Design, development and usability testing of Essential Coaching for Every Mother: A postnatal text message educational intervention

Dol, Justine; Murphy, Gail Tomblin; Aston, Megan; McMillan, Douglas; Campbell-Yeo, Marsha

doi:10.1016/j.wombi.2020.05.004

Cited by 12 publications

(28 citation statements)

References 30 publications

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“…Of the originally designed program, 44 messages were unchanged. Essential Coaching for Every Mother is designed to send twice daily messages during the first two weeks postpartum, and then one daily message for the following four weeks (Dol et al, 2020b). In the COVID-19 stream, there were three days in the first two weeks in which a third message was sent.…”

Section: Methodsmentioning

confidence: 99%

“…One such innovation is Essential Coaching for Every Mother , a mobile health, text message program designed to send daily text messages to mothers during the immediate six-week postpartum period (Dol et al, 2020b). Essential Coaching for Every Mother was designed prior to COVID-19 but had not yet been evaluated.…”

Section: Introductionmentioning

confidence: 99%

“…Details on the modification are reported elsewhere (forthcoming) but briefly, nine messages were modified from the original program to include information related to COVID-19 (e.g., changes in availability of postnatal support due to COVID-19 restrictions), and five new messages were added to the program (e.g., breastfeeding safety), with a total of 56 messages in the program. Feedback on the modifications was obtained from three mothers and seven healthcare providers who participated in the original development and thus were knowledgeable of the program (Dol et al, 2020b).…”

Section: Introductionmentioning

confidence: 99%

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ImplementingEssential Coaching for EveryMother during COVID-19: A Pilot Pre-Post Intervention Study

Dol

Aston

Grant³

et al. 2021

Preprint

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ObjectivesThe primary objective was to evaluate the preliminary impact of Essential Coaching for Every Mother on self-efficacy, social support, postpartum anxiety and postpartum depression. The second objective was to explore the acceptability of the Essential Coaching for Every Mother program provided during the COVID-19 pandemic.MethodsA prospective pre-post study was conducted with first time mothers in Nova Scotia, Canada between July 15th and September 19th, 2020. Participants completed a self-report survey at enrolment (after birth) and six-weeks postpartum. Variety of standardized measures were used and qualitative feedback on the program was also collected. Paired t-tests were carried out to determine changes from baseline to follow-up on psychosocial outcomes and qualitative feedback was analysed through thematic analysis.ResultsA total of 88 women enrolled. Self-efficacy increased between baseline (B) and follow-up (F) (B:33.33; F:37.11, p=0.000) while anxiety (STAI) declined (B:38.49; F:34.79; p=0.004). No other significant changes were found. In terms of acceptability, 89% of participants felt that the number of messages were just right, 84.5% felt the messages contained all the information they needed relative to caring for a newborn and 98.8% indicated they would recommend this program to other new mothers.ConclusionEssential Coaching for Every Mother may play a role increasing maternal self-efficacy and decreasing anxiety, although future work with a control group is important to delineate the true effects of the program. Overall, mothers were satisfied with the Essential Coaching for Every Mother program and would recommend it for other mothers, during COVID-19 and beyond.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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ImplementingEssential Coaching for EveryMother during COVID-19: A Pilot Pre-Post Intervention Study

Dol

Aston

Grant³

et al. 2021

Preprint

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“…11 Details of the original development has been previously published. 11 With the outbreak of COVID-19 in early 2020 and the readiness of the Essential Coaching for Every Mother program to fill the sudden gap in postpartum support, a decision was made to modify the program to be offered immediately. Given that Essential Coaching for Every Mother was developed prior to the coronavirus outbreak but not previously implemented, some modifications were necessary of existing messages and for the inclusion of coronavirus related content.…”

Section: Objective 1: Modificationmentioning

confidence: 99%

“…The study population were mothers and postpartum healthcare providers who care for the women and newborns during the postpartum period. Participants in the original development 11 were contacted as an update on the original research project and were asked to respond if they are interested in participating in this sub-study based on their prior knowledge of the program. The original study had 10 mothers and 18 healthcare providers enrolled, thus the targeted sample was for 10 participants (approximately a third of the original sample).…”

