Mothers and Others: Family-based Obesity Prevention for Infants and Toddlers
| Status: | Completed |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 4/21/2018 |
| Start Date: | October 2013 |
| End Date: | December 2017 |
The purpose of this study is to conduct a randomized controlled trial among 468 Non-Hispanic
black mothers and their families to test the efficacy of MOTHERS AND OTHERS, a
multi-component home visitation program, compared to an attention control (child safety) in
promoting appropriate weight gain during infancy.
black mothers and their families to test the efficacy of MOTHERS AND OTHERS, a
multi-component home visitation program, compared to an attention control (child safety) in
promoting appropriate weight gain during infancy.
Mothers and Others: Family-based Obesity Prevention for Infants and Toddlers will be one of
the first to meet the unique needs of individual families by delivering anticipatory guidance
on infant care, feeding and growth through multiple channels and to multiple caregivers.
Primary modes of delivery for the Obesity Prevention Group (experimental arm) will include
face-to-face counseling through 8 home visits (1 by a certified Lactation Consultant), 5
health newsletters, and approximately 160 cue-based text messages. The Injury Prevention
Group (active comparator) will receive messages on child safety delivered through similar
channels. Our main outcome is infant/toddler growth, captured by mean weight-for-length
z-scores (WLZ) at 15 months, mean change in WLZ between 0-15 months, and likelihood of
overweight (WLZ ≥ 95th percentile) at 15 months. Differences between groups are expected to
be achieved through uptake of targeted health behaviors, including a greater likelihood of
breastfeeding initiation, exclusivity and duration; after 6 months, higher dietary intakes of
whole fruits and vegetables and lower intakes of energy-dense snack foods; age-appropriate
durations of infant and toddler sleep; and, lower levels of television and electronic media
exposure. We further hypothesize that these targeted health behaviors will be achieved
through modifiable risk factors underpinning the intervention, namely more positive
breastfeeding attitudes; higher levels of parenting and breastfeeding self-efficacy; higher
levels of perceived social support; higher responsive feeding style scores; improved accuracy
in perceiving infant/toddler weight status; and, diminished parental perceptions of infant
fussiness.
the first to meet the unique needs of individual families by delivering anticipatory guidance
on infant care, feeding and growth through multiple channels and to multiple caregivers.
Primary modes of delivery for the Obesity Prevention Group (experimental arm) will include
face-to-face counseling through 8 home visits (1 by a certified Lactation Consultant), 5
health newsletters, and approximately 160 cue-based text messages. The Injury Prevention
Group (active comparator) will receive messages on child safety delivered through similar
channels. Our main outcome is infant/toddler growth, captured by mean weight-for-length
z-scores (WLZ) at 15 months, mean change in WLZ between 0-15 months, and likelihood of
overweight (WLZ ≥ 95th percentile) at 15 months. Differences between groups are expected to
be achieved through uptake of targeted health behaviors, including a greater likelihood of
breastfeeding initiation, exclusivity and duration; after 6 months, higher dietary intakes of
whole fruits and vegetables and lower intakes of energy-dense snack foods; age-appropriate
durations of infant and toddler sleep; and, lower levels of television and electronic media
exposure. We further hypothesize that these targeted health behaviors will be achieved
through modifiable risk factors underpinning the intervention, namely more positive
breastfeeding attitudes; higher levels of parenting and breastfeeding self-efficacy; higher
levels of perceived social support; higher responsive feeding style scores; improved accuracy
in perceiving infant/toddler weight status; and, diminished parental perceptions of infant
fussiness.
Inclusion Criteria:
- Self identifies as non-Hispanic, African-American
- Less than 28 weeks pregnant at time of screening and recruitment
- Expecting a singleton birth
- Maternal age at time of birth will be at 18-39 years
- Lives within specified distance of study site
- Not intending to leave study area before expectant child's 15th month of life
- Agreeable to referring another family member/caregiver to participate in the study
Exclusion Criteria:
- Pre-term birth (<= 36 weeks gestation)
- Less than 18 years at time of delivery
- Delivers infant with a congenital anomaly or medical condition that significantly
affects feeding (e.g., cleft lip and/or palate, metabolic disease)
- Delivers multiples
- Newborn nursery, neonatal intensive care unit (NICU), or maternity floor stay for 7 or
more days after the delivery
We found this trial at
1
site
Chapel Hill, North Carolina 27599
Phone: 919-843-4788
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