NCT04275765

Community Enabled Readiness for First 1000 Days Learning Ecosystem

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 750 (estimated)
• Sponsor: KK Women's and Children's Hospital · Other Government
• Sex: Female
• Age: 17 Years
• Healthy volunteers: Accepted

Summary

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.

Detailed 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

Conditions

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

Interventions

Type	Name	Description
BEHAVIORAL	Arm 2:Behavioral Intervention with nudges & Facebook interaction	Participants will receive nudges and be enrolled to Facebook group for self-learning.
OTHER	Arm 3: Community Intervention with individualised teleconferencing sessions and phone calls.	Participants will receive individualised teleconferencing sessions and phone calls by skilled midwives.

Timeline

• Start date: 2020-06-15
• Primary completion: 2022-09-30
• Completion: 2022-09-30
• First posted: 2020-02-19
• Last updated: 2020-11-04

Locations

1 site across 1 country: Singapore