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Trial registered on ANZCTR
Registration number
ACTRN12614001091695
Ethics application status
Approved
Date submitted
30/09/2014
Date registered
14/10/2014
Date last updated
14/10/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
MumBubConnect: Can a Text Message a Week Improve Breastfeeding
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Scientific title
MumBubConnect: Effect of a text messaging service delivered to women with infants less than three months old on breastfeeding practices
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Secondary ID [1]
285417
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Nil
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Universal Trial Number (UTN)
U1111-1162-3565
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Trial acronym
MBC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breastfeeding
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Condition category
Condition code
Public Health
293442
293442
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0
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Other public health
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Reproductive Health and Childbirth
293532
293532
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0
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Breast feeding
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This was a proof of concept and not a randomised trial. A non-concurrent, prospective, comparison trial was conducted where we recruited 120 and 114 women into intervention and comparison groups respectively. Women in the intervention group received MumBubConnect, a text messaging service with automated responses delivered once a week for 8 weeks. Breastfeeding practice, self-efficacy, perceived social support and coping strategies were all observed and measured at baseline and at week nine. Women were sent a reminder text if they had not responded, women not responding to more than two text messages were phoned. The content of the text messages included an enquiry text to which the women responded with key words and received back information to help them problem solve with a helpline number or an affirmation. The messages were based around common problems identified in the literature and were developed through focus groups with women with infants and young children.
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Intervention code [1]
290334
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Behaviour
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Comparator / control treatment
Women in the comparison group received their usual care and were sampled up to two years after the intervention group. Usual care in this study was defined as anything the women may have received including immediate postpartum midwife visitations, lactation consultants, accessing the Australian Breastfeeding Association or other resources. The women for the comparator group were recruited from August to October 2012.
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Control group
Active
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Outcomes
Primary outcome [1]
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Exclusive breastfeeding rates using indicators derived by WHO as determined in the Australian Infant Feeding Survey
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Assessment method [1]
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Timepoint [1]
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Baseline and Week 9
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Secondary outcome [1]
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Self efficacy as determined by the Breastfeeding Self-efficacy Scale
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Assessment method [1]
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Timepoint [1]
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Baseline and Week 9
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Secondary outcome [2]
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Coping either as active or emotions focussed coping as determined by the Ways of Coping Checklist
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Assessment method [2]
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Timepoint [2]
310691
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Baseline and Week 9
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Eligibility
Key inclusion criteria
Women were eligible to participate if they were: over eighteen years of age; had an infant less than three months of age; were currently doing any breastfeeding ; did not have a diagnosed mental illness; and used a mobile phone (of any type).
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Less than 18 years of age
Diagnosed mental illness
No mobile phone
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Eligible women were recruited for the intervention during a three week period in September and October and November 2010, via national broadcast media . (radio interviews and mainstream press release). Initially, women who self-selected into the intervention were going to be randomised into control and intervention groups but due to the overwhelming response for support, a control group was deemed unethical, therefore all women who registered were allocated to the intervention group as a convenience sample. As a result, a second group was recruited via social media to act as a comparison group between August and October 2012 using the same method of recruitment.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
The intervention group received the intervention and then a control group was recruited after all media interest had dissapated two years later. The intervention and control groups had similar recruitment strategies.
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
As a proof of concept the aim was to recruit as many women as possible in a short time period.
