- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05432700
Evaluation of the Effectiveness of LactApp (COMLACT)
Randomised Clinical Trial for Evaluation of the Effectiveness of a Mobile Application in the Improvement of Breastfeeding up to 6 Months
Study Overview
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Rafael Vila-Candel, PhD
- Phone Number: 0034962458100
- Email: vila_rafcan@gva.es
Study Contact Backup
- Name: Francisco J. Soriano-Vidal, BSc
- Phone Number: 0034962289500
- Email: soriano_fravid@gva.es
Study Locations
-
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Valencia
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Alzira, Valencia, Spain, 46600
- Hospital La Ribera
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Women who show a desire to breastfeed during the third trimester of pregnancy, with a command of Spanish, and whose birth will occur in one of the participating hospitals.
Exclusion Criteria:
- Not having a mobile device with an internet connection.
- Newborns of less than 37 weeks of gestation or with congenital malformations. malformations.
- Twin or multiple pregnancies, pregnancies admitted to neonatal care, or postpartum complications result in the mother being admitted to the intensive care unit.
- Women who do not respond respond to the automatic messages provided by the platform.
- In the intervention group, the non-installation of the mobile app Lactapp® mobile application.
- Women who have used the Lactapp® application on their own initiative will be excluded from the control group.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Control group: usual clinical practice.
The women will receive an initial Health Literacy Survey (HLS-EU-Q16) via the email account registered on the platform. From this point until birth, no further notifications will be sent. Subsequently, reminders will be planned via email to obtain information on BF follow-up, avoiding providing any extra information on BF and, where appropriate, referring to the BF support services available in their area, following a standard clinical practice. During pregnancy, the pregnancy programme of the local and national government provides parenting education and breastfeeding workshops, with various manuals published. Surveys adapted to this group will be sent out at birth, at 15 days, 6 weeks, 3 and 6 months. The variables to be collected are socio-demographic, related to health literacy, obstetric-neonatal, and breastfeeding variables. |
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Experimental: Intervention group: LactApp
From the initial registration in LactApp during the third trimester, women will be able to consult all the information available in the application. The women will receive an initial Health Literacy Survey (HLS-EU-Q16), from this point until birth, no further notifications will be sent. A reminder schedule will be made via email to obtain information on the follow-up of the BF. LactApp® works as a self-administered questionnaire based on decision trees constructed with questions and answers developed by professional breastfeeding experts, supported by scientific evidence and updated official health recommendations. In addition, the app will remind them of the topics according to the estimated date of birth provided. Surveys adapted to this group will be sent out at birth, at 15 days, 6 weeks, 3 and 6 months. The variables to be collected are socio-demographic, related to health literacy, obstetric-neonatal, and breastfeeding variables. |
LactApp® provides personalised answers that can be arrived at through different pathways, which vary according to the profile of the user and the options she selects, allowing data sampling through an Ecological Momentary Assessment. The app will remind of: The first month: baby's breastfeeding position, frequency of feeds, number and consistency of stools, general breast care, average weight gain; in mothers who gave some supplementation, advice and support for them to try re-breastfeeding. From the second to the third month: advice on expressing milk to create a reserve just in case they went back to work or had to be absent from home for a day, instructions on how to handle and preserve milk. From the fourth to the sixth month: indications to use the stored milk (if it was created) and techniques for administering it to the infant, the importance of maintaining the EBF and the inadvisability of offering other types of milk or food. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Use mobile app LactApp and Breastfeeding ratio.
Time Frame: 6 months since date of birth.
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Rate of breastfeeding at 6 months postpartum for women who have used the mobile app LactApp compared with women in routine care arm.
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6 months since date of birth.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Acceptability in the use of the LactApp mobile application.
Time Frame: 6 months since date of birth.
|
Evaluation by the participants of the convenience, acceptability and user-friendliness of the mobile application.
No personal information derived from the use of the mobile application will be collected.
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6 months since date of birth.
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Prevalence of BF.
Time Frame: 6 months since date of birth.
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Prevalence of breastfeeding at discharge and breastfeeding at 6 months postpartum.
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6 months since date of birth.
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Reported causes of BF cessation.
Time Frame: 6 months since date of birth.
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Women's reported causes of breastfeeding cessation, frequency of reported causes o breastfeeding cessation, and the length of breastfeeding up to six months postpartum.
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6 months since date of birth.
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HLS-EU-Q16 health literacy measurement and BF
Time Frame: 6 months since date of birth.
|
HLS-EU-Q16 instrument will be used as a screening tool to evaluate the woman's health literacy level against the early cessation of BF.
It assesses the health literacy level in the population through a series of 16 items measured on a Likert-type scale from "very easy" to "very difficult".
It is a single-factor scale with an internal consistency of 0.982 in the Spanish population, measured by Cronbach's alpha and McDonald's omega.
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6 months since date of birth.
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Rafael Vila-Candel, PhD, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
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
Other Study ID Numbers
- UGP-20-100
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.
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