Cardiometabolic Syndrome, Diet, Healthy, Obesity
Conditions
Brief summary
Latino individuals face an elevated risk of adverse health outcomes during pregnancy, impacting both the birthing parent and the baby with potential long-term chronic health conditions. While promoting a healthy diet during pregnancy is a promising strategy, interventions targeting dietary behaviors have yielded mixed results and lack widespread dissemination in communities in need. Collaborating with community-based organizations could enhance cultural relevance, build trust with Latino families, and improve program reach and effectiveness. Food Education Access Support Together (FEAST) is a community-based program that promotes healthy eating, well-being, and health equity for diverse, under-resourced urban populations in Los Angeles. The newly developed FEAST Perinatal Support Program (PSP) aims to support individuals through pregnancy and postpartum by providing dietary psychoeducation, skill-building, and social support, with an additional component of grocery gift cards to address food access barriers. This study proposes a pilot trial to assess the feasibility and preliminary efficacy of the FEAST PSP in enhancing dietary outcomes, overall health, and socio-cognitive precursors, in pregnant individuals. The study will enroll 40 pregnant adults in a single-arm study who will receive the core PSP with a $15 gift card for healthful fresh food (PSP+giftcard). Pre- and post-intervention assessments will include questionnaires, dietary recalls, physical measurements, and interviews to evaluate program perceptions. Specific aims include evaluating program feasibility and acceptability (i.e., reach, retention, and participant perceptions) and determining preliminary efficacy on changing socio-cognitive and behavioral aspects of diet, self-reported health, and cardiometabolic risk factors. The project aligns with goals of improving health outcomes in Latino families in Southern California and supports FEAST's strategic objectives for improving health and wellness of individuals during pregnancy and throughout the lifespan. The findings will inform program refinement and future NIH grants for rigorous evaluation of the FEAST PSP.
Interventions
BEHAVIORALFEAST Perinatal Support Program
The intervention will include the core perinatal support program (PSP) with $15 weekly grocery gift cards for healthful food (fruit, vegetables, whole grains), The PSP will be completed during weekly group sessions over 16 weeks. The core PSP includes the two primary behavior change techniques: group-based nutrition education based on current United States Department of Agriculture (USDA) national guidelines for pregnant individuals and guided group sharing and engagement.
Sponsors
University of Southern California
National Institute on Minority Health and Health Disparities (NIMHD)
Children's Hospital Los Angeles
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
One treatment group
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Currently pregnant * Speak and read English * Eligible for Electronics Benefit Transfer (EBT) and/or Women, Infants, and Children (WIC) benefits
Exclusion criteria
* Inability to attend in-person sessions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mini-EAT 9-item score | Survey at baseline and immediately post-assessment | Aggregate score of 9 items on the Mini-EAT survey |
| Healthy Eating and Weight Self-Efficacy (HEWSE) score | Current self-efficacy at baseline and immediately post-assessment | The HEWSE is a self-report questionnaire that assesses healthy eating and healthy weight self-efficacy. The scores range from 1-5 with higher scores indicating better self-efficacy. |
| Motivation for Dietary Self-Control Scale score | Current motivation at baseline and immediately post-assessment | The Motivation for Dietary Self-Control Scale is a self-report questionnaire that assesses motivations for dietary change with three sub scales: Dietary Goal-Desire Incongruence, Motivation for Dietary Self-control, and Satisfaction with Dietary Behavior. The scores for each subscale range from 0-6 with higher scores indicating better motivation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient-Reported Outcomes Measurement Information System (PROMIS) 29 Profile v2.0 score | Past 7-day symptoms at baseline and immediately post-assessment | The PROMIS is a self-report questionnaire measuring overall physical and mental health. PROMIS scores range from 0-5 with higher scores indicating worse mental and physical health. |
| Body Mass Index value | Current at baseline and immediately post-assessment | Body mass index is calculated using measured height and weight. Higher scores indicate greater obesity risk. |
| Hemoglobin A1C (HbA1c) recording | Current at baseline and immediately post-assessment | HbA1c is calculated using finger prick blood test. Values typically range from 5 to 12 with lower scores indicating less diabetes risk. |
Countries
United States
Contacts
CONTACTTyler B Mason, PhD
PRINCIPAL_INVESTIGATORTyler B Mason, PhD
University of Southern California
Outcome results
None listed