Delta Healthy Sprouts: Intervention to Promote Maternal Weight Control and Reduce Childhood Obesity in the MS Delta
- Conditions
- Obesity
- Interventions
- Behavioral: Parents as Teachers EnhancedBehavioral: Parents as Teachers
- Registration Number
- NCT01746394
- Lead Sponsor
- USDA, Delta Human Nutrition Research Program
- Brief Summary
The Delta Healthy Sprouts Project is a randomized, controlled trial evaluating the enhancement of an existing Mother, Infant, and Early Childhood Home Visiting Program in 150 African American women in their early second trimester of pregnancy. The control arm, Parents as Teachers, is an evidence-based approach to increase parental knowledge of child development and improve parenting practices. The experimental arm, Parents as Teachers Enhanced, builds on the Parents as Teachers curriculum by including nutrition and physical activity components specifically designed for the gestational and postnatal periods. Both arms of the intervention will be implemented by community-based, trained Parent Educators. The comparative effectiveness of the two intervention arms on weight status, dietary intake, and health behaviors of mothers and their infants will be assessed. The Delta Healthy Sprouts Project will determine if a novel, scalable, lifestyle intervention can improve the health of African American women and their children at high-risk for obesity and chronic disease.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 82
- At least 18 years of age
- Less than 18 weeks pregnant with first, second, or third child
- Resident of Mississippi counties of Washington and Bolivar
- Pregnant with more than one fetus
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Parents as Teachers Enhanced Parents as Teachers Participants in the Parents as Teachers Enhanced (PaTE) intervention arm will receive the enhanced diet and activity maternal, infant, and early childhood home visiting program Parents as Teachers Enhanced Parents as Teachers Enhanced Participants in the Parents as Teachers Enhanced (PaTE) intervention arm will receive the enhanced diet and activity maternal, infant, and early childhood home visiting program Parents as Teachers Parents as Teachers Participants in the Parents as Teachers (PaT) control arm will receive the standard maternal, infant, and early childhood home visiting program
- Primary Outcome Measures
Name Time Method Maternal postpartum weight retention 12 months postnatal Amount of weight retained at 12 months postpartum compared to self-reported pre-pregnancy weight
Maternal physical activity 12 months postpartum Physical activity measured using a physical activity questionnaire
Gestational weight gain 9 months gestation Percentages of gestational weight gain which fall within the ranges recommended by the Institute of Medicine (based on pre-pregnancy body mass index)
Infant dietary intake 12 months after birth Dietary intake measured using 24-hour dietary recall as reported by mother
Maternal dietary intake 12 months postpartum Dietary intake measured using 24-hour dietary recall
Infant activity 12 months after birth Activity measured using responses to questions concerning time spent confined (e.g. in infant seat) and unconfined (e.g. on play mat)
Infant body mass index 12 months after birth Incremental body mass index during the first year of life
- Secondary Outcome Measures
Name Time Method Breastfeeding 12 months postpartum Breastfeeding initiation and continuation for first 12 months after birth of infant
Home food environment 12 months postpartum Measured using home food inventory; based on direct observation of foods in household (i.e. in refrigerator, freezer, pantry, cupboards, or other areas food is stored)
Trial Locations
- Locations (1)
USDA Agricultural Research Service Mid South Area Office
🇺🇸Stoneville, Mississippi, United States