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| Name | Class |
|---|---|
| Ecole Polytechnique, France | UNKNOWN |
| The SHM Foundation, UK | UNKNOWN |
The purpose of this study was to determine whether exposure to m-health platforms promoting recommended breastfeeding practices was effective in transmitting the exclusive breastfeeding message to participant mothers, and in improving weight evolution of infants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Uni-directional SMS | Experimental | Participants in this group received breastfeeding promoting messages based on the MAMA (http://www.mobilemamaalliance.org/) breastfeeding database. Individuals could only receive text messages. |
|
| Virtual communities | Experimental | Participants were made part of virtual communities in which could exchange about infant's health as groups, via SMS, following the SHM Foundation's (http://www.shmfoundation.org/) m-health methodology. |
|
| Hybrid setup | Experimental | Participants were made part of virtual communities in which they could exchange about infant's health as groups, via SMS. Additionally, a health professional was included in the virtual community. |
|
| Control group | Experimental | Individuals were given a feature phone (simple mobile phone) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Uni-directional SMS | Other | Exposure to breastfeeding promoting SMSs |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Changes in Knowledge | Specifically, we were interested in: the number of participants who switched from an incorrect to a correct knowledge regarding exclusive breastfeeding during the experiment (learned the message); the number of participants who had a correct knowledge but switched to an incorrect one during the experiment (forgot the message); the number of participants who had an incorrect knowledge and kept it until the end of the experiment (continued to be unaware); the number of participants who had a correct knowledge and kept it until the end of the experiment (remembered the message). | December 2013 - May 2014, 23 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Qualitative Nature of Health-related Text-messages | Specifically, we were interested in classifying individual text-messages as social support or health related. | December 2013 - May 2014, 23 weeks |
| Number of Text-messages Exchanged in Virtual Communities |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jorge Tulio Rodriguez, MD | Universidad Francisco Marroquin, Guatemala | Study Chair |
| Jose Tomas Prieto | Ecole Polytechnique, France; Universidad Francisco Marroquin, Guatemala | Principal Investigator |
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| ID | Title | Description |
|---|---|---|
| FG000 | Uni-directional SMS | Participants in this group received breastfeeding promoting messages based on the MAMA (http://www.mobilemamaalliance.org/) breastfeeding database. Individuals could only receive text messages. Uni-directional SMS: Exposure to breastfeeding promoting SMSs Feature phone: Participants were given a feature phone. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Feature phone | Device | Participants were given a feature phone. |
|
| Virtual communities | Other | Exposure to virtual community communication via SMS |
|
| Hybrid setup | Other | Exposure to virtual community and access to communications with health professional via SMS |
|
We were interested in the activity of virtual communities in terms of sent text-messages. |
| December 2013 - May 2014, 23 weeks |
| Mean Change in Weight-for-Age Z-score | We used the World Health Organization Anthro software (http://www.who.int/childgrowth/software/en/) to calculate z-scores for the weight-for-age anthropometric indicator of participants' infants at the beginning and at the end of the project. The software is based on the WHO Child Growth Standards and allowed to compare measurements of infants to the normal growth standards. The Z-score indicates the number of standard deviations away from the mean. The indicator is particularly useful to detect abnormal growth patterns in infants' development. For instance, an infant whose weight falls in the -2 z-score for the weight-for-age anthropometric indicator is underweight. Below -3, the child is severely underweight. Similarly, a child whose weight-for-age is above a +1 z-score may have a growth problem. We report the mean change of the z-scores for the weight-for-age anthropomorphic indicator of participants' babies. | Baseline at December 2013 and 23 weeks later in May 2014 |
| FG001 |
| Virtual Communities |
Participants were made part of virtual communities in which could exchange about infant's health as groups, via SMS, following the SHM Foundation's (http://www.shmfoundation.org/) m-health methodology. Uni-directional SMS: Exposure to breastfeeding promoting SMSs Feature phone: Participants were given a feature phone. Virtual communities: Exposure to virtual community communication via SMS |
