[0]期刊文章%@ 1438-8871 %I JMIR出版物% v22卡塔尔世界杯8强波胆分析 %N 8 %P e16239 %T #BlackBreastsMatter;[a] Dauphin,Cassy % a Clark,Nikia % a Cadzow,Renee % a Saad-Harfouche,Frances % a Rodriguez,Elisa % a Glaser,Kathryn % a Kiviniemi,Marc % a Keller,Maria % a Erwin,Deborah %+癌症预防与控制，Roswell Park综合癌症中心，纽约州布法罗，14263，美国，1 716 845 2927，deborah.erwin@roswellpark.org %K母乳喂养%K乳腺癌教育%K非洲裔美国母亲%K Facebook %K手机，社交媒体%D 2020 %7 10.8.2020 %9背景:在美国，非洲裔美国母亲的母乳喂养率较低，特别是那些年轻女性。最近的流行病学研究表明，非裔美国妇女患侵袭性乳腺癌(雌激素受体阴性)的风险较高，不母乳喂养孩子的非裔美国妇女患乳腺癌的风险较高。目的:本研究旨在描述招募和教育策略的过程评估，以吸引怀孕的非裔美国人参与一项试点研究，旨在确定通过母乳喂养降低乳腺癌风险的社交媒体信息是否会对母乳喂养率产生积极影响。方法:本试点研究是与当地妇女、婴儿和儿童(WIC)组织以及当地卫生保健网络的医院和产前诊所合作进行的。为了吸引非裔美国妇女参加这项研究，研究人员探索了几种方法和监测过程，包括向当前WIC接收者的所有手机发送基于WIC的电子短信(称为e-blast);对当地社区组织、医院和产前诊所的传单和海报文本的关键字回复;在已建立的Facebook群组中使用电子链接的关键字回复;以及现有参与者通过Facebook滚雪球招募其他孕妇。 Once enrolled, participants were randomized to 2 study conditions: (1) an intervention group receiving messages about breast cancer risk reduction and breastfeeding or (2) a control group receiving breastfeeding-only messages. Data were obtained through electronic monitoring, SurveyMonkey, qualitative responses on Facebook, focus groups, and interviews. Results: More than 3000 text messages were sent and received through WIC e-blasts and keyword responses from flyers. A total of 472 women were recruited through WIC e-blast, and 161 responded to flyers and contacts through the local health care network, community-based organizations, Facebook, and friend referrals. A total of 633 women were assessed for eligibility to participate in the study. A total of 288 pregnant African American women were enrolled, consented, and completed presurvey assessments (102.8% of the goal), and 22 participants attended focus groups or interviews reporting on their experiences with Facebook and the educational messages. Conclusions: This process evaluation suggests that using electronic, smartphone apps with social media holds promise for both recruitment and conduct of health education intervention studies for pregnant African American women. Providing messaging and resources through social media to reinforce and educate women about breastfeeding and potentially provide lactation support is intriguing. Convenience (for researchers and participants) is an attribute of social media for this demographic of women and worthy of further research as an educational tool. Trial Registration: ClinicalTrials.gov NCT03680235; https://clinicaltrials.gov/ct2/show/NCT03680235 %M 32773377 %R 10.2196/16239 %U //www.mybigtv.com/2020/8/e16239 %U https://doi.org/10.2196/16239 %U http://www.ncbi.nlm.nih.gov/pubmed/32773377