Facilitators and challenges in recruiting pregnant women to an infant obesity prevention programme delivered via telephone calls or text messages

Ekambareshwar, Mahalakshmi; Mihrshahi, Seema; Wen, Li Ming; Taki, Sarah; Bennett, Greer A.; Baur, Louise A.; Rissel, Chris

doi:10.1186/s13063-018-2871-5

Cited by 23 publications

(37 citation statements)

References 23 publications

(44 reference statements)

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“…We found no evidence of evaluation of perceptions of other key stakeholders including those who delivered the interventions or health managers or policymakers, and no evidence of other process evaluation measures such as reach or fidelity. Process evaluation findings highlight participants' appreciation of the convenience of receiving interventions via telephone or text messages [63,69], and the importance of delivering interventions from credible sources for participants' compliance with interventions and behaviour changes [63][64][65]67]. Level of engagement in a program was not dependent on the mode of delivery but was dictated by participants' needs and on their children's developmental stage [33,63,67].…”

Section: Key Findingsmentioning

confidence: 96%

“…All eight studies quantitatively measured participant satisfaction at the time interventions were delivered. Qualitative interviews with trial participants were conducted by three studies during the intervention phase [63][64][65] and by five studies post-intervention [32,33,[66][67][68], with only one study measuring perceptions of participants and recruiters during the recruitment phase [69]. Details of this analysis are shown in supplementary file 1.…”

Section: Process Evaluationmentioning

confidence: 99%

“…Five studies evaluated participants' perceptions upon completion of the intervention or postintervention period through semi-structured interviews [68], semi-structured telephone interviews with purposive sampling [67], qualitative interviews [66], a questionnaire with open-ended process evaluation questions [32] and an in-person exit interview [33]. Additional process evaluation components included examination of researchers' diaries, field records, project meeting minutes [64], and interviews with participants and recruiters during the recruitment phase to assess facilitators and challenges in recruiting pregnant women to trials [69] (Table 6). Process evaluation of the recruitment phase of the studies indicated that participants consented to participate due to the convenience of the delivery mode via telephone or text messages [69].…”

Section: Process Evaluationmentioning

confidence: 99%

“…Additional process evaluation components included examination of researchers' diaries, field records, project meeting minutes [64], and interviews with participants and recruiters during the recruitment phase to assess facilitators and challenges in recruiting pregnant women to trials [69] (Table 6). Process evaluation of the recruitment phase of the studies indicated that participants consented to participate due to the convenience of the delivery mode via telephone or text messages [69]. Evaluation of participants' experience indicated that participants were likely to modify behaviour if they received information from a credible source such as from health professionals [63][64][65]67].…”

Section: Process Evaluationmentioning

confidence: 99%

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Process evaluations of early childhood obesity prevention interventions delivered via telephone or text messages: a systematic review

Ekambareshwar

Mihrshahi

et al. 2021

Int J Behav Nutr Phys Act

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Background Increasingly, public health interventions are delivered via telephone and/or text messages. Recent systematic reviews of early childhood obesity prevention interventions have not adequately reported on the way interventions are delivered and the experiences/perceptions of stakeholders. We aimed to summarise the literature in early childhood obesity prevention interventions delivered via telephone or text messages for evidence of application of process evaluation primarily to evaluate stakeholders’ acceptability of interventions. Methods A systematic search of major electronic databases was carried out using the Population, Intervention, Comparison, Outcomes framework. Studies were included if interventions were delivered via telephone/text messages; aimed at changing caregivers’ behaviours to prevent early childhood obesity; with one or more outcomes related to early obesity risk factors such as breastfeeding, solid feeding, tummy time, sleep and settling, physical activity and screen time; published from inception to May 2020. All eligible studies were independently assessed by two reviewers using the Cochrane Collaboration tool for assessing risk of bias. Qualitative studies were assessed using the Consolidated Criteria for Reporting Qualitative Research and Standards for Reporting Qualitative Research tools. Results Twenty-four studies were eligible, and the overall risk of bias was low. Eight studies (33%) had evidence of process evaluation that examined participants’ perceptions of interventions. Participants appreciated the convenience of receiving interventions via telephone or text messages. 63% of all studies in this review showed improvement in one or more behaviours related to childhood obesity prevention. Participants were likely to modify behaviours if they received information from a credible source such as from health professionals. Conclusion There is limited reporting of stakeholders’ experiences in early obesity prevention studies delivered by telephone or text messages. Only one-third of studies examined participants’ acceptability and the potential for delivery of childhood obesity prevention interventions conveniently using this mode of delivery. Interventions delivered remotely via telephone or text messages have the potential to reach equal or a greater number of participants than those delivered via face-to-face methods. Future research should build in process evaluation alongside effectiveness measurements to provide important insight into intervention reach, acceptability and to inform scale up. Trial registration PROSPERO registration: CRD42019108658

