Abstract
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.
Highlights
Interventions for the prevention of obesity in early childhood have been delivered to parents, predominantly to mothers, mostly in trial settings
Some examples of interventions delivered via mobile phones include: healthy lifestyle program for young adults [17]; healthy eating for children [18]; and health coaching for weight loss in adults [19]
The Communicating Healthy Beginnings Advice by Telephone (CHAT) RCT was conducted across four Local Health Districts (LHDs) within New South
Summary
Interventions for the prevention of obesity in early childhood have been delivered to parents, predominantly to mothers, mostly in trial settings. The Communicating Healthy Beginnings Advice by Telephone Randomised Controlled Trial (CHAT RCT) has harnessed the increased use of mobile phone technology to communicate HB messages via telephone calls (telephone) or text messages (SMS) to pregnant women and women with babies to prevent early childhood obesity [13]. Most participants found the information on solids useful, there was a general lack of awareness on when to start solids Participants reported that they sought information on solid feeding from other sources including family members, doctors, the internet and classes. The nurse said don’t give solids to the baby at three months. It was easy for me to just follow my husband . . . My husband is more into my child’s pattern than me
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