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Adaptive Text Messaging for Postpartum Risky Drinking: Conceptual Model and Protocol for an Ecological Momentary
Sarah Dauber1, Alexa Beacham1, Cori Hammond1
1Partnership to End Addiction, New York, NY, United States.
JMIR Research Protocols
|April 4, 2022
Summary
This study develops a just-in-time adaptive text messaging intervention (TMI) for new mothers engaging in risky drinking postpartum. The goal is to improve maternal and child health outcomes by addressing alcohol use in this vulnerable population.
Area of Science:
- Public Health
- Psychology
- Digital Health
Background:
- Risky drinking is common in women of childbearing age, with many returning to prepregnancy levels postpartum.
- New mothers often avoid treatment for risky drinking due to stigma and fear of child protective services.
- SMS text messaging interventions (TMIs) show promise for reaching this population, but a tailored intervention is needed.
Purpose of the Study:
- To present a preliminary conceptual model for postpartum risky drinking.
- To describe the protocol for an ecological momentary assessment (EMA) study.
- To inform the refinement of the conceptual model and development of a TMI.
Main Methods:
- A conceptual model integrating motivational, social cognitive, and self-regulation theories was developed.
- An EMA study will collect data from 30 new mothers recruited via social media and a perinatal system.
- Participants will receive 5 EMA surveys daily for 14 days.
Main Results:
- Recruitment is planned for January-March 2022.
- Study results are anticipated in July 2022.
Conclusions:
- Findings will illuminate daily fluctuations in risk/protective factors for postpartum risky drinking.
- Results will refine the conceptual model and guide TMI development.
- Next steps include intervention component development and pilot testing.