Section: Study Populationmentioning

confidence: 99%

Remote recruitment for Essential Coaching for Every Mother during COVID-19

Dol

McMillan

et al. 2021

Preprint

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Background: With the sudden decrease in in-person support and increase in perinatal mental health concerns during the coronavirus pandemic, innovative strategies, such as mHealth, are more important than ever. This study has two objectives: (1) to describe the modification of Essential Coaching for Every Mother during the coronavirus pandemic, and (2) to describe the process evaluation of recruitment and retention of pregnant and postpartum women for a pre-post intervention study. Methods: For objective 1, modified messages were piloted with mothers and postpartum healthcare providers simultaneously. Semi-structured interviews were conducted with a subset of 10 participants from the original development study. For objective 2, three methods were used for recruitment: social media, posters in hospital, and media outreach. First time mothers were eligible for enrollment antenatally (37+ weeks) and postnatally (<3 weeks). Eligibility screening occurred remotely via text message with participants initiating contact. Data were collected via TextIt and REDCap. Outcomes were days to recruit 75 participants, eligibility vs. ineligibility rates, dropout and exclusion reasons, survey completion rates, perinatal timing of enrollment, and recruitment sources. Results: For objective 1, three mothers (M age=30.67 years) and seven healthcare providers (M age = 46.0 years) participated in the modification of the messages. Participants felt the messages were appropriate and relevant related to changes in postpartum care during the coronavirus pandemic. Nine messages were modified related to coronavirus and five messages were added to the program. For objective 2, recruitment ran July 15th-September 19th (67 days) with 200 screened and 88 enrolled, 70% antenatally. It took 50 days to enroll 75 participants. Mothers recruited antenatally (n=53) were more likely to receive all intervention message (68% vs. 19%). Mothers recruited postnatally (n=35) missed more messages on average (13.8 vs. 6.4). Participants heard about the study through family/friends (31%), news (20%), Facebook groups (16%), Facebook ads (14%), posters (12%), or other ways (7%). Conclusion: Antenatal recruitment resulted in participants enrolling earlier and receiving more of the study messages. Word of mouth and media outreach were successful, followed by advertisement on Facebook. Remote recruitment was a feasible way to recruit for Essential Coaching for Every Mother.

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Parenting Pain Away: Development and usability testing of an educational website about infant procedural pain management

Richardson

Martin-Misener

Latimer

et al. 2023

Paediatric and Neonatal Pain

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All newborns undergo minor painful procedures (e.g., injections). Despite strong evidence supporting parents' efficacy to reduce procedural pain (e.g., breastfeeding), parents remain an underutilized resource. Limited evidence‐based resources about infant procedural pain management targeting parents in the perinatal period exist. We co‐created Parenting Pain Away, a website to enhance parents' access to information and participation in procedural pain management following birth. This study aimed to conduct iterative usability testing with the perinatal population to refine Parenting Pain Away based on target users' identified needs and satisfaction. In 2020, parents of healthy newborns or expectant parents from an Atlantic Canadian province, participated in two iterative cycles of usability testing of Parenting Pain Away. Through recorded interviews, participants were directed to use the “Think Aloud” approach (e.g., verbalize what they see, think, feel) as they navigated through the website. Participants completed online questionnaires related to demographics and user satisfaction, measured by the Post Study System Usability Questionnaire (PSSUQ). Descriptive statistics and content analysis were conducted to analyze the data. In total, there were 10 participants with an average age of 29.9 years (SD = 3.9). Participants identified as mothers (n = 7) or fathers (n = 3) and were expecting (n = 6) or had a newborn (n = 4). The PSSUQ overall scores were 1.84 (SD = 0.55) and 1.34 (SD = 0.49) in Cycles 1 and 2, respectively, indicating high user satisfaction on the 7‐point scale. When comparing between the two cycles, the average overall score was lower in Cycle 2, suggesting improved satisfaction. Participants provided positive feedback about the website and suggested major refinements to simplify content and site navigation. Findings from usability testing cycles were used to inform refinements of the Parenting Pain Away in response to participant satisfaction and feedback. Engaging target users in the development process enhanced this website in preparation for further effectiveness testing.

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Design, development and usability testing of Essential Coaching for Every Mother: A postnatal text message educational intervention

Cited by 12 publications

References 30 publications

ImplementingEssential Coaching for EveryMother during COVID-19: A Pilot Pre-Post Intervention Study

ImplementingEssential Coaching for EveryMother during COVID-19: A Pilot Pre-Post Intervention Study

Remote recruitment for Essential Coaching for Every Mother during COVID-19

Parenting Pain Away: Development and usability testing of an educational website about infant procedural pain management

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