Effects of Telephone and Short Message Service Support on Infant Feeding Practices, "Tummy Time," and Screen Time at 6 and 12 Months of Child Age: A 3-Group Randomized Clinical Trial
Wen LM, Rissel C, Xu H, Taki S, Buchanan L, Bedford K, Phongsavan P, Baur LA
JAMA pediatrics · 52 citas
Etiquetas de revisión
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Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Sin resultado de salud
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2020-04-13 · JAMA Pediatr · vol. 174 · número 7 · pág. 657
- Editorial
- American Medical Association
- Citado
- 71 citas · más que el 98% de estudios similares · 6.4× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 32 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY
- Áreas de investigación
- Breastfeeding Practices and Influences · Mobile Health and mHealth Applications · Infant Development and Preterm Care
- Palabras clave
- infant feeding practices, tummy time, screen time, short message service, text messaging intervention, solid food introduction, infant sleep, maternal health education, postpartum support, third trimester, infant development, information booklet, New South Wales
- MeSH
- humans, retrospective studies, follow-up studies, feeding behavior, mothers, breast feeding, pregnancy, time factors, telephone, adolescent, adult, middle aged, infant, female, male, young adult, text messaging
8 autores
- Li Ming Wen🇦🇺 · autor de correspondenciaThe University of Sydney; Sydney Local Health District; National Health and Medical Research Council
- Chris E. Rissel🇦🇺The University of Sydney; National Health and Medical Research Council
- Huilan Xu🇦🇺Sydney Local Health District
- Sarah Taki🇦🇺The University of Sydney; Sydney Local Health District; National Health and Medical Research Council
- Limin Buchanan🇦🇺Sydney Local Health District; National Health and Medical Research Council
- Karen Bedford🇦🇺Sydney Local Health District
- Philayrath Phongsavan🇦🇺The University of Sydney
- Louise Alison Baur🇦🇺The University of Sydney; National Health and Medical Research Council
Resumen
El texto original del estudio, en el idioma en que se publicó.
Importance
There is limited information as to whether telephone or short message service (SMS) support is effective in improving infant feeding practices and tummy time and reducing screen time.
Objective
To determine the effectiveness of either nurse-led telephone or SMS support in improving infant feeding practices and tummy time and reducing screen time.
Design, setting, and participants
This study was part of a 2-year, 3-group parallel, randomized clinical trial conducted from February 23, 2017, to November 30, 2018, among 1155 women in the third trimester of pregnancy in New South Wales, Australia. It reports the main outcomes at 6 and 12 months of child age. All analyses were conducted on an intention-to-treat principle.
Interventions
The intervention consisted of staged information booklets mailed to the intervention groups, each followed by either a nurse-led telephone support session or SMS intervention, antenatally and at 1, 3, 5, 7, and 10 months after birth.
Main outcomes and measures
The primary outcomes were infant feeding practices at both 6 and 12 months and tummy time at 6 months. The secondary outcome was screen time at 12 months.
Results
Of 1155 mothers, 947 (82%; mean [SD] age, 32.5 [5.0] years) completed follow-up surveys at 6 months; 920 mothers (80%) completed follow-up surveys at 12 months. Compared with the control group, telephone support led to higher odds of appropriate timing of introducing solid foods (adjusted odds ratio [AOR], 1.68 [95% CI, 1.22-2.32]), cup use (AOR, 1.54 [95% CI, 1.12-2.13]), and early-start tummy time (AOR, 1.63 [95% CI, 1.18-2.25]) at 6 months and higher odds of having no screen time (AOR, 1.80 [95% CI, 1.28-2.53]) and no bottle at bedtime (AOR, 1.73 [95% CI, 1.23-2.42]) at 12 months. Use of SMS also led to higher odds than the control group of having no screen time (AOR, 1.28 [95% CI, 1.08-1.52]) and having no bottle at bedtime (AOR, 1.29 [95% CI, 1.10-1.51]) at 12 months. No significant differences were found in breastfeeding rates between the telephone support, SMS support, and control groups.
Conclusions and relevance
Both the nurse-led telephone support and SMS interventions were effective in reducing screen time and bottle use at bedtime. Telephone support was also effective in promoting the appropriate timing of the introduction of solid foods, early-start tummy time, and cup use.
Trial registration
http://anzctr.org.au Identifier: ACTRN12616001470482.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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