Statistical analyses were conducted using SPSS 21. T-tests were used to test for differences between groups for independent variables and changes in independent variables. Chi-square tests were used to test for differences between categories such as income and education. ANCOVA was used to test if the independent variable was having an effect and allowed the influence of the covariates to be controlled for during analysis. Hierarchical regression was used to investigate change in breastfeeding outcome, between groups, adjusting for co-variates. When controlling for covariates, factors that were significant at the bivariate level were adjusted for in the model
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
15/09/2010
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Actual
15/09/2010
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Date of last participant enrolment
Anticipated
30/10/2012
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Actual
30/10/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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partially funded by a grant from the Queensland Government Office of Liquor and Gaming Regulation, Community Benefit Fund
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Address [1]
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33 Charlotte St
Brisbane QLD 4000
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Queensland University of Technology
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Address
Victoria Park Rd
Kelvin Grove QLD 4059
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
288710
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Country [1]
288710
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Other collaborator category [1]
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Other
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Name [1]
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Australian Breastfeeding Association QLD Branch
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Address [1]
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Shop 2A, 26 Eva Street Coorparoo QLD 4151
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Queensland University of Technology Human Research Ethics Committee
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Ethics committee address [1]
291730
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Ethics committee country [1]
291730
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Date submitted for ethics approval [1]
291730
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Approval date [1]
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22/10/2009
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Ethics approval number [1]
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1000000568, 1100000234
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Summary
Brief summary
Breastfeeding is recognised as the optimal method for feeding infants with health gains made by reducing infectious diseases in infancy; and chronic diseases, including obesity, in childhood, adolescence and adulthood. Despite this, exclusivity and duration in developed countries remains resistant to improvement. The objectives of this research were to test if an automated mobile phone text messaging intervention, delivering one text message a week, could increase “any” breastfeeding rates and improve breastfeeding self-efficacy and coping.
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Trial website
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Trial related presentations / publications
Russell-Bennett, Rebekah, Previte, Josephine, Gallegos, Danielle, Hartel, Charmaine E., Smith, Geoff, Hamilton, Robyn. (2013). A Services Approach to Social Marketing Programs. In Krzystztof Kubacki and Sharyn Rundle-Thiele (Eds). Contemporary Issues in Social Marketing. Cambridge Scholars Publishing: Newcastle-on-Tyne, UK. 111-140. Russell-Bennett, R., Gallegos, D., & Previte, J, (2012). Overcoming barriers through new technology: Support via text messages. In V. Thorley, & M. Vickers, (Eds.), Mother Support: The 10th Step. Texas, USA: Hale Publishing. 183-194 Gallegos, Danielle, Russell-Bennett, Rebekah, Previte, Jo. An innovative mobile phone intervention to improve breastfeeding: Proof of concept. BMC Pregnancy and Childbirth (under review) Russell-Bennett, R., D. Gallegos, and J. Previte. (2012) Influencing breastfeeding behaviour: the use of technology to provide a peer support service. in University of South Florida Social Marketing Conference. 2012. Clearwater, USA. Russell-Bennett, R., Gallegos, D. & Parkinson, J. (2012) MumBubConnect: The use of SMS in a social marketing program to increase social support and self-efficacy, in proceedings of the UK Social Marketing Conference, 14 November, London Russell-Bennett, Rebekah and Gallegos, Danielle. Branding breastfeeding: the application of brand equity theory to sell social behaviors. European Journal of Public Health (under review)
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Danielle Gallegos
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Address
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School of Exercise and Nutrition Sciences
Queensland University of Technology
Victoria Park Rd
Kelvin Grove QLD 4059
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Country
51766
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Australia
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Phone
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+61 7 3138 5799
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Danielle Gallegos
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Address
51767
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School of Exercise and Nutrition Sciences
Queensland University of Technology
Victoria Park Rd
Kelvin Grove QLD 4059
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Country
51767
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Australia
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Phone
51767
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+61 7 3138 5799
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Fax
51767
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Email
51767
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[email protected]
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Contact person for scientific queries
Name
51768
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Danielle Gallegos
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Address
51768
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School of Exercise and Nutrition Sciences
Queensland University of Technology
Victoria Park Rd
Kelvin Grove QLD 4059
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Country
51768
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Australia
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Phone
51768
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+61 7 3138 5799
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Fax
51768
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Email
51768
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Can a text message a week improve breastfeeding?.
2014
https://dx.doi.org/10.1186/s12884-014-0374-2
N.B. These documents automatically identified may not have been verified by the study sponsor.
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