
are divided into 3 treatment groups
Group A: New low touch (LT) hospital implementation strategyExperimental treatment 1 intervention
Group B: Original high touch (HT) hospital implementation strategyActive comparator 1 intervention
Group C: Control- Standard of CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Penetration of sign up for TodaysBaby

Rate of sign up for TodaysBaby among mothers that sign up during the different implementation strategies

Time frame
First week after birth
2

Equity of sign up for TodaysBaby

Differences in rate of sign up for TodaysBaby by maternal insurance status and race/ethnicity among mothers that sign up during different implementation strategies

Time frame
First week after birth

Secondary outcomes

1

Feasibility of implementation

Staff perception that the implementation strategies were successfully used or carried out (measured through semi-structured interviews; Rate of maternal report that signing up for TodaysBaby was simple and fast

Time frame
Within a year of participant enrollment (qualitative) and >60 day after birth survey
2

Acceptability

Staff perception that the delivery of the implementation strategies was satisfactory (measured through semi-structured interviews)

Time frame
Within a year of participant enrollment
3

Sustainability

Staff perception that the implementation strategies could continue to be delivered after the end of the study (measured through semi-structured interviews); monthly penetration rates

Time frame
Within a year of participant enrollment (qualitative) and during the 6-month study implementation periods
4

Fidelity

Number of videos viewed by mother, divided by total videos among mothers enrolled in the different implementation strategies

Time frame
First 60 days after birth

Other outcomes

Sponsors and contacts

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University of Virginia

Lead sponsor

Washington University School of Medicine

Collaborator

Boston Medical Center

Collaborator

Boston University

Collaborator

University of Massachusetts, Worcester

Collaborator

Columbia University

Collaborator

University of Colorado, Denver

Collaborator

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator