Social Media and Risk Reduction Teaching-Enhanced Reach

Improving Care Giver Adherence to Recommended Infant Care Practices

This study aims to improve adherence to American Academy of Pediatrics safe sleep (SS) recommendations and improve rates of initiation and duration of partial and exclusive breastfeeding (BF) through direct education of mothers using Mobile Health (mHealth) technologies (ex. text messaging).

The goal of this study is to assess the effectiveness of mHealth prenatal and postnatal interventions aimed at promoting safe sleep (SS) practices and breastfeeding (BF) within a population of pregnant Supplemental Nutrition Program for Women, Infants, and Children (WIC) clients.

The study will randomize 2,000 pregnant women, when they reach 34 weeks gestation, to one of four mHealth prenatal/postnatal messaging combinations of safe sleep and breastfeeding practices.

Inclusion Criteria:

• Must be client at a WIC center participating in study.
• Must be pregnant and less than 34 weeks gestation
• Must speak English or Spanish
• Must live in the United States
• Must have texting capabilities via mobile phone
• Must plan to live in same household as infant after birth.

Exclusion Criteria:

• A prenatal diagnosis expected to have impact on infant care practices not compatible with study goals, including contraindications to breastfeeding or supine infant sleep positioning.
• Meets the definition of a minor according to applicable state law.