Effectiveness of the Essential Coaching Postpartum Digital Health Solution on Parenting Self-Efficacy, Mental Health, Well-Being, and Parenting Outcomes: Protocol for a Randomized Controlled Trial (Preprint)
Notice bibliographique
Résumé
BACKGROUND The transition to parenthood requires adjustments to new norms and expectations. While there is significant focus on the parenting transition for birthing parents (persons with a uterus), nonbirthing parents (parents who do not give birth, including fathers, gender-diverse parents, adoptive parents, or nongestational coparents) are less supported. Preventive education via SMS text messaging can fill a health service gap and provide timely, standardized, evidence-based information. The Essential Coaching Postpartum program includes 6 weeks of evidence-based daily SMS text messages on topics such as infant care, normal development, parental mental health, and self-care, with streams designed for birthing parents (Essential Coaching for Every Mother) and nonbirthing parents (Essential Coaching for Every Partner). OBJECTIVE The primary objective of this study is to compare the effectiveness of Essential Coaching Postpartum to standard care on parenting self-efficacy, mental health (ie, depression, anxiety, and stress), well-being (ie, general distress and sleep), and parenting outcomes (ie, relationship satisfaction and coparenting) among first-time nonbirthing parents in Nova Scotia, Canada. The secondary objective is to compare the effectiveness of Essential Coaching Postpartum to standard care among first-time birthing parents in Nova Scotia. The exploratory objective is to compare the effectiveness of Essential Coaching Postpartum to standard care among first-time parent dyads (ie, both birthing parent and nonbirthing parent) in Nova Scotia. METHODS This will be a randomized controlled trial. A total of 166 first-time birthing parents and 166 first-time nonbirthing parents from Nova Scotia will be recruited and randomly assigned to the intervention or control arm. The intervention arm will receive standard care plus the Essential Coaching Postpartum digital health solution, which consists of twice-daily SMS text messages in the first 3 weeks and daily messages in the next 3 weeks. The control group will receive standard care. Messages are personalized based on the infant’s age and the parent’s self-selected feeding preference (ie, breast or chest feeding, formula feeding, or combination feeding). The first message is sent on the second evening after birth, with parents being eligible to enroll up to 7 days post partum. Participants will complete questionnaires assessing parenting self-efficacy, mental health, well-being, and parenting outcomes at baseline (enrollment after birth), 6 weeks post partum (after the intervention), and 6 months post partum (follow-up). RESULTS Recruitment for this study started in June 2025 and is currently ongoing. As of September 15, 2025, 11 birthing and 5 nonbirthing parents have been recruited. CONCLUSIONS We anticipate that providing parents with SMS text messages (ie, Essential Coaching Postpartum) during the 6-week postpartum period to complement standard care will improve parenting self-efficacy, mental health, well-being, and parenting outcomes. CLINICALTRIAL ClincalTrials.gov NCT06996067; https://www.clinicaltrials.gov/study/NCT06996067 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/78209
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,024 | 0,025 |
| Méta-épidémiologie (sens strict) | 0,005 | 0,003 |
| Méta-épidémiologie (sens large) | 0,012 | 0,008 |
| Bibliométrie | 0,003 | 0,003 |
| Études des sciences et des technologies | 0,004 | 0,003 |
| Communication savante | 0,005 | 0,004 |
| Science ouverte | 0,003 | 0,002 |
| Intégrité de la recherche | 0,007 | 0,009 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,097 | 0,013 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».