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

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dc.contributor.authorZunza, Moleenen_ZA
dc.contributor.authorCotton, Mark F.en_ZA
dc.contributor.authorMbuagbaw, Lawrenceen_ZA
dc.contributor.authorLester, Richarden_ZA
dc.contributor.authorThabane, Lehanaen_ZA
dc.date.accessioned2017-07-25T12:01:49Z
dc.date.available2017-07-25T12:01:49Z
dc.date.issued2017-07-17
dc.date.updated2017-07-23T03:14:21Z
dc.descriptionCITATION: Zunza, M. et al. 2017. 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. Trials, 18:331, doi:10.1186/s13063-017-2079-0.
dc.descriptionThe original publication is available at https://trialsjournal.biomedcentral.com
dc.description.abstractBackground: 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. Methods and design: 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. Discussion: 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. Trial registration: ClinicalTrials.gov: NCT02949713. Registered on 26 October 2016; Pan African Clinical Trial Registry PACTR201611001855404. Registered on 8 November 2016.
dc.description.urihttps://trialsjournal.biomedcentral.com/articles/10.1186/s13063-017-2079-0
dc.description.versionPublisher's version
dc.format.extent8 pages
dc.identifier.citationZunza, M. et al. 2017. 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. Trials, 18:331, doi:10.1186/s13063-017-2079-0.
dc.identifier.issn1745-6215 (online)
dc.identifier.otherdoi:10.1186/s13063-017-2079-0
dc.identifier.urihttp://hdl.handle.net/10019.1/102000
dc.language.isoen
dc.publisherBioMed Central
dc.rights.holderAuthors retain copyright
dc.subjectBreastfeeding -- South Africaen_ZA
dc.subjectHIV infectionsen_ZA
dc.subjectMedical informaticsen_ZA
dc.subjectCell phones -- South Africaen_ZA
dc.subjectmHealthen_ZA
dc.titleInteractive 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 trialen_ZA
dc.typeArticle
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