CRADLE: Community Enabled Readiness for First 1000 Days Learning Ecosystem
Study Details
Study Description
Brief 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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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N/A |
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).
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Mother's Height and Weight (BMI)
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Child's Height and Weight (BMI)
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PROMIS Global-10 Scale
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Patient Health Questionaire-2
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Edinburgh Postnatal Depression Scale
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Parental Sense Of Competency Scale
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Tool To Measure Parenting Self-Efficacy (TOPSE)
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Birth Satisfaction Scale
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Breastfeeding Self-Efficacy Scale
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Infant Feeding Questionnaire
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| No Intervention: Arm 1: Routine Care Participants will undergo routine care but take part in assessments. |
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| Active Comparator: Arm 2:Behavioral Intervention with nudges & Facebook Participants will receive nudges and be enrolled in social media platform. |
Behavioral: Arm 2:Behavioral Intervention with nudges & Facebook interaction
Participants will receive nudges and be enrolled to Facebook group for self-learning.
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| Active Comparator: Arm 3: Community Intervention with individualised teleconferencing sessions and phone calls. Participants will receive individualised teleconferencing sessions and phone calls by skilled midwives. |
Other: Arm 3: Community Intervention with individualised teleconferencing sessions and phone calls.
Participants will receive individualised teleconferencing sessions and phone calls by skilled midwives.
|
Outcome Measures
Primary Outcome Measures
- Parenting self-efficacy [Up to 24 months of age, from 6 weeks after birth until 24 months of age]
Parenting self-efficacy as assessed by the Tool to measure Parenting Self-Efficacy, which is domain-specific.
- Parenting self-efficacy [Up to 24 months of age, from 6 weeks after birth until 24 months of age]
Parenting self-efficacy as assessed by the Parental Sense of Competence Scale, which is domain-general.
Secondary Outcome Measures
- Health experience [Up to 18 months of age, from first trimester in pregnancy until 18 months during the postnatal period]
Health Experience as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) Global10.
- Birth experience [At point of birth]
Birth Experience as assessed by the Birth Satisfaction Scale - Revised.
- Mental wellness [Up to 6 months of age, from first trimester in pregnancy up to 6 months during postnatal period]
Mental wellness as assessed by the Patient Health Questionnaire-2.
- Depressive symptoms [Up to 6 months of age, from first trimester in pregnancy up to 6 months during postnatal period]
Depressive symptoms as assessed by the Edinburg Postnatal Depression Scale (EPDS).
- Maternal nutritional status [Through study completion, from first trimester in pregnancy up to 24 months during postnatal period]
Maternal nutritional status as assessed based on weight status, i.e. weight gain and weight retention.
- Child nutritional status [From birth until up to 24 months during postnatal period]
Child nutritional status as assessed based on weight and height.
- Breastfeeding self-efficacy [From birth until up to 6 months during postnatal period]
Breastfeeding self-efficacy as assessed by the Breastfeeding Self-Efficacy Score-Short Form.
- Maternal feeding beliefs and practices [At 18 months of age, at 18 months during postnatal period]
Maternal feeding beliefs and practices as assessed by the Infant Feeding Questionnaire.
Eligibility Criteria
Criteria
Inclusion Criteria:
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First-time mothers
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Be at least 17 years of age
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Is residing in Singapore for the next 3 years
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Understand English, or has a family member who is able to assist.
Exclusion Criteria:
- Has existing medical conditions such as chronic illnesses
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | KK Women's and Children's Hospital | Singapore | Singapore | 229899 |
Sponsors and Collaborators
- KK Women's and Children's Hospital
Investigators
- Principal Investigator: Kee Chong Ng, MMed, KK Women's and Children's Hospital
Study Documents (Full-Text)
None provided.More Information
Additional Information:
- PROMIS GLOBAL HEALTH
- THE PATIENT HEALTH QUESTIONAIRE-2 (PHQ-2)
- EDINBURGH POSTNATAL DEPRESSION SCALE (EPDS)
- PARENTAL SENSE OF COMPETENCY SCALE (PSOC)
- TOPSE Tool to measure Parenting Self-Efficacy
- BREASTFEEDING SELF-EFFICACY SCORE- SHORT FORM
- BIRTH SATISFACTION SCALE-REVISED
- INFANT FEEDING QUESTIONNAIRE
Publications
None provided.- 201907-00050