A Multi-Component Nutrition Program for Pregnant and Parenting Teens

Not Applicable

Withdrawn

• Conditions: Pregnancy Related; Adolescent Behavior; Postpartum
• Interventions: Behavioral: Cooking classes; Behavioral: Text messages

• Registration Number: NCT04265690
• Lead Sponsor: Boston Medical Center

Brief Summary

Improving nutrition during pregnancy is critical for maternal and child health, but even more so among pregnant adolescents. Several studies have shown that poor nutrition and diet quality during pregnancy is related to adverse health outcomes among both the mother and the infant. During pregnancy, the fetus's nutrition and diet quality is largely dependent on the mother. A teenage mother is in a vulnerable position because she needs to meet the demands of her own growth and development in addition to the growth and development of her baby, which can be extremely challenging, especially for mothers who are from disadvantaged communities. Surprisingly, given their unique needs, there is limited literature on multicomponent behavioral interventions that adequately address the unique nutritional needs of pregnant adolescent women and their fetuses, which is why interventions targeted at promoting healthy behaviors among low-income, racially diverse pregnant teens should be a public health priority, particularly in the U.S. This study aims to assess whether a multicomponent behavioral intervention improves intention, initiation, and sustained healthy eating behaviors and eating competence among Pregnant adolescents (second trimester) and Postpartum adolescent mothers (\<6 months).

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-02-09
• Study First Submitted QC: 2020-02-09
• Study First Posted: 2020-02-11
• Status Verified: 2020-10
• Study Start: 2020-10
• Last Update Submitted: 2020-10-04
• Last Update Posted: 2020-10-08
• Primary Completion: 2021-03
• Study Completion: 2021-03

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: Female
• Target Recruitment: Not specified

Inclusion Criteria

• 15-23 years of age
• be at least 3 months pregnant; or
• have a baby less than 2 years old
• be participating in Teen and Tot Centering group-care visits

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Teen and Tot Centering subjects	Cooking classes	The cooking classes and text messages will supplement the subject's standard of care by incorporating text messages and a cooking class.
Teen and Tot Centering subjects	Text messages	The cooking classes and text messages will supplement the subject's standard of care by incorporating text messages and a cooking class.

Primary Outcome Measures

Name	Time	Method
Change in eating competence	Baseline, 3 months	Eating competence will be measured using the ecSatter Inventory (EcSI 2.0) which assesses: eating attitudes, food acceptance, food regulation, and contextual skills. The 16 item EcSI 2.0 questionnaire uses a 5-point likert scale with scores from 3 to 0 \[Always=3; Often =2; Sometimes=1, Rarely=0; Never=0\]. Total EcSI 2.0 scores range from 0 to 48. Higher EcSI 2.0 scores are correlated with better eating competence. Eating competence cutoff is 32 and above.

Secondary Outcome Measures

Name	Time	Method
Change in nutrition knowledge	Baseline, 3 months	Assess nutrition knowledge based on the General Nutrition Knowledge Questionnaire (GNKQ). The scale assesses: dietary recommendations, food groups, healthy food choices, and diet, disease, and weight associations. The GNKQ questionnaire is 88 items. The highest total GNKQ score is 88 and the lowest is 0. Higher GNKQ scores are correlated with better nutrition knowledge.
Cooking class acceptability	3 months	The acceptability of the cooking classes will be assessed by a short survey with 4 questions and a 5-point likert scale that was made by the investigator. The survey will ask about their opinions about the cooking classes' nutrition information delivery.