Cardiovascular Diseases, Diabetes, Obesity, Maternal
Conditions
Brief summary
This study is being done to find out if online referrals to a food management program for Women, Infants, and Children (WIC) made by clinical teams will get more people to enroll in WIC. Women aged 18 or older who get healthcare at Geisinger, are pregnant, and are eligible to be referred to the WIC program will be recruited. These women need to consent to join this study. There are four groups in this study. Group 1 will get usual care with details about WIC from their clinical team. Group 2 will be sent to WIC by their clinical team. The study team may help the clinical team with the referrals. Group 3 will get details about WIC from their clinical team and a dietitian will talk to them about heart-healthy diets and food management. Group 4 will be sent to WIC by their clinical team or study team and a dietitian will talk to them about heart-healthy diets and food management. Participants who talk with the dietitians will be sent kitchen utensils based on need. This study will last about 18 months and will have 240 total subjects joining at about 60 per month. Each subject will be in the study for about 6 months. Subjects will be asked to complete surveys at the start and end of the study. Some subjects will also be asked about their experience in the study after they are done.
Interventions
BEHAVIORALWIC Referral
Clinical team will refer study participants to WIC
BEHAVIORALRDN Referral
Clinical team will refer study participants to a RDN
Sponsors
Family Health Council of Central Pennsylvania (FHCCP)
American Heart Association
Geisinger Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* English speaking * Confirmed pregnancy * Public Insurance (Medicaid) OR no insurance * If no insurance, must meet income eligibility for WIC * Intent to deliver at a Geisinger facility * Able and willing to provide consent
Exclusion criteria
* Pre-existing WIC enrollment as a pregnant person * Not eligible for WIC * Private insurance * Unwilling to participate for up to 12 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in Women, Infants, and Children (WIC) enrollment | 6 months | Difference in WIC enrollment between Arm 1 and Arm 3 (Information only) vs Arm 2 and Arm 4 (digital connections) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| WIC retention | 6 months | Number of WIC benefit pick up visits completed |
| WIC adherence | 6 months | Frequency of redeeming WIC benefit |
| Prenatal clinic visit adherence. | 6 months | Number of prenatal clinic visits attended |
| Registered Dietitian/Nutritionist (RDN) visit adherence | 6 months | Number of RDN visits completed |
Countries
United States
Outcome results
None listed