Text-based Motivational Interviewing Intervention to Promote Exclusive Breastfeeding Rates
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorUniversity of Mississippi Medical Center
About this trial
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.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Mothers who have given birth to a healthy full-term infant, intend to breastfeed, and possess a mobile device capable of receiving texts
Disqualifiers
Exclusion criteria include age < 18, contraindications to breastfeeding, substance use, or multiple gestation.
Trial design
Design model
Single group
Treatments tested in this trial
Text-message based motivational interviewing
BehavioralParticipants 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.
Treatment groups
30 Participants
are divided into 1 treatment groupGroup A: Motivational interviewingExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Enrollment Number
As a pilot measure of study feasibility, the final sample of participants will be compared against the target sample size of 30.
Time frame
End of study (six weeks)2
Retention
Retention will be calculated as the percentage of participants who complete the study out of those enrolled.
Time frame
End of study (six weeks)3
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.
Time frame
End of study (six weeks)4
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.
Time frame
End of study (6 weeks)Secondary outcomes
1
Mixed-breastfeeding rates
Rates of breastfeeding with supplementation will be reported by participants.
Time frame
Weeks 3 and 6 of the intervention.2
Breastfeeding Self-Efficacy
Breastfeeding self-efficacy will be measured using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). the BSES-SF is a 14-item with each item rated on a 5-point Likert scale, ranging from 1(not at all confident) to 5(always confident). The items will be summed to produced a total ranging from 14 to 70 with higher scores representing greater self-efficacy.
Time frame
Enrollment, week 3, and week 6.Locations
Sponsors and contacts
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Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: