Depression, Hypertension, Obesity
Conditions
Keywords
Intervention study, Maternal obesity, Nutrition, Maternal child health
Brief summary
The Postpartum Weight Management Study is a true community-academic collaboration, bringing together Maternity Care Coalition (MCC) staff and the investigator, Dr. Charmaine Smith Wright from the University of Pennsylvania to address the needs of postpartum moms. The project is an innovative intervention to help moms lose weight after the birth of their baby. Helping mothers control their weight during pregnancy and beyond can help both mother and baby avoid later obesity and cardiovascular disease. Although all women are at risk for retaining the weight gained during pregnancy, this problem is amplified for low-income, minority women. The holistic approach aims to prevent postpartum weight retention and increase breastfeeding duration with a multi-component, low-cost intervention that provides: 1) Motivational appeals delivered in text message format; 2) Environmental aides, such as a baby carrier to combine exercise with infant care, and a pedometer to accurately measure exercise at home; 3) Enhanced peer support, including home visits and group classes with other mothers; and 4) Task-oriented professional support from nutrition and lactation experts, who assist women in developing a personalized health plan. The effectiveness of the intervention will be evaluated using a randomized control methodology among clients of MCC.
Interventions
BEHAVIORAL6 week challenge with 1 year of home visits: health texting, in home exercise supports, social support, healthy eating and feeding classes
6 week challenge with 1 year of home visits: health texting, in home exercise supports, social support, healthy eating and feeding classes
Sponsors
Robert Wood Johnson Foundation
Aetna, Inc.
University of Pennsylvania
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
* All women who speak English, and are within six weeks of delivering a live, term, single infants
Exclusion criteria
* Women who have multiple births or preterm (\<38 weeks gestation) infants
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postpartum weight change | Baseline and 1 year post intervention | Weight difference at one year post intervention and start of intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Depression | Baseline, 6 weeks, 6 months, and 1 year post intervention start | Using Edinburgh perinatal depression screen score, as a continuous and dichotomous (Yes/No) variable |
| Dietary quality | Baseline, 6 weeks, 6 months, and 1 year post intervention | Descriptive analysis of a food log from the time points proposed |
| Infant growth | Baseline, 6 weeks, 6 months, and 1 year post intervention start | Infant weight for length percentile at 6 weeks, 6 months, and 1 year post intervention (weight in pounds and length in inches converted to weight for length percentile using World Health Organization software support http://www.who.int/childgrowth/software/readme\_stata.pdf?ua=1) |
| Postpartum weight change | Baseline and 6 months post intervention start | Weight difference at 6 months post intervention and start of intervention |
| Waist circumference as continuous measure, in inches | Baseline, 6 weeks, 6 months, and 1 year post intervention start | Acquired at study assessments at the proposed time points |
| Back to prepregnancy weight | baseline and 1 year post intervention | Dichotomous (yes/no) variable describing whether the subject returned to pre-pregnancy weight (difference between 1 year post and self-reported pre-pregnancy weight at baseline time point survey=0) or not |
| Back to pregnancy weight, continuous | baseline and 1 year postpartum | Continuous (difference in 1 year post-intervention weight and self-reported pre-pregnancy weight reported at baseline time point survey) variable describing the change in weight over time |
| Nutrition knowledge score change | Baseline, 6 weeks, 6 months, and 1 year post intervention start | Using validated nutrition knowledge scale at 6 weeks, 6 months, and 1 year post intervention, difference from baseline |
Countries
United States
Outcome results
None listed