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WeChat-based intervention to support breastfeeding for Chinese mothers: protocol of a randomised controlled trial

机译:基于微信的干预,以支持中国母亲的母乳喂养:随机对照试验的协议

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Exclusive breastfeeding for the first 6 months of life is the optimal way to feed infants. However, recent studies suggest that exclusive breastfeeding rates in China remain low and are well below the recommended target. There has been evidence that a lack of awareness of, or exposure to, breastfeeding information is associated with poor breastfeeding practices. WeChat, the most widely used social networking platform in China, has shown some potential to promote health behaviours. We thus hypothesised that a breastfeeding intervention program delivered via WeChat would achieve at least a 10% increase in exclusive breastfeeding prevalence at 6?months compared to the control group. A two-arm, parallel, multicentre randomised controlled trial of 1000 pregnant women will be conducted at four maternity hospitals of Chengdu, China. Eligible women who consent to participate in the trial will be recruited at 28–30?weeks of gestation, and randomly allocated to either the intervention group (participants receive breastfeeding-related information from WeChat) or the control group (participants receive non-breastfeeding information from WeChat) using a central randomisation system on a 1:1 ratio at each participating site. The primary outcomes are exclusive breastfeeding rate and full breastfeeding rate at 6 months postpartum. All randomised participants will be included in the outcome analyses with missing data being imputed based on the best-case and worst-case scenarios. Multilevel mixed regression models will be used in the primary analyses to assess the effectiveness of intervention program on the breastfeeding rates. This trial uses the most widely used social media program as a means of delivering messages to mothers to increase exclusive breastfeeding in China. Increasing exclusive breastfeeding will contribute to meeting the health and environmental goals of the Sustainable Development Guidelines. Trial registration ClinicalTrials.gov, NCT04499404. Registered 5 August 2020—Retrospectively registered, https://clinicaltrials.gov/show/NCT04499404
机译:对于前6个月的生命中的独家母乳喂养是喂养婴儿的最佳方式。然而,最近的研究表明,中国的独家母乳喂养率较低,远远低于推荐目标。有证据表明,缺乏意识或接触的母乳喂养信息与母乳喂养差的做法有关。丝门特,中国使用最广泛的社交网络平台,已经表现出促进健康行为的可能性。因此,我们假设通过微信提供的母乳喂养干预计划将在与对照组相比,在6个月内达到母乳喂养患病率的至少10%。双臂,平行,多中心随机对照试验,将在中国成都四个产妇医院进行。符合条件的妇女同意参加审判的孕妇将在28-30周内招募周期的妊娠,随机分配给干预组(参与者从微信中接受母乳喂养相关信息)或对照组(参与者接受非母乳喂养信息从微信)使用中央随机化系统在每个参与场地的1:1比率上使用。产后6个月的主要母乳喂养率是专属的母乳喂养率和全母乳喂养率。所有随机参与者将包含在缺失数据的结果分析中,基于最佳案例和最坏情况的情况。多级混合回归模型将用于主要分析,以评估干预计划对母乳喂养率的有效性。该试验使用最广泛使用的社交媒体计划作为向母亲提供信息的手段,以增加中国的独家母乳喂养。增加独家母乳喂养将有助于满足可持续发展指南的健康和环境目标。试验登记ClinicalTrials.gov,NCT04499404。注册2020年8月5日 - 回顾性注册,https://clinicaltrials.gov/show/nct04499404

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