Feasibility of Meal Delivery Postpartum
Feasibility of a Meal Delivery Intervention for Postpartum Weight Management
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Camille S Worthington, PhD
- Phone Number: 205-975-7274
- Email: cschneid@uab.edu
Study Locations
-
-
Alabama
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Birmingham, Alabama, United States, 35294
- University of Alabama at Birmingham
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Medicaid eligible and/or have a household income at or below 185 percent of the federal poverty line
- 18 years of age or older
- Initiated prenatal care at a University of Alabama at Birmingham prenatal clinic
- Experienced a healthy singleton pregnancy
- 5-45 weeks postpartum at enrollment
- Body mass index >= 30 at enrollment
- Residing within the meal company's delivery radius
- Willing to consent
Exclusion Criteria:
- Self-reported major health condition (such as renal disease, cancer, or Type 1 or Type 2 diabetes)
- Current treatment for severe psychiatric disorder (such as schizophrenia)
- Self-reported diagnosis of anorexia or bulimia
- Current use of medication expected to significantly impact body weight
- Current substance abuse
- Participation in another dietary and/or weight management intervention postpartum
- Unable to understand and communicate in English
- Unwilling or unable to consume study meals
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Meal Delivery
Meal delivery intervention program designed to help low income postpartum women lose weight through weekly meal delivery and behavioral strategies.
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10 home-delivered meals per week provided by a local meal delivery company supplemented by remote weekly behavioral support with study staff.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Self-Reported Proportion of Received Study Meals Consumed
Time Frame: Collected weekly from intervention start (6-45 weeks postpartum) to follow-up (14-53 weeks postpartum)
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Proportion of received weekly study meals participants reported consuming each week collected via weekly electronic surveys in which participants will self-report the number of study meals a) they consumed, b) other household members consumed, or c) that were uneaten.
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Collected weekly from intervention start (6-45 weeks postpartum) to follow-up (14-53 weeks postpartum)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Study Participation Rate
Time Frame: baseline (5-45 weeks postpartum)
|
Total number of eligible subjects who agreed to participate out of those who were screened.
|
baseline (5-45 weeks postpartum)
|
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Participant Retention
Time Frame: baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
The number of enrolled participants who completed some or all follow-up assessment visit measurements.
|
baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
|
Change in Participant Satisfaction With Diet
Time Frame: baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
To assess satisfaction with the study intervention, the 28-item Diet Satisfaction Questionnaire (DSAT-28) will be used in which participants respond to 28 statements using a 5-point Likert scale.
Responses to all 28-items are averaged to produce a total diet satisfaction score (designed to reflect satisfaction as it relates to following a weight-management diet) ranging from 1-5.
Subscale scores for Cost Factor (reflects financial cost of the diet) and Planning & Preparation Factor (reflects amount of time and effort spent in planning and preparing) will also be calculated and range from 1-5.
For the overall diet satisfaction score and subscale scores, higher scores represent greater satisfaction.
Changes in overall diet satisfaction, as well as changes in subscale scores for Cost Factor and Planning & Preparation Factor will be examined from baseline to follow-up.
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baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Weight
Time Frame: baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
Body weight measured at baseline and follow-up will be used to calculate weight change.
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baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
|
Change in Food Security
Time Frame: baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
Determined using the 18-item United States (US) Household Food Security Survey Module based on the previous 30 days.
Adult food security scores range from 0 to 10, with lower values indicating greater food security.
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baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
|
Change in Perceived Stress
Time Frame: baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
Determined using the 10-item Perceived Stress Scale (PSS-10) based on the last month.
PSS-10 scores range from 0 to 40, with higher scores representing higher levels of perceived stress.
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baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
|
Change in Healthy Eating Self-Efficacy
Time Frame: baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
Participants will be asked to score 3 statements on a 5-point Likert scale ranging from 1=very sure to 5=very unsure (adapted from Lipsky LM et al. 2016).
Responses are reverse coded and averaged, so higher scores reflect increasing self-efficacy.
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baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
|
Change in Weight Control Self-Efficacy
Time Frame: baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
Participants will be asked to score 3 statements on a 5-point Likert scale ranging from 1=very sure to 5=very unsure (adapted from Lipsky LM et al. 2016).
Responses are reverse coded and averaged, so higher scores reflect increasing self-efficacy.
|
baseline (5-45 weeks postpartum), follow-up (14-53 weeks postpartum)
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Camille S Worthington, PhD, University of Alabama at Birmingham
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- IRB-300010155
- U54MD000502 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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