Community Enabled Readiness for First 1000 Days Learning Ecosystem (CRADLE)

KK Women's and Children's Hospital

Status: Unknown

Conditions: Experience of First-time Families; Nutritional Health of Mother and Child; Parenting Self-Efficacy for First-time Families; Emotional Well-being of First-time Families

Treatments: Behavioral: Arm 2:Behavioral Intervention with nudges & Facebook interaction; Other: Arm 3: Community Intervention with individualised teleconferencing sessions and phone calls.

Study type: Interventional

Funder types: Other

Identifiers

NCT04275765

201907-00050

Details and patient eligibility

About

The CRADLE (Community-enabled Readiness-for-1000-Days Learning Ecosystem) initiative seeks to improve first-time families' self-efficacy in parenting and to tangibly impact factors in maternal and child care which will result in improved health of mother and child.

Full description

Title: CRADLE (Community enabled Readiness for first 1000-Days Learning Ecosystem) Project

Introduction:

The "developmental origins of health and disease" (DOHaD) is a concept that has emerged over the past 50 years, linking the state of health and risk from disease in early childhood and adult life. With increasing evidence in neuroscience of the critical window of the first 1000 days of life which has life- long impact on cognitive, behavioral, physical and mental health of an individual. In present society where new parents learned the skills from social media which are based on personal perception and not evidence.

CRADLE (Community-enabled Readiness-for-1000-Days Learning Ecosystem) initiative seeks to improve first-time families' self-efficacy in parenting and to tangibly impact factors in maternal and child care which will result in improved health of mother and child.

Hypothesis:

Use of an integrated choice architecture in a self-learning eco-community, with calibrated nudges, and group interactions & interaction with midwives and individualised teleconferencing sessions in the first 1000-days for first-time families will improve parenting self-efficacy.

Method:

This will be an Interventional Cohort Study. Each ARM 250 subjects. ARM 1 : Routine care ARM 2 : Behavioral Intervention with nudges and Facebook interaction ARM 3 : Community Intervention with interaction with midwives and individualised teleconferencing sessions

The follow up period will be from first contact till child reaches 2 years old Measurement.

The investigators will quantify the impact of this initiative through measurements of specific health & nutrition domains & patient-reported outcome measures (see below) as well as participant satisfaction.

The two key health morbidities the investigators are addressing are the overall health and mental wellness of first-time families as well as their metabolic health (ie, nutrition).

1. Mother's Height and Weight (BMI)
2. Child's Height and Weight (BMI)
3. PROMIS Global-10 Scale
4. Patient Health Questionaire-2
5. Edinburgh Postnatal Depression Scale
6. Parental Sense Of Competency Scale
7. Tool To Measure Parenting Self-Efficacy (TOPSE)
8. Birth Satisfaction Scale
9. Breastfeeding Self-Efficacy Scale
10. Infant Feeding Questionnaire

Enrollment: 750 estimated patients

Sex: Female

Ages: 17+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. First-time mothers
2. Be at least 17 years of age
3. Is residing in Singapore for the next 3 years
4. Understand English, or has a family member who is able to assist.

Exclusion criteria

1. Has existing medical conditions such as chronic illnesses

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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750 participants in 3 patient groups

Arm 1: Routine Care

No Intervention group

Description:

Participants will undergo routine care but take part in assessments.

Arm 2:Behavioral Intervention with nudges & Facebook

Active Comparator group

Description:

Participants will receive nudges and be enrolled in social media platform.

Treatment:

Behavioral: Arm 2:Behavioral Intervention with nudges & Facebook interaction

Arm 3: Community Intervention with individualised teleconferencing sessions and phone calls.

Active Comparator group

Description:

Participants will receive individualised teleconferencing sessions and phone calls by skilled midwives.

Treatment:

Other: Arm 3: Community Intervention with individualised teleconferencing sessions and phone calls.