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Interactive weekly mobile phone text messaging plus motivational interviewing in promotion of breastfeeding among women living with HIV in South Africa: study protocol for a randomized controlled…

Overview of attention for article published in Trials, July 2017
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Title
Interactive weekly mobile phone text messaging plus motivational interviewing in promotion of breastfeeding among women living with HIV in South Africa: study protocol for a randomized controlled trial
Published in
Trials, July 2017
DOI 10.1186/s13063-017-2079-0
Pubmed ID
Authors

Moleen Zunza, Mark F. Cotton, Lawrence Mbuagbaw, Richard Lester, Lehana Thabane

Abstract

South Africa recently phased out access to free formula milk in the public sector in support of breastfeeding for women living with HIV. Few women living with HIV in South Africa choose breastfeeding and among those who do, many stop breastfeeding early. We sought to explore the feasibility of using mobile phone text messaging coupled with motivational interviewing to enhance adherence to breastfeeding practices. A randomized, parallel group, single-center pilot trial. Electronic sequence generation and random allocation will be done centrally. Women of low socioeconomic status, from Cape Town, South Africa will be randomly assigned within 24 h of giving birth at a primary healthcare clinic to a structured weekly text message plus motivational interviewing and usual standard of care, using a permutation of different block sizes. Criteria for feasibility success will include: five participants recruited per week (over 12 weeks), about 75% of all eligible participants consent for study participation, complete evaluation of outcomes in at least 70% of all recruited participants, breastfeeding adherence rates of at least 70% in the intervention group, six months after delivery. Participants will be evaluated soon after giving birth and post-delivery at weeks 2, 6, 10, and 24. Primary analysis will follow the "intention-to-treat" principle. Sub-group analysis will be used to assess sub-group effects. This pilot trial will evaluate the feasibility of conducting a larger trial on communication and support approaches to improve adherence to breastfeeding by HIV-infected women. Text messaging and motivational interviewing are simple interventions which may allow participants to access personalized adherence advice and support. ClinicalTrials.gov: NCT02949713 . Registered on 26 October 2016; Pan African Clinical Trial Registry PACTR201611001855404 . Registered on 8 November 2016.

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Geographical breakdown

Country Count As %
Unknown 321 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 51 16%
Student > Ph. D. Student 47 15%
Researcher 34 11%
Student > Bachelor 26 8%
Student > Doctoral Student 19 6%
Other 48 15%
Unknown 96 30%
Readers by discipline Count As %
Medicine and Dentistry 65 20%
Nursing and Health Professions 59 18%
Psychology 17 5%
Social Sciences 13 4%
Computer Science 9 3%
Other 49 15%
Unknown 109 34%