Postpartum Period, Pregnancy
Conditions
Keywords
Mexican Americans, Pregnancy, Diabetes Mellitus Type 2, Prevention, Community health workers, Community based participatory research, Behavioral Intervention, Lifestyle Intervention
Brief summary
Healthy Mothers on the Move (Healthy MOMs), was a prospective randomized controlled trial that aimed to demonstrate the effectiveness of a healthy lifestyle intervention to reduce risk factors for obesity and type 2 diabetes. This behavioral intervention was tailored to the needs of pregnant and postpartum Latino women. This study was conducted between 2004 and 2006 in southwest Detroit.
Detailed description
Specific Aims 1. Intervention group participants will have improved levels of protective behaviors (improved daily dietary composition and increased level of physical activity) that reduce the risk of type 2 diabetes compared to control group. 2. Intervention group participants will have improved their status on clinical measures of risk for type 2 diabetes (anthropometric and metabolic status) compared to the control group. 3. To assess whether theory-based variables, including changes in attitudes, behavioral and control beliefs, perceived social support and behavioral intention change from baseline, and whether these changes influence behavioral outcomes. 4. To identify aspects of project planning and implementation that contributed to achievement of behavioral and clinical outcomes. Measures include recruitment, retention and intervention participation rates, barriers and facilitators of participation; and community involvement in, and satisfaction with, intervention components and project activities; and fidelity of intervention components.
Interventions
BEHAVIORALHealthy MOMs Healthy Lifestyle Intervention
These women received the culturally tailored Healthy MOMs Healthy Lifestyle Intervention, which included social support from Women's Health Advocates (community health workers) and peers, and the Healthy MOMs curriculum. This intervention curriculum covered topics related to healthy eating, physical activity, and stress management during pregnancy and postpartum. General information about pregnancy and the postpartum period were also provided. This intervention was delivered during 10 group meetings and 4 home visits.
Sponsors
University of Michigan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Inclusion criteria
* 18 years of age or older * A resident of Southwest Detroit * Less than 20 weeks gestational at the eligibility screening
Exclusion criteria
women with: * Type 1 or type 2 diabetes * Incompetent cervix/cerclage * Active thyroid * Multiple gestation * Cardiac, vascular or pulmonary disease * Drug or alcohol addiction * Serious physical or mental illness or condition that would substantially interfere with participation in or completion of the entire intervention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diet | — |
| Physical Activity | — |
Secondary
| Measure | Time frame |
|---|---|
| Weight (gain during pregnancy, postpartum retention) | — |
| Metabolic (e.g., glucose) | — |
Outcome results
None listed