Can a text message a week improve breastfeeding?

Gallegos, Danielle, Russell-Bennett, Rebekah, Previte, Josephine and Parkinson, Joy (2014) Can a text message a week improve breastfeeding?. Bmc Pregnancy and Childbirth, 14 1: 374.1-374.11. doi:10.1186/s12884-014-0374-2


Author Gallegos, Danielle
Russell-Bennett, Rebekah
Previte, Josephine
Parkinson, Joy
Title Can a text message a week improve breastfeeding?
Journal name Bmc Pregnancy and Childbirth   Check publisher's open access policy
ISSN 1471-2393
Publication date 2014-11
Year available 2014
Sub-type Article (original research)
DOI 10.1186/s12884-014-0374-2
Open Access Status DOI
Volume 14
Issue 1
Start page 374.1
End page 374.11
Total pages 11
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2015
Language eng
Formatted abstract
Background
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.

Methods
Women were eligible to participate if they were: over eighteen years; had an infant less than three months old; were currently breastfeeding; no diagnosed mental illness; and used a mobile phone. Women in the intervention group received MumBubConnect, a text messaging service with automated responses delivered once a week for 8 weeks. Women in the comparison group received their usual care and were sampled two years after the intervention group. Data collection included online surveys at two time points, week zero and week nine, to measure breastfeeding exclusivity and duration, coping, emotions, accountability and self-efficacy. A range of statistical analyses were used to test for differences between groups. Hierarchical regression was used to investigate change in breastfeeding outcome, between groups, adjusting for co-variates.

Results
The intervention group had 120 participants at commencement and 114 at completion, the comparison group had 114 participants at commencement and 86 at completion. MumBubConnect had a positive impact on the primary outcome of breastfeeding behaviors with women receiving the intervention more likely to continue exclusive breastfeeding; with a 6% decrease in exclusive breastfeeding in the intervention group, compared to a 14% decrease in the comparison group (p < 0.001). This remained significant after controlling for infant age, mother’s income, education and delivery type (p = 0.04). Women in the intervention group demonstrated active coping and were less likely to display emotions-focussed coping (p < .001). There was no discernible statistical effect on self-efficacy or accountability.

Conclusions
A fully automated text messaging services appears to improve exclusive breastfeeding duration. The service provides a well-accepted, personalised support service that empowers women to actively resolve breastfeeding issues.
Keyword Breastfeeding
Mobile phone
Text messaging
Intervention studies
Coping behaviour
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
UQ Business School Publications
 
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