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Early Intervention to Promote Cardiovascular Health of Mothers and Children

Not Applicable
Recruiting
Conditions
Cardiovascular Health
Interventions
Behavioral: Usual Home Visiting
Behavioral: ENRICH
Registration Number
NCT06272045
Lead Sponsor
JHSPH Center for Clinical Trials
Brief Summary

Early Intervention to Promote Cardiovascular Health of Mothers and Children (ENRICH) is a cluster randomized clinical trial, funded by the National Heart Lung \& Blood Institute. The study is designed to test the effectiveness of home visiting intervention to promote cardiovascular health and reduce disparities in maternal and early childhood cardiovascular health. Sites, in partnership with evidence-based home visiting programs, are recruiting 6400 participants in total (i.e., 3200 parent-dyads which includes 3200 parents and 3200 children) from diverse community settings with a high burden of cardiovascular disease risk factors.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
6618
Inclusion Criteria
  1. Be currently enrolled in an evidence-based home visiting program participating in ENRICH
  2. Be pregnant, with a single or multifetal gestation, at or less than 34 weeks 0 days gestation (per self-report at time of consent)
  3. Be 18 years of age or older
  4. Speak English or Spanish
Exclusion Criteria

There are no exclusion criteria being applied in assessing eligibility for participation in ENRICH.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Usual Home VisitingUsual Home VisitingUsual home visiting without cardiovascular health promotion content
ENRICHed home visitingENRICHHome Visiting with the addition of cardiovascular health promotion content
Primary Outcome Measures
NameTimeMethod
Parent blood pressure12 months after birth

blood pressure (BP) in parent participants

Parent physical activity12 months after birth

Time spent in moderate and vigorous physical activity in parent participants

Parent diet measured by Mediterranean Eating Pattern for Americans (MEPA) scale12 months after birth

Diet quality among parent participants as measured by Mediterranean Eating Pattern for Americans (MEPA) scale. The MEPA is a 16-item dietary screener designed to assess accordance with the Mediterranean-like diet patterns during the past 7 days among adults. A score of '0' will be given if the scoring condition is not met and a score of '1' will be given if the scoring condition is met. A score of '1' for any given item was indicative of Mediterranean-like diet accordance. If any condition was not met, a score of '0' was recorded for that item. The total MEPA score could range from 0 to 16. Scores will be converted to points on a 100-point scale based on quantiles of the 16-item measure. For example, scores from 0-3 (0 points), 4-7 (25 points), 8-11 (50 points), 12-14 (80 points), and 15-16 (100 points). Higher scores mean that the adult's diet is similar to a Mediterranean diet.

Parent body mass index12 months after birth

Body mass index (BMI) of parent participants

Secondary Outcome Measures
NameTimeMethod
Child body mass index24 months old

body mass index in child

Trial Locations

Locations (9)

University of Pittsburgh

🇺🇸

Pittsburgh, Pennsylvania, United States

Pennsylvania State University

🇺🇸

State College, Pennsylvania, United States

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

Northwestern University

🇺🇸

Chicago, Illinois, United States

Wake Forest University

🇺🇸

Winston-Salem, North Carolina, United States

University of Colorado

🇺🇸

Aurora, Colorado, United States

California Polytechnic State University

🇺🇸

San Luis Obispo, California, United States

Washington University in St. Louis

🇺🇸

Saint Louis, Missouri, United States

Brown University/Lifespan

🇺🇸

Providence, Rhode Island, United States

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