- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00381823
Healthy Outcomes of Pregnancy Education
September 28, 2006 updated by: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Intervention for Risk Factors in Pregnant Women in Washington, D.C. (DC-HOPE)
The purpose of this study is to determine if an integrated intervention addressing active smoking, environmental tobacco smoke exposure, depression and intimate partner violence, would improve pregnancy outcome among African American women.
Study Overview
Status
Unknown
Intervention / Treatment
Detailed Description
This study recruited pregnant, English speaking women from the District of Columbia who were African American or Latina and had one or more of the following risk factors: active smoking, environmental tobacco smoke exposure, depression and intimate partner violence.
Women were randomized to receive either an integrated intervention or usual prenatal care.
Women randomized to the intervention arm received a cognitive behavioral intervention delivered during the prenatal period in four to eight sessions.
Up to two postpartum booster sessions were provided.
Sessions were delivered coincident with prenatal care visits.
Careful attention was paid to individualizing counseling to provide an integrated approach to each participant's multiple risk factors.
The outcomes of interest were primarily behavior change with regard to the risk factors and secondarily to improved birth outcomes, specifically birthweight and gestation.
Study Type
Interventional
Enrollment
1750
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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District of Columbia
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Washington, District of Columbia, United States, 20059
- Howard University
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- African American or Latina (by self report)
- At least 18 years of age
- English speaking
- Pregnant less than or equal to 28 weeks gestation
- Receiving prenatal care in the District of Columbia
- Had one or more of the following risk factors: active smoking, environmental tobacco smoke exposure, depression and intimate partner violence
Exclusion Criteria:
- Non-minority race (by self report)
- Younger than 18 years of age
- Non-English speaking
- Not pregnant or pregnant greater than 28 weeks gestation
- Receiving prenatal care outside the District of Columbia
- Responded negatively to questions about risk factors
- Suicidal ideation
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Educational/Counseling/Training
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
---|
Depression
|
Reduction of risk behaviors:
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Active smoking
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Environmental Tobacco Smoke Exposure
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Intimate Partner Violence
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Secondary Outcome Measures
Outcome Measure |
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birth weight
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gestational age
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Study Director: Michele Kiely, DrPH, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Hameed M, O'Doherty L, Gilchrist G, Tirado-Munoz J, Taft A, Chondros P, Feder G, Tan M, Hegarty K. Psychological therapies for women who experience intimate partner violence. Cochrane Database Syst Rev. 2020 Jul 1;7(7):CD013017. doi: 10.1002/14651858.CD013017.pub2.
- Backonja U, Robledo CA, Wallace ME, Flores KF, Kiely M. Reproductive Health Knowledge among African American Women Enrolled in a Clinic-Based Randomized Controlled Trial to Reduce Psychosocial and Behavioral Risk: Project DC-HOPE. Womens Health Issues. 2016 Jul-Aug;26(4):442-51. doi: 10.1016/j.whi.2016.03.005. Epub 2016 Apr 16.
- Kiely M, El-Mohandes AA, Gantz MG, Chowdhury D, Thornberry JS, El-Khorazaty MN. Understanding the association of biomedical, psychosocial and behavioral risks with adverse pregnancy outcomes among African-Americans in Washington, DC. Matern Child Health J. 2011 Dec;15 Suppl 1(Suppl 1):S85-95. doi: 10.1007/s10995-011-0856-z.
- El-Mohandes AA, El-Khorazaty MN, Kiely M, Gantz MG. Smoking cessation and relapse among pregnant African-American smokers in Washington, DC. Matern Child Health J. 2011 Dec;15 Suppl 1(Suppl 1):S96-105. doi: 10.1007/s10995-011-0825-6.
- Molina KM, Kiely M. Understanding depressive symptoms among high-risk, pregnant, African-American women. Womens Health Issues. 2011 Jul-Aug;21(4):293-303. doi: 10.1016/j.whi.2011.01.008. Epub 2011 May 12.
- El-Mohandes AA, Kiely M, Blake SM, Gantz MG, El-Khorazaty MN. An intervention to reduce environmental tobacco smoke exposure improves pregnancy outcomes. Pediatrics. 2010 Apr;125(4):721-8. doi: 10.1542/peds.2009-1809. Epub 2010 Mar 8.
- Kiely M, El-Mohandes AAE, El-Khorazaty MN, Gantz MG. An integrated intervention to reduce intimate partner violence in pregnancy: a randomized controlled trial. Obstet Gynecol. 2010 Feb;115(2 Pt 1):273-283. doi: 10.1097/AOG.0b013e3181cbd482. Erratum In: Obstet Gynecol. 2011 May;117(5):1232. Blake, Susan M [added].
- El-Mohandes AA, Kiely M, Gantz MG, Blake SM, El-Khorazaty MN. Prediction of birth weight by cotinine levels during pregnancy in a population of black smokers. Pediatrics. 2009 Oct;124(4):e671-80. doi: 10.1542/peds.2008-3784. Epub 2009 Sep 28.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
July 1, 2001
Study Completion
August 1, 2004
Study Registration Dates
First Submitted
September 26, 2006
First Submitted That Met QC Criteria
September 27, 2006
First Posted (Estimate)
September 28, 2006
Study Record Updates
Last Update Posted (Estimate)
September 29, 2006
Last Update Submitted That Met QC Criteria
September 28, 2006
Last Verified
September 1, 2006
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HOPE Study
- 3U18HD030445 (U.S. NIH Grant/Contract)
- 3U18HD030447 (U.S. NIH Grant/Contract)
- 5U18HD031206 (U.S. NIH Grant/Contract)
- 3U18HD031919 (U.S. NIH Grant/Contract)
- 5U18HD036104 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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