#BlackBreastsMatter: Process Evaluation of Recruitment and Engagement of Pregnant African American Women for a Social Media Intervention Study to Increase Breastfeeding (Preprint)

• DOI: 10.2196/preprints.16239
• Publication Date: 2019-09-18T14:59:06Z
• Authors: Cassy Dauphin; Nikia Clark; Renee Cadzow; Frances Saad-Harf...; Elisa Rodriguez; Kathryn Glaser; Marc Kiviniemi; Maria Keller; Deborah Erwin
• Keywords: Snowball sampling

<sec> <title>BACKGROUND</title> In the United States, there are lower rates of breastfeeding among African American mothers, particularly those who younger women. Recent epidemiological studies have shown a strong association more aggressive types breast cancer (estrogen receptor negative) women, with higher risk in women did not breastfeed their children. </sec> <title>OBJECTIVE</title> This study aims to describe process evaluation recruitment and educational strategies engage pregnant participants for pilot designed determine whether social media messaging about reduction through may positively influence rates. <title>METHODS</title> is conducted collaboration local Women, Infants, Children (WIC) organization hospital prenatal clinics health care network. To enroll study, several methods monitoring processes were explored, including WIC electronic text-based messages sent out all phones current recipients (referred as &lt;i&gt;e-blasts&lt;/i&gt;); keyword responses texts from flyers posters community-based organizations, hospitals, clinics; using links posted established Facebook groups; &lt;i&gt;snowball&lt;/i&gt; other by Facebook. Once enrolled, randomized 2 conditions: (1) an intervention group receiving or (2) control breastfeeding-only messages. Data obtained monitoring, SurveyMonkey, qualitative on Facebook, focus groups, interviews. <title>RESULTS</title> More than 3000 text received e-blasts flyers. A total 472 recruited e-blast, 161 responded contacts network, friend referrals. 633 assessed eligibility participate study. 288 consented, completed presurvey assessments (102.8% goal), 22 attended groups interviews reporting experiences <title>CONCLUSIONS</title> suggests that electronic, smartphone apps holds promise both conduct education Providing resources reinforce educate potentially provide lactation support intriguing. Convenience (for researchers participants) attribute this demographic worthy further research tool. <title>CLINICALTRIAL</title> ClinicalTrials.gov NCT03680235; https://clinicaltrials.gov/ct2/show/NCT03680235