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Section: Key Findingsmentioning

confidence: 96%

Section: Process Evaluationmentioning

confidence: 99%

Section: Process Evaluationmentioning

confidence: 99%

Section: Process Evaluationmentioning

confidence: 99%

See 2 more Smart Citations

Process evaluations of early childhood obesity prevention interventions delivered via telephone or text messages: a systematic review

Ekambareshwar

Mihrshahi

et al. 2021

Int J Behav Nutr Phys Act

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“…The CHAT RCT was conducted across four Local Health Districts (LHDs) within New South Wales (NSW) Australia, where pregnant women were recruited at eight hospital sites between February and July 2017. The study protocol, eligibility criteria, recruitment process and outcomes are reported in detail elsewhere [13,22,23]. In brief, CHAT is a three-arm RCT that compares: mailed HB booklets plus telephone support (telephone); to mailed HB booklets plus text messages or Short Message Service (SMS); to the control arm.…”

Section: Study Contextmentioning

confidence: 99%

Participant Experiences of an Infant Obesity Prevention Program Delivered via Telephone Calls or Text Messages

et al. 2020

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A 3-arm randomised controlled trial implemented in 2017, recruited participants from four Local Health Districts (LHDs) in New South Wales (NSW) to test an early obesity prevention program delivered via telephone calls (telephone) or text messages (SMS). This sub-study explored participants’ experience and satisfaction with the program. A multimethod design was used. Quantitative satisfaction questions were completed by participants when their child was six-months old. A purposive sample of participants with varying satisfaction levels was invited for in-depth qualitative interviews. Data were analysed using Excel (quantitative) and inductive thematic analysis (qualitative). Of the 1155 participants recruited: 947 (293 telephone; 338 SMS; 316 control) completed the six-month survey; 34 (14 telephone; 13 SMS; 7 control) were interviewed. Participants’ overall program satisfaction was 100% (telephone) and 85% (SMS). Participants’ qualitative responses demonstrated appreciation of: personalised stage-based information; opportunity to communicate with health professionals (telephone); linked Healthy Beginnings booklets and SMS mostly as nudges (SMS). There is a clear need for stage-based information, and supplemented modes of delivery i.e., text messages along with telephone calls; with text messages solely seen as nudges or reminders. However, individual preferences vary according to information needs at any given time, time constraints on new mothers and hence, multiple modes of information provision are recommended in order to reach a wider population and for better engagement. Choice and flexibility in mode of delivery has the potential to provide equitable access to information, empowering women with infants to practice recommended health behaviours for infant obesity prevention.

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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

Wen

Rissel

et al. 2020

JAMA Pediatr

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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.

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Facilitators and challenges in recruiting pregnant women to an infant obesity prevention programme delivered via telephone calls or text messages

Cited by 23 publications

References 23 publications

Process evaluations of early childhood obesity prevention interventions delivered via telephone or text messages: a systematic review

Process evaluations of early childhood obesity prevention interventions delivered via telephone or text messages: a systematic review

Participant Experiences of an Infant Obesity Prevention Program Delivered via Telephone Calls or Text Messages

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

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