Feasibility of Meal Delivery Postpartum

Not Applicable

Active, not recruiting

Brief Summary: This study is being done to assess the feasibility and acceptability of a meal delivery intervention among low-income postpartum women with obesity.

Detailed Description: This is a single-group pilot study in which subjects will receive 10 home-delivered meals per week for 8 weeks.

Recruitment & Eligibility

Inclusion Criteria

Medicaid eligible and/or have a household income at or below 185 percent of the federal poverty line
18 years of age or older
Initiated prenatal care at a University of Alabama at Birmingham prenatal clinic
Experienced a healthy singleton pregnancy
5-45 weeks postpartum at enrollment
Body mass index >= 30 at enrollment
Residing within the meal company's delivery radius
Willing to consent

Exclusion Criteria

Self-reported major health condition (such as renal disease, cancer, or Type 1 or Type 2 diabetes)
Current treatment for severe psychiatric disorder (such as schizophrenia)
Self-reported diagnosis of anorexia or bulimia
Current use of medication expected to significantly impact body weight
Current substance abuse
Participation in another dietary and/or weight management intervention postpartum
Unable to understand and communicate in English
Unwilling or unable to consume study meals

Primary Outcome Measures

Name	Time	Method
Self-Reported Proportion of Received Study Meals Consumed	Collected weekly from intervention start (6-45 weeks postpartum) to follow-up (14-53 weeks postpartum)	Proportion of received weekly study meals participants reported consuming each week collected via weekly electronic surveys in which participants will self-report the number of study meals a) they consumed, b) other household members consumed, or c) that were uneaten.

Secondary Outcome Measures

Name	Time	Method
Study Participation Rate	baseline (5-45 weeks postpartum)	Total number of eligible subjects who agreed to participate out of those who were screened.
Participant Retention	baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)	The number of enrolled participants who completed some or all follow-up assessment visit measurements.
Change in Participant Satisfaction With Diet	baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)	To assess satisfaction with the study intervention, the 28-item Diet Satisfaction Questionnaire (DSAT-28) will be used in which participants respond to 28 statements using a 5-point Likert scale. Responses to all 28-items are averaged to produce a total diet satisfaction score (designed to reflect satisfaction as it relates to following a weight-management diet) ranging from 1-5. Subscale scores for Cost Factor (reflects financial cost of the diet) and Planning \& Preparation Factor (reflects amount of time and effort spent in planning and preparing) will also be calculated and range from 1-5. For the overall diet satisfaction score and subscale scores, higher scores represent greater satisfaction. Changes in overall diet satisfaction, as well as changes in subscale scores for Cost Factor and Planning \& Preparation Factor will be examined from baseline to follow-up.

Locations (1): University of Alabama at Birmingham
🇺🇸
Birmingham, Alabama, United States
University of Alabama at Birmingham
🇺🇸Birmingham, Alabama, United States