Evidence map›Paper›PMID 28716146›Full record

Trial reportTrials2017

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.

Moleen Zunza, Mark F Cotton, Lawrence Mbuagbaw, Richard Lester, Lehana Thabane

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02949713 (Feasibility and Effects of Mobile Phone Text Messaging Plus Motivational Interviewing Versus Usual Care in Promotion of Breastfeeding Among HIV-infected Women in South Africa), which is not on this map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02949713 nacompletednot on this mapstarted 2019, after this paper: background citation

Feasibility and Effects of Mobile Phone Text Messaging Plus Motivational Interviewing Versus Usual Care in Promotion of Breastfeeding Among HIV-infected Women in South Africa: A Randomized, Parallel Group, Controlled Pilot Trial

TypeinterventionalSponsorUniversity of StellenboschRan2019 to 2020Enrolled52ConditionsHIV Infections, Breast FeedingArmsText messaging-motivational interviewing
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Moleen ZunzaFaculty of Medicine and Health Sciences, Department of Global Health, Centre for Evidence Based Health Care, Stellenbosch University, Francie Van Zyl Drive, PO Box 241, Cape Town, 8000, South Africa. moleenz@sun.ac.za.ORCID 0000-0002-3270-8439
Mark F CottonFaculty of Medicine and Health Sciences, Department of Paediatrics and Child Health, Stellenbosch University, Francie Van Zyl Drive, PO Box 241, Cape Town, 8000, South Africa.
Lawrence MbuagbawDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada.
Richard LesterGlobal Health, Division of Infectious Diseases, Faculty of Medicine, University of British Columbia, Vancouver General Hospital, Vancouver, Canada.
Lehana ThabaneDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada.
St. Joseph’s Healthcare Hamilton · CAWestern Cape Department of Health · ZAUniversity of British Columbia · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundSouth 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

designA 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 registrationClinicalTrials.gov: NCT02949713 . Registered on 26 October 2016; Pan African Clinical Trial Registry PACTR201611001855404 . Registered on 8 November 2016.

Indexed as

Breast FeedingCell PhoneMotivational InterviewingText MessagingAnti-HIV AgentsFeasibility StudiesFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansIntention to Treat AnalysisPatient CompliancePilot ProjectsPostnatal CarePregnancyPrimary Health CareAnti-HIV AgentsHIVinfant feedingmHealthmotivational interviewingtext messaging

Identifiers

PMID28716146
PMCPMC5513395
OpenAlexW2735568196

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.