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Improving Exclusive Breastfeeding Via Mobile Phone Text Messages

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ClinicalTrials.gov Identifier: NCT03890978
Recruitment Status : Completed
First Posted : March 26, 2019
Last Update Posted : March 27, 2019
Sponsor:
Information provided by (Responsible Party):
Reham Mohammad Khresheh, Mutah University

Brief Summary:
World Health Organization (2001) recommended that infants should be exclusively breastfed for the first 6 months and could be continued in the second year of life or longer. The rate of exclusive breastfeeding (EBF) in Jordan is in progressive decline. In 2002 the EBF rate among babies less than 6 months old was 26.7% and unfortunately this rate dropped to 22% in 2007 and to 23% in 2012. In Jordan, 68% of babies receive breast milk within 24 hours of birth and the large majority continues to do so for 12.5 months, but EBF rates are very low. While health and nutrition experts recommend that introduction of complementary foods should start only when an infant is six months old, other liquids such as water, juice, and formula milk are being introduced to most Jordanian infants in the first couple of months . Thus, urgent attention is directed towards improving exclusive breastfeeding rates during the first six months of life.Despite scientific evidence concerning the benefits of breast milk, the practice of EBF is still uncommon in Jordan. Even with the consolidation of numerous strategies to promote breastfeeding and the general public health recommendation that infants should be exclusively breastfed during the first six months of life, the duration of breastfeeding in Jordan is in progressive decline and the percentage of infants exclusively breastfed for the first six months of life is still low and worrisome. A review of previous studies in Jordan, showed that most of these are descriptive studies focused on studying the factors affecting the rate of EBF and the reasons why women stop breastfeeding their children. There is no study on improving EBF for women in Jordan so far. To date there have been no interventions using mobile phones to improve breastfeeding and other feeding practices in Jordan. The aim of this research is to improve the EBF rates and duration through using a mobile phone-based EBF promotion (Text message). A randomized controlled trial with follow-up from recruitment until 6 months post-delivery will be conducted to implement EBF promotion intervention using mobile phone text messages in southern Jordan, and evaluate its impact on breastfeeding practices. The intervention group will receive EBF promotional messages and the control group will receive child health care-related messages (except breastfeeding messages) from the time of discharge until 6 months post delivery.

Condition or disease Intervention/treatment Phase
Breastfeeding Other: promotional Exclusive breastfeeding text messages Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 201 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Supportive Care
Official Title: Improving Exclusive Breastfeeding Via Mobile Phone Text Messages: a Randomized Controlled Trial in Southern Jordan
Actual Study Start Date : January 1, 2018
Actual Primary Completion Date : September 20, 2018
Actual Study Completion Date : March 20, 2019

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Breastfeeding

Arm Intervention/treatment
Experimental: intervention
The intervention group will receive EBF promotional messages from the time of discharge until 6 months post delivery.
Other: promotional Exclusive breastfeeding text messages
promotional Exclusive breastfeeding text messages will be send to women via mobile phone

control
the control group will receive child health care-related messages (except breastfeeding messages) from the time of discharge until 6 months post delivery.
Other: promotional Exclusive breastfeeding text messages
promotional Exclusive breastfeeding text messages will be send to women via mobile phone




Primary Outcome Measures :
  1. The rate of the Exclusive Breastfeeding [ Time Frame: from birth of baby to 6 months post birth ]
    The primary outcome is the rate of EBF at 1 to 6 months of the infants' age measured at monthly intervals after delivery


Secondary Outcome Measures :
  1. median duration of EBF [ Time Frame: from birth of baby to 6 months post birth ]
    duration of exclusive breastfeeding

  2. rates of early initiation of breastfeeding [ Time Frame: within 1 hour after birth ]
    ates of early initiation of breastfeeding



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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   Female
Gender Based Eligibility:   Yes
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 18 years of age and older
  • speak and write in Arabic language
  • could access a mobile phone that could display Arabic language fonts,
  • express interest in breastfeeding
  • had an uncomplicated singleton pregnancy
  • who lived in an area with mobile network coverage

Exclusion Criteria:

  • Non-Arabic speaking mothers
  • who do not express interest in breastfeeding
  • had pregnancy complications, a multiple pregnancy, and known medical conditions including mental illness that might hinder breastfeeding.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03890978


Locations
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Jordan
Ministry Of Health
Karak, Jordan, 61166
Sponsors and Collaborators
Mutah University
Investigators
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Principal Investigator: Reham M Khresheh, PhD Mutah University
Publications:

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Reham Mohammad Khresheh, Mutah University
ClinicalTrials.gov Identifier: NCT03890978    
Other Study ID Numbers: 2432019
First Posted: March 26, 2019    Key Record Dates
Last Update Posted: March 27, 2019
Last Verified: March 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Reham Mohammad Khresheh, Mutah University:
exclusive, breastfeeding, text messages, Jordan