| FG002 | Hybrid Setup | Participants were made part of virtual communities in which they could exchange about infant's health as groups, via SMS. Additionally, a health professional was included in the virtual community. Uni-directional SMS: Exposure to breastfeeding promoting SMSs Feature phone: Participants were given a feature phone. Virtual communities: Exposure to virtual community communication via SMS Hybrid setup: Exposure to virtual community and access to communications with health professional via SMS |
| FG003 | Control Group | Individuals were given a feature phone (simple mobile phone) Feature phone: Participants were given a feature phone. |
| COMPLETED |
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| NOT COMPLETED |
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Indigenous women from San Juan Sacatepequez
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| ID | Title | Description |
|---|---|---|
| BG000 | Uni-directional SMS | Participants in this group received breastfeeding promoting messages based on the MAMA (http://www.mobilemamaalliance.org/) breastfeeding database. Individuals could only receive text messages. Uni-directional SMS: Exposure to breastfeeding promoting SMSs Feature phone: Participants were given a feature phone. |
| BG001 | Virtual Communities | Participants were made part of virtual communities in which could exchange about infant's health as groups, via SMS, following the SHM Foundation's (http://www.shmfoundation.org/) m-health methodology. Uni-directional SMS: Exposure to breastfeeding promoting SMSs Feature phone: Participants were given a feature phone. Virtual communities: Exposure to virtual community communication via SMS |
| BG002 | Hybrid Setup | Participants were made part of virtual communities in which they could exchange about infant's health as groups, via SMS. Additionally, a health professional was included in the virtual community. Uni-directional SMS: Exposure to breastfeeding promoting SMSs Feature phone: Participants were given a feature phone. Virtual communities: Exposure to virtual community communication via SMS Hybrid setup: Exposure to virtual community and access to communications with health professional via SMS |
| BG003 | Control Group | Individuals were given a feature phone (simple mobile phone) Feature phone: Participants were given a feature phone. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Number | participants |
| ||||||||||||||||
| Sex: Female, Male | Gender of participant's baby | Count of Participants | Participants |
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| Maternal experience | Does the participant have other children? | Number | participants |
| |||||||||||||||
| Education | Women's education | Number | participants |
| |||||||||||||||
| Aware of exclusive breastfeeding message | Was the participant aware of exclusive breastfeeding practice at enrollment? | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Changes in Knowledge | Specifically, we were interested in: the number of participants who switched from an incorrect to a correct knowledge regarding exclusive breastfeeding during the experiment (learned the message); the number of participants who had a correct knowledge but switched to an incorrect one during the experiment (forgot the message); the number of participants who had an incorrect knowledge and kept it until the end of the experiment (continued to be unaware); the number of participants who had a correct knowledge and kept it until the end of the experiment (remembered the message). | Posted | Number | participants | December 2013 - May 2014, 23 weeks |
|
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Qualitative Nature of Health-related Text-messages | Specifically, we were interested in classifying individual text-messages as social support or health related. | Posted | Number | Number of text messages | December 2013 - May 2014, 23 weeks | Text messages shared in groups | Participants |
| ||||||||||||||||||||||||||||||||||||
| Secondary | Number of Text-messages Exchanged in Virtual Communities | We were interested in the activity of virtual communities in terms of sent text-messages. | In "virtual communities", participants were added to 1 of 3 peer-to-peer groups. They could communicate by sending SMSs to a short-code number. In the "hybrid setup", participants were added to 1 of 3 peer-to-peer groups, but in addition received information regarding breastfeeding practices and could communicate with a health professional. | Posted | Number | Number of text messages | December 2013 - May 2014, 23 weeks |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Mean Change in Weight-for-Age Z-score | We used the World Health Organization Anthro software (http://www.who.int/childgrowth/software/en/) to calculate z-scores for the weight-for-age anthropometric indicator of participants' infants at the beginning and at the end of the project. The software is based on the WHO Child Growth Standards and allowed to compare measurements of infants to the normal growth standards. The Z-score indicates the number of standard deviations away from the mean. The indicator is particularly useful to detect abnormal growth patterns in infants' development. For instance, an infant whose weight falls in the -2 z-score for the weight-for-age anthropometric indicator is underweight. Below -3, the child is severely underweight. Similarly, a child whose weight-for-age is above a +1 z-score may have a growth problem. We report the mean change of the z-scores for the weight-for-age anthropomorphic indicator of participants' babies. | Posted | Mean | 95% Confidence Interval | z-score | Baseline at December 2013 and 23 weeks later in May 2014 |
