Essential Coaching for Every Mother Tanzania (ECEM-TZ): Protocol for a Type 1 Hybrid Effectiveness-Implementation Randomized Controlled Trial

被引：0

作者：

Dol, Justine ^{[1
,2
]}

Mselle, Lilian Teddy ^{[3
]}

Campbell-Yeo, Marsha ^{[2
,4
]}

Mbekenga, Columba ^{[5
]}

Kohi, Thecla ^{[3
]}

Mcmillan, Douglas ^{[6
]}

Dennis, Cindy-Lee ^{[7
,8
,9
]}

Murphy, Gail Tomblin ^{[1
,10
]}

Aston, Megan ^{[4
]}

机构：

[1] Dalhousie Univ, Fac Hlth, Halifax, NS, Canada

[2] IWK Hlth, 5850 Univ Ave, Halifax, NS B3K 6R8, Canada

[3] Muhimbili Univ Hlth & Allied Sci, Sch Nursing, Dar Es Salaam, Tanzania

[4] Dalhousie Univ, Sch Nursing, Halifax, NS, Canada

[5] Kairuki Univ, Sch Nursing, Dar Es Salaam, Tanzania

[6] Dalhousie Univ, Fac Med, Halifax, NS, Canada

[7] Univ Toronto, Lawrence S Bloomberg Fac Nursing, Toronto, ON, Canada

[8] Univ Toronto, Dept Psychiat, Toronto, ON, Canada

[9] Sinai Hlth, Lunenfeld Tannenbaum Res Inst, Toronto, ON, Canada

[10] Nova Scotia Hlth, Halifax, NS, Canada

来源：

JMIR RESEARCH PROTOCOLS | 2024年 / 13卷

关键词：

mobile health; maternal health; randomized controlled trial; parenting self-efficacy; self-efficacy; maternal; RCT; mother; text message; coaching; postnatal; newborn; child; low-income country; middle-income country; Africa; newborn care education; nurse midwife; Tanzania; GENERALIZED ANXIETY DISORDER; POSTNATAL-PERIOD; SEVERE MORBIDITY; SELF-EFFICACY; DELIVERY; PREDICTORS; MORTALITY; SCALE; WOMEN; CARE;

D O I：

10.2196/63454

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Despite global goals to improve maternal, newborn, and child health outcomes, mortality and morbidity continue to be a concern, particularly during the postnatal period in low- and middle-income countries. While mothers havethe responsibility of providing ongoing care for newborns at home, they often receive insufficient newborn care education in Tanzania. Mobile health via text messaging is an ever-growing approach that may address this gap and provide timely education. Objective: We aim to evaluate a text message intervention called Essential Coaching for Every Mother Tanzania (ECEM-TZ) to improve maternal access to essential newborn care education during the immediate 6-week postnatal period. Methods: ECEM-TZ consists of standardized text messages from birth to 6 weeks post partum that provide evidence-based information on caring for their newborn and recognizing danger signs. Messages were developed and then reviewed by Tanzanian mothers and nurse midwives before implementation. A hybrid type 1 randomized controlled trial will compare ECEM-TZ to standard care among mothers (n=124) recruited from 2 hospitals in Dares Salaam. The effectiveness outcomes include newborn care knowledge, maternal self-efficacy, breastfeeding self-efficacy, maternal mental health, attendance at the 6-week postnatal checkup, and newborn morbidity and mortality. The implementation outcomesinclude the reach and quality of implementation of the ECEM-TZ intervention. Results: Recruitment for this study occurred between June 13, 2024, and July 22, 2024. A total of 143 participants were recruited, 71 in the control and 72 in the intervention. The 6-week follow-up data collection began on July 30, 2024, and was completed on September 21, 2024. Conclusions:This study will generateevidenceabout the effectiveness of implementing text messaging during the early postnatal period and the feasibility of doing so in 2 hospitals in Dar es Salaam. The intervention has been designed in collaboration with mothers and nurse midwives in Tanzania.

引用

页数：12