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

Overview

Journal JAMA Pediatr

Publisher American Medical Association

Date 2020 Apr 14

PMID 32282034

Citations 23

Authors

Li Ming Wen

Chris Rissel

Huilan Xu

Sarah Taki

Limin Buchanan

Karen Bedford

Philayrath Phongsavan

Louise A Baur

Affiliations

Soon will be listed here.

Abstract

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.

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References

Wen L, Baur L, Simpson J, Rissel C, Wardle K, Flood V . Effectiveness of home based early intervention on children's BMI at age 2: randomised controlled trial. BMJ. 2012; 344:e3732. PMC: 3383864. DOI: 10.1136/bmj.e3732. View

Wen L, Baur L, Rissel C, Xu H, Simpson J . Correlates of body mass index and overweight and obesity of children aged 2 years: findings from the healthy beginnings trial. Obesity (Silver Spring). 2014; 22(7):1723-30. DOI: 10.1002/oby.20700. View

Wen L, Rissel C, Xu H, Taki S, Smith W, Bedford K . Linking two randomised controlled trials for Healthy Beginnings©: optimising early obesity prevention programs for children under 3 years. BMC Public Health. 2019; 19(1):739. PMC: 6567558. DOI: 10.1186/s12889-019-7058-9. View

Hoddinott P, Craig L, MacLennan G, Boyers D, Vale L . The FEeding Support Team (FEST) randomised, controlled feasibility trial of proactive and reactive telephone support for breastfeeding women living in disadvantaged areas. BMJ Open. 2012; 2(2):e000652. PMC: 3341594. DOI: 10.1136/bmjopen-2011-000652. View

Pugh L, Serwint J, Frick K, Nanda J, Sharps P, Spatz D . A randomized controlled community-based trial to improve breastfeeding rates among urban low-income mothers. Acad Pediatr. 2009; 10(1):14-20. PMC: 2818063. DOI: 10.1016/j.acap.2009.07.005. View

Tahir N, Al-Sadat N . Does telephone lactation counselling improve breastfeeding practices? A randomised controlled trial. Int J Nurs Stud. 2012; 50(1):16-25. DOI: 10.1016/j.ijnurstu.2012.09.006. View

Gross R, Mendelsohn A, Gross M, Scheinmann R, Messito M . Randomized Controlled Trial of a Primary Care-Based Child Obesity Prevention Intervention on Infant Feeding Practices. J Pediatr. 2016; 174:171-177.e2. PMC: 4925185. DOI: 10.1016/j.jpeds.2016.03.060. View

Graham J, Olchowski A, Gilreath T . How many imputations are really needed? Some practical clarifications of multiple imputation theory. Prev Sci. 2007; 8(3):206-13. DOI: 10.1007/s11121-007-0070-9. View

Ekambareshwar M, Mihrshahi S, Wen L, Taki S, Bennett G, Baur L . Facilitators and challenges in recruiting pregnant women to an infant obesity prevention programme delivered via telephone calls or text messages. Trials. 2018; 19(1):494. PMC: 6139132. DOI: 10.1186/s13063-018-2871-5. View

10.

Janz N, BECKER M . The Health Belief Model: a decade later. Health Educ Q. 1984; 11(1):1-47. DOI: 10.1177/109019818401100101. View

11.

Jiang H, Li M, Wen L, Hu Q, Yang D, He G . Effect of short message service on infant feeding practice: findings from a community-based study in Shanghai, China. JAMA Pediatr. 2014; 168(5):471-8. DOI: 10.1001/jamapediatrics.2014.58. View

12.

Flax V, Negerie M, Ibrahim A, Leatherman S, Daza E, Bentley M . Integrating group counseling, cell phone messaging, and participant-generated songs and dramas into a microcredit program increases Nigerian women's adherence to international breastfeeding recommendations. J Nutr. 2014; 144(7):1120-4. PMC: 4481538. DOI: 10.3945/jn.113.190124. View

13.

Goode A, Reeves M, Eakin E . Telephone-delivered interventions for physical activity and dietary behavior change: an updated systematic review. Am J Prev Med. 2011; 42(1):81-8. DOI: 10.1016/j.amepre.2011.08.025. View

14.

Campbell K, Lioret S, McNaughton S, Crawford D, Salmon J, Ball K . A parent-focused intervention to reduce infant obesity risk behaviors: a randomized trial. Pediatrics. 2013; 131(4):652-60. DOI: 10.1542/peds.2012-2576. View

15.

Dieterich C, Felice J, OSullivan E, Rasmussen K . Breastfeeding and health outcomes for the mother-infant dyad. Pediatr Clin North Am. 2012; 60(1):31-48. PMC: 3508512. DOI: 10.1016/j.pcl.2012.09.010. View

16.

Wen L, Rissel C, Baur L, Hayes A, Xu H, Whelan A . A 3-Arm randomised controlled trial of Communicating Healthy Beginnings Advice by Telephone (CHAT) to mothers with infants to prevent childhood obesity. BMC Public Health. 2017; 17(1):79. PMC: 5237545. DOI: 10.1186/s12889-016-4005-x. View

17.

Hall A, Cole-Lewis H, Bernhardt J . Mobile text messaging for health: a systematic review of reviews. Annu Rev Public Health. 2015; 36:393-415. PMC: 4406229. DOI: 10.1146/annurev-publhealth-031914-122855. View

18.

Perrine C, Galuska D, Thompson F, Scanlon K . Breastfeeding duration is associated with child diet at 6 years. Pediatrics. 2014; 134 Suppl 1:S50-5. PMC: 4258850. DOI: 10.1542/peds.2014-0646I. View

19.

Wen L, Baur L, Simpson J, Rissel C, Flood V . Effectiveness of an early intervention on infant feeding practices and "tummy time": a randomized controlled trial. Arch Pediatr Adolesc Med. 2011; 165(8):701-7. DOI: 10.1001/archpediatrics.2011.115. View

20.

Wen L, Baur L, Rissel C, Alperstein G, Simpson J . Intention to breastfeed and awareness of health recommendations: findings from first-time mothers in southwest Sydney, Australia. Int Breastfeed J. 2009; 4:9. PMC: 2770993. DOI: 10.1186/1746-4358-4-9. View