Improving Health in Low Income Women Following the Birth of a Child
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Purpose
This study will evaluate a community-based program to improve diet and physical activity in women during the first 12 months following the birth of a child. The program is designed to complement existing federal programs for low-income families and is directed toward low-income, postpartum, multi-ethnic women.
| Condition | Intervention |
|---|---|
|
Health Promotion |
Behavioral: Nutrition and physical activity program |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Factorial Assignment Masking: Single Blind Primary Purpose: Prevention |
| Official Title: | Reducing Disease Risk in Low Income Postpartum Women |
- fruit and vegetable intake
- saturated fat intake
- physical activity
- body mass index
- indicators of fat mass and distribution.
| Estimated Enrollment: | 680 |
| Study Start Date: | March 2001 |
| Estimated Study Completion Date: | March 2004 |
The postpartum period is a window of opportunity to promote behaviors that reduce the risk of chronic disease and benefit reproductive health. The Expanded Food and Nutrition Education Program (EFNEP) is an educational program delivered by community-based paraprofessional's that aims to improve dietary and activity patterns among low income, multi-ethnic women during the postpartum period. This study will evaluate the efficacy of the EFNEP to impact the diet and activity patterns of women.
Women were recruited through the Special Supplemental Food Program for Women, Infants, and Children (WIC) and randomized to either the EFNEP group or a usual care group. Women in both groups will receive standard WIC care consisting of nutrition-risk and breastfeeding educational messages at postpartum and follow-up visits. Women in the EFNEP group participated in an additional two component intervention that included five home visits and motivational telephone calls from project staff.
Primary study outcomes were assessed at Months 1 and 12. Primary outcomes included fruit and vegetable intake, saturated fat intake, and physical activity. Secondary outcomes will include Body Mass Index and indicators of fat mass and distribution. The study will also analyze mediating and modifying factors, including social support and norms, perceived health status, smoking, television viewing, food insecurity, food and activity access, and utilization of federal programs and health care.
Eligibility| Ages Eligible for Study: | 18 Years to 44 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Less than 20 weeks postpartum
- Receive services of USDA's Special Supplemental Food Program for Women, Infants, and Children (WIC)
Exclusion Criteria:
- Less than 18 years of age upon recruitment
Contacts and Locations| United States, Massachusetts | |
| Harvard School of Public Health, SHDH Department | |
| Boston, Massachusetts, United States, 021115 | |
| Principal Investigator: | Karen E. Peterson, ScD, RD | Harvard School of Public Health |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00061386 History of Changes |
| Other Study ID Numbers: | 5R01HD37368-4 |
| Study First Received: | May 27, 2003 |
| Last Updated: | September 9, 2005 |
| Health Authority: | United States: Federal Government |
Keywords provided by Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD):
|
Postpartum Low income Diet Physical activity |
ClinicalTrials.gov processed this record on May 22, 2013