Clinical trial NCT06996067: Essential Coaching Postpartum: Evaluating a Parent-focused Postpartum Text Message Program in Nova Scotia
Official title: Essential Coaching Postpartum: Evaluating a Parent-focused Postpartum Text Message Program in Nova Scotia
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Parenting Self-efficacy
Postpartum Anxiety
Postpartum Depression (PPD)
Postpartum Stress
Mental Health
Co-parenting Practices
Keywords: text messaging
non-birthing parent
birthing parents
mothers
fathers
digital health
Lead sponsor: IWK Health Centre
Sponsor class: OTHER
First posted: 2025-05-30
Enrollment: 332
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The transition to parenthood is often an exciting yet hard period for parents. In the first year after a new baby, many parents feel less confident, have more anxiety and depression, and feel more isolated and alone. During this time, many parents use their phones and the Internet to seek out information and support. Thus, we are exploring the opportunity of using mHealth, or mobile health, to provide information directly to parents after the birth of their first baby. We have developed a program for both birthing and non-birthing parents called the Essential Coaching Postpartum program. This program provides 332 parents with text messages sent for 6 weeks after birth to share information on newborn care and parent outcomes. This will be tailored based on whether they are the birthing parent (Essential Coaching for Every Mother) or non-birthing parent (Essential Coaching for Every Partner). We will evaluate this program by comparing a group of parents who receive the messages to a group of parents do not receive any text messages. To determine the success of the Essential Coaching Postpartum program, we will compare parents' confidence, anxiety, depression, and co-parenting between the two groups after six-weeks and six-months. We believe that parents who get the text messages will have higher confidence and co-parenting outcomes and lower anxiety and depression. Our goal with the Essential Coaching Postpartum program is to help make the first few weeks after a new baby less stressful by providing information and support directly to parents that they know they can trust.


Eligibility criteria: INCLUSION CRITERIA:

Eligible birthing parents will (1) early postpartum (\<7 days) with their first child; (2) understand English; (3) have a cell phone with text and data; and (4) live in Nova Scotia. Eligible non-birthing parents will (1) be early postpartum (\<7 days) with their first child; (2) understand English; (3) have a cell phone with text and data; and (4) live in Nova Scotia.

EXCLUSION CRITERIA:

Participants (both birthing and non-birthing parents) will be excluded if: (1) newborn die or are expected to die prior to leaving the hospital; (2) they have no access to mobile phone, either personal or shared; (3) unwilling to receive SMS messages; (4) decline or withdraw to participate; or (5) participated in a previous iteration of this project (e.g., either the development or evaluation).

Primary outcomes:
measure: Parenting self-efficacy
timeFrame: Enrollment, 6-weeks postpartum, 6-months postpartum
Secondary outcomes:
measure: Postnatal Anxiety
timeFrame: Enrollment, 6-weeks postpartum, 6-months postpartum
measure: Postpartum depression
timeFrame: Enrollment, 6-weeks postpartum, 6-months postpartum
measure: Postnatal Childcare Stress
timeFrame: Enrollment, 6-weeks postpartum, 6-months postpartum
measure: General distress
timeFrame: Enrollment, 6-weeks postpartum, 6-months postpartum
measure: Sleep
timeFrame: Enrollment, 6-weeks postpartum, 6-months postpartum
measure: Relationship Satisfaction
timeFrame: Enrollment, 6-weeks postpartum, 6-months postpartum
measure: Co-Parenting
timeFrame: Enrollment, 6-weeks postpartum, 6-months postpartum
Other outcomes:
Locations:
city: Halifax
country: Canada
facility: IWK Health
state: Nova Scotia
Study officials:
References: