- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04601987
Healthy Moms: Prenatal Counseling for Postpartum Health
See https://studypages.com/s/healthy-moms-study-765273
This individual-level randomized trial involves pregnant women followed for at least 6 months after delivery, to compare the effects of providing two "attention-control" counseling interventions designed to increase pregnant women's awareness of either:
- the maternal health benefits of breastfeeding, or
- the health benefits of smoke-free homes
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The investigators will conduct an individual-level randomized trial involving pregnant women to compare the effects on infant feeding practices of providing pregnant women information about the maternal health benefits of breastfeeding to usual prenatal counseling focused on the infant health benefits of breastfeeding. Participants will be randomly allocated to one of two equal sized groups by research assistants using a web-based random number generator that conceals allocation. Participants will be recruited online via UC Davis' StudyPages website. Screening will occur online at the participant's convenience. When screening criteria have been met, the research coordinator will be notified, and initiate contact with the participant by text and/or phone call to schedule a time to deliver the intervention. Due to social distancing measures that have been put into place as a result of the COVID-19 pandemic, informed consent will be collected digitally using the Qualtrics platform after potential participants complete a secondary screening survey. Consenting participants will use Qualtrics to complete a baseline/enrollment survey and be randomized and then scheduled for a time to receive their allocated counseling intervention using the Zoom platform. Follow-up surveys will be distributed to participants at 1, 3, 6, 9 and 12 months postpartum.
Comparators:
Participants randomized to the "intervention group" will receive information about the maternal health benefits of breastfeeding from a research assistant who also will provide information on resources designed to support prenatal and postpartum health, including breastfeeding support groups. Participants will be presented with a series of images to look at while listening to the scripted counseling, including an image developed in 2002 by the Ad Council designed to convey a link between bottle-feeding and insulin use, as well as images developed specifically for use when counseling women about the maternal benefits of breastfeeding.
The "attention control" group will receive "usual care" from their prenatal care provider that focuses on the infant health benefits of breastfeeding. To control for the potential effects of receiving additional attention from a counselor, pregnant women enrolled in the control arm of this study will receive information from a peer counselor on the health benefits of "smoke- and weed-free homes".
The investigators will thoroughly train all research staff on the critical importance of delivering only the allocated counseling intervention to each study participant. The investigators will monitor intervention delivery by audio-recording staff interactions with study participants, and providing prompt feedback to research staff, if needed.
Intervention Delivery: These scripted counseling interventions were designed to be understood by those with no more than a fifth-grade education and to take less than 5 minutes to deliver. All research staff will be trained by the PI to ensure they understand the importance of maintaining the integrity of study group allocation and delivering only the assigned scripted counseling. After receiving their allocated counseling, participants will be emailed the images and script and encouraged to share this information with the people they anticipate receiving postpartum support from.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
-
Sacramento, California, United States, 95817
- UC Davis Center for Healthcare Policy and Research
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Nulliparous women who are carrying a singleton pregnancy between 27-37 weeks gestation
- Born in the United States
- Aged 18-40 years
- Able to read English
- Have reliable access to a telephone that is able to send and receive text messages
- Have reliable access to a smart phone, tablet, computer, or other device with access to the internet
Exclusion Criteria:
- Women carrying multiple gestations
- Diagnosed with HIV or are advised by a clinician not to breastfeed for any other reason
- Have undergone mastectomy or breast reduction surgery
- Unable to speak English, or who do not have a telephone or respond to text messages
- Carrying a surrogate pregnancy or are not planning to parent after giving birth
- Became pregnant through use of assisted reproductive technology such as in vitro fertilization (IVF)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Counseling about the Maternal Benefits of Breastfeeding
Participants will review a slide deck while receiving scripted counseling designed to increase understanding of the maternal health benefits of breastfeeding.
|
Counseling about the maternal health benefits of lactation.
|
Active Comparator: Counseling about the benefits of Smoke-free Homes
Participants will review a slide deck while receiving scripted counseling designed to increase understanding of the health benefits of smoke free homes.
|
Counseling about the importance of smoke-free homes.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Duration of breastfeeding
Time Frame: at 6 months postpartum
|
Total number of weeks of breastfeeding
|
at 6 months postpartum
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Knowledge of the maternal health benefits of lactation
Time Frame: 1 month postpartum
|
Change in participant knowledge before and after receipt of this counseling intervention will be assessed by asking participants to respond (true, false, don't know) whether they believe Breastfeeding will…
|
1 month postpartum
|
Smoke-free home policy
Time Frame: 6 months postpartum
|
Investigators will compare the proportion of individuals who have a "smoke-free" policy for their homes as assessed by responding with option "d" when presented with the following options "Which of the following statements best describes the rules about smoking inside your home now, even if no one who lives in your home is a smoker? Select ONE answer
|
6 months postpartum
|
Smoke-free home policy
Time Frame: 1 month postpartum
|
Investigators will compare the proportion of individuals who have a "smoke-free" policy for their homes as assessed by responding with option "d" when presented with the following options "Which of the following statements best describes the rules about smoking inside your home now, even if no one who lives in your home is a smoker? Select ONE answer
|
1 month postpartum
|
Duration of any breastfeeding or pumping at 24 months postpartum
Time Frame: 24 months postpartum
|
Investigators will compare the duration of any breastfeeding or pumping reported through 24 months
|
24 months postpartum
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Eleanor Bimla Schwarz, MD, MS, UC Davis Health
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 1623168
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Pregnancy Related
-
Helen Keller InternationalEleanor Crook FoundationNot yet recruitingPregnancy Related | Supplementation | Postnatal Related
-
4YouandMeCambridge Cognition Ltd; Sema4; Evidation Health; Vector Institute of Artificial... and other collaboratorsCompletedPregnancy Related | Wearables | Pregnancy EarlyUnited States
-
The University of Texas Health Science Center,...CompletedPregnancy Related | Pregnancy, High RiskUnited States
-
Peking Union Medical College HospitalPeking Union Medical CollegeUnknownPregnancy | Pregnancy Related | Infant | Pregnancy Disease | Risk FactorChina
-
Shaare Zedek Medical CenterUnknownPregnancy Related | Pregnancy, High Risk | Anesthesia
-
Atatürk UniversityNot yet recruiting
-
Medical College of WisconsinNot yet recruiting
-
University of PennsylvaniaNot yet recruiting
-
Centre for Infectious Disease Research in ZambiaWellcome Trust; Neopenda, PBCRecruiting
-
Emory UniversityNational Institute of Nursing Research (NINR)Recruiting
Clinical Trials on Breastfeeding
-
Dokuz Eylul UniversityCompletedPain, Acute | ComfortTurkey
-
Women and Infants Hospital of Rhode IslandCompletedBreastfeeding, ExclusiveUnited States
-
Mersin UniversityCompletedHypno-breastfeeding EducationTurkey
-
Taipei Medical UniversityCompletedPregnancy Related | Safety Issues | Breastfeeding | Newborn; FitTaiwan
-
Istinye UniversityRecruitingBreastfeeding | Nutrition, HealthyTurkey
-
University of IcelandHarvard Medical School (HMS and HSDM); Massachusetts General Hospital; University...CompletedAdiposity | Body Composition, Beneficial | Growth Acceleration
-
Hillel Yaffe Medical CenterCompleted
-
Mersin UniversityActive, not recruitingBreastfeeding Counseling Based on Motivational InterviewingTurkey
-
Atatürk UniversityCompletedCesarean Section; Dehiscence | First BirthTurkey
-
Celal Bayar UniversityManisa Celal Bayar UniversityCompletedBreastfeeding | Breastfeeding, ExclusiveTurkey