A Pilot Breastfeeding-Supportive Texting Program for African American and Black Mothers.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Breastfeeding Medicine Pub Date : 2024-05-01 Epub Date: 2024-03-12 DOI:10.1089/bfm.2023.0300
Lydia Furman, Sarah McAleer, Lasheena Brooks, Sarah Ronis
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引用次数: 0

Abstract

Background: Exclusive breastfeeding is recommended through age 6 months, and 24.9% of all U.S. mothers, but only 19.8% of African American or Black (AA/B) mothers, achieved this goal (2020). Smartphone technology, specifically short message service (SMS or texting), may provide a strategy to reach and engage AA/B women who otherwise face barriers related to racism in accessing breastfeeding resources. Unfortunately, few mobile health applications are designed for AA/B women. Methods: We created a culturally sensitive breastfeeding promotion and support text message library that begins at 28 weeks prenatally and continues through 10 weeks postpartum. We tested feasibility and acceptability with a proof-of-concept (POC) trial that enrolled 20 AA/B women, and we tested content and perceived usefulness with a pilot study that enrolled 28 AA/B women. Results: In the POC trial, 95% of participants received all messages, demonstrating feasibility, and none requested fewer or to stop messages, demonstrating acceptability. In the pilot, >85% of participants responded positively regarding the number and helpfulness of the texts received, and whether the information was needed. Using a validated measure for online content for parents, >70% of POC and pilot study participants found that the information was very relevant or relevant, completely understandable, taught them something new, and "will help me improve the health or well-being of my child." Conclusion: A new breastfeeding-supportive text messaging program intended for AA/B mothers appears feasible, acceptable, informative, and relevant. This is the first breastfeeding text messaging application of which we are aware that is tailored for the AA/B population.

针对非裔美国人和黑人母亲的支持母乳喂养试点短信计划。
背景:建议纯母乳喂养到 6 个月大,美国所有母亲中有 24.9% 实现了这一目标,但非裔美国人或黑人(AA/B)母亲中仅有 19.8% 实现了这一目标(2020 年)。智能手机技术,特别是短信服务(SMS 或发短信),可以为非裔美国人或黑人妇女提供接触和参与的策略,否则她们在获取母乳喂养资源时会面临与种族主义有关的障碍。遗憾的是,很少有移动医疗应用程序是为非裔/黑人妇女设计的。方法:我们创建了一个具有文化敏感性的母乳喂养宣传和支持短信库,从产前 28 周开始,一直持续到产后 10 周。我们通过一项概念验证 (POC) 试验测试了可行性和可接受性,该试验招募了 20 名 AA/B 族妇女;我们还通过一项试点研究测试了内容和可感知的实用性,该研究招募了 28 名 AA/B 族妇女。研究结果在 POC 试验中,95% 的参与者接收到了所有信息,这表明该方法是可行的,而且没有人要求减少或停止接收信息,这表明该方法是可接受的。在试验中,超过 85% 的参与者对收到的短信数量和有用性以及是否需要这些信息做出了积极回应。通过对家长在线内容的有效测量,超过 70% 的试点项目和试点研究参与者认为,这些信息非常相关或相关,完全可以理解,让他们学到了新的东西,并且 "将帮助我改善孩子的健康或福祉"。结论针对 AA/B 母亲的新的母乳喂养支持短信程序似乎是可行的、可接受的、信息丰富且相关的。据我们所知,这是第一个专为 AA/B 族群定制的母乳喂养短信应用程序。
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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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