|
23 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Uni-directional SMS | Participants in this group received breastfeeding promoting messages based on the MAMA (http://www.mobilemamaalliance.org/) breastfeeding database. Individuals could only receive text messages. Uni-directional SMS: Exposure to breastfeeding promoting SMSs Feature phone: Participants were given a feature phone. | 0 | 20 | 0 | 20 | ||
| EG001 | Virtual Communities | Participants were made part of virtual communities in which could exchange about infant's health as groups, via SMS, following the SHM Foundation's (http://www.shmfoundation.org/) m-health methodology. Uni-directional SMS: Exposure to breastfeeding promoting SMSs Feature phone: Participants were given a feature phone. Virtual communities: Exposure to virtual community communication via SMS | 0 | 24 | 0 | 24 | ||
| EG002 | Hybrid Setup | Participants were made part of virtual communities in which they could exchange about infant's health as groups, via SMS. Additionally, a health professional was included in the virtual community. Uni-directional SMS: Exposure to breastfeeding promoting SMSs Feature phone: Participants were given a feature phone. Virtual communities: Exposure to virtual community communication via SMS Hybrid setup: Exposure to virtual community and access to communications with health professional via SMS | 0 | 22 | 0 | 22 | ||
| EG003 | Control Group | Individuals were given a feature phone (simple mobile phone) Feature phone: Participants were given a feature phone. | 0 | 12 | 0 | 12 |
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Future work could consider a wider time span and inspect complementary instruments to ensure consistency between answers to interviews and behaviour. SMSs in virtual communities could be further analyzed to locate longitudinal changes in knowledge.
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Jose Tomas Prieto | Ecole Polytechnique | +50252800643 | jose-tomas.prieto@polytechnique.edu |
| ID | Term |
|---|---|
| D001942 | Breast Feeding |
| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| D001519 | Behavior |
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| 23-30 years |
|
| >30 years |
|
| Male |
|
| No |
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| Some primary school education |
|
| Some high school education |
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| > High school |
|
| Not Aware |
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| Forgot it |
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| Remembered it |
|
| Continued to be unaware at the end of experiment |
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| OG003 | Control Group | Individuals were given a feature phone (simple mobile phone) Feature phone: Participants were given a feature phone. |
|
|
| OG002 | Hybrid Setup | Participants were made part of virtual communities in which they could exchange about infant's health as groups, via SMS. Additionally, a health professional was included in the virtual community. Uni-directional SMS: Exposure to breastfeeding promoting SMSs Feature phone: Participants were given a feature phone. Virtual communities: Exposure to virtual community communication via SMS Hybrid setup: Exposure to virtual community and access to communications with health professional via SMS |
| OG003 | Control Group | There were no virtual communities in this group: individuals were given a feature phone (simple mobile phone) Feature phone: Participants were given a feature phone. |
|
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| OG002 | Hybrid Setup | Participants were made part of virtual communities in which they could exchange about infant's health as groups, via SMS. Additionally, a health professional was included in the virtual community. Uni-directional SMS: Exposure to breastfeeding promoting SMSs Feature phone: Participants were given a feature phone. Virtual communities: Exposure to virtual community communication via SMS Hybrid setup: Exposure to virtual community and access to communications with health professional via SMS |
| OG003 | Control Group | Individuals were given a feature phone (simple mobile phone) Feature phone: Participants were given a feature phone. |
|
|