- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03416010
Healthy Lifestyle Intervention for High-Risk Minority Pregnant Women (A-RCT)
Healthy Lifestyle Intervention for High-Risk Minority Pregnant Women: A-RCT
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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New York
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Bronx, New York, United States, 10461
- Jacobi Medical Center
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Ohio
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Columbus, Ohio, United States, 43210
- OSU Total Health and Wellness
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Columbus, Ohio, United States, 43210
- OSUWMC OB/GYN Clinic
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Pregnant women between the ages of 18-40 years old
- Pregnant women experiencing an uncomplicated singleton pregnancy of less than 19 weeks
- Self-identified as either Black or Hispanic
- Able to read and speak English.
- The child participants born to the participants will have their record accessed for data collection.
Exclusion Criteria:
- Women with chronic medical conditions (e.g., hypertension, or diabetes), are currently receiving treatment or therapy for a psychiatric diagnosis, or have participated in this study with a prior pregnancy.
- Women with obstetrical complications, such as preeclampsia, gestational diabetes, or fetal abnormalities.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Control
In addition to standard prenatal care the PregnancyPlus attention control group for 6 weeks will receive 1.5 hours of ACOG-designed patient education pamphlets.
Material will include prenatal and post-partum education.. Dr. Gennaro will conduct the training of the attention control group midwives.
The same protocol for assessing fidelity for COPE-P also will be used for assessing fidelity to the attention control intervention
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Active Comparator: Intervention
In addition to standard prenatal care the COPE-P intervention group will also receive 1.5 hours each week for 6 weeks the cognitive-behavior skills building program driven by CBT as the theoretical framework by health care providers trained in COPE-P by Dr. Melnyk.
The content of the COPE program is driven by the literature review, the theoretical framework, previous studies of COPE interventions with mothers of preterm infants and prior work with pregnant minority women by our team.
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Session 1 ABCs (A=Antecedent or Activator event, B=Belief that follows the event, C=Consequence: how you feel and how you behave). Session 2 self-esteem and positive self-talk, including ways to build self-esteem and the group provides examples of how to change unhealthy habits into healthy ones. Session 3 stress/coping during pregnancy. Physical and emotional responses to stress are discussed along with healthy snacking and healthy ways to cope with typical stresses. Session 4 planning, goal setting and the 4-step problem solving process. Session 5 dealing with emotions in healthy ways through positive thinking and effective communication. Session 6 coping with stressful situations encountered during pregnancy while continuing to reinforce the thinking-feeling-behaving triangle. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change is being assessed for an increase or decrease in self-reported healthy lifestyle beliefs
Time Frame: Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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Healthy Lifestyle Beliefs Scale survey will be administered at each of the in-person meetings.
This scale taps beliefs about various facets of maintaining a healthy lifestyle.
This 16-item is scored on a five point Likert-type scale that ranging from 1 strongly disagree to 5 strongly agree.
The higher the score the higher the beliefs of maintaining a healthy lifestyle.
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Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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Change is being assessed for an increase or decrease in self-reported Anxiety level
Time Frame: Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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The Generalized Anxiety Scale (GAD-7) is a 7-item survey which measures anxiety will be administered at each of the in-person meetings.
The GAD-7 is a 7-item, 4-point Likert-type scale ranging from (0) Not at all to (3).
Scores range from 0 to 21, with higher scores indicating greater functional impairment related to the patient's experience of anxiety.
A score greater than or equal to 10 indicates moderate and higher anxiety and will be used in this study,
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Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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Change is being assessed for an increase or decrease in self-reported stress
Time Frame: Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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The Perceived Stress Scale (PSS) is a scale measuring stress will be administered at each of the in-person meetings.
This scale is a standardized measure of global stress designed to elicit the degree to which respondents find their lives unpredictable, uncontrollable, and overloading (three central components of stress).
A score of 20 or greater is the high stress cut-off and will be used in this study.
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Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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Change is being assessed for an Increase or decrease in self-reported healthy lifestyle behaviors
Time Frame: Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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The Healthy Lifestyle Behaviors Scale survey will be administered at each of the in-person meetings.
Participants respond to each of the 15 items (e.g., I exercised regularly; I talked about my worries) on a 5-point Likert-type scale that ranges from 1 strongly disagree to 5 strongly agree.
The higher the score the higher the healthy lifestyle behaviors are practiced.
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Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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Change is being assessed for an increase or decrease in self-reported depressive symptoms
Time Frame: Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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The Edinburgh Postnatal Depression Scale (EPDS) is a scale measuring depressive symptoms will be administered at each of the in-person meetings.
The Edinburgh Postnatal Depression Scale is a 10 item self-report perinatal depression questionnaire.
The scale asks participants to describe how they have felt in the previous week.
Unlike other depression screening tools, the EPDS excludes questions regarding somatic symptoms of pregnancy and has been found to be equivalent to a structured interview in determining prevalence of depression.
Scores range from 0-30 with higher scores signifying higher severity of depressive symptoms.
A cut-off score of 10 on the EPDS will be used in this study to indicate moderate depressive symptoms.
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Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
birth weight
Time Frame: T2= 6-8 week postpartum visit
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record of birth weight as recorded in patient's medical file
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T2= 6-8 week postpartum visit
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Mode of Delivery: C-section, forceps/vacuum, vaginal
Time Frame: T2= 6-8 week postpartum visit
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record of mode of delivery as recorded in patient's medical file
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T2= 6-8 week postpartum visit
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Breastfeeding initiation time
Time Frame: T2= 6-8 week postpartum visit and T3 = at 6 month well baby visit
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DPI Form: survey administered at meeting 3 and meeting 4
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T2= 6-8 week postpartum visit and T3 = at 6 month well baby visit
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breastfeeding duration
Time Frame: T2= 6-8 week postpartum visit and T3 = at 6 month well baby visit
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DPI Form: survey administered at meeting 3 and meeting 4
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T2= 6-8 week postpartum visit and T3 = at 6 month well baby visit
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Mode of Delivery
Time Frame: T2= 6-8 week postpartum visit
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(C/S, Vaginal, Forceps/Vacuum)
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T2= 6-8 week postpartum visit
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COPE-P Acceptability
Time Frame: T1 = 31 gestational weeks, T2= 6-8 week postpartum visit
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Index (COPE-P group): Survey administered at meeting 2 and meeting 3
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T1 = 31 gestational weeks, T2= 6-8 week postpartum visit
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Nutritional intake
Time Frame: Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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24 Hour Nutrition Log/Food Processor: survey will be administered at each of the in-person meetings
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Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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Level of Exercise
Time Frame: T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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Fitbit Flex 2 Accelerometer report data: data from Fitbit Flex 2 report will be collected at each of the in-person meetings
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T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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Gestational age at birth
Time Frame: T2= 6-8 week postpartum visit
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Gestational age at birth will be collected as reported on patient's medical chart
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T2= 6-8 week postpartum visit
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Participant weight
Time Frame: Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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weight in pounds will be collected and reported at each of the in person meetings
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Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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Participant Body Mass Index (BMI)
Time Frame: Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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derived calculation from weight and height values reported at each of the in person meetings
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Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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Participant height
Time Frame: Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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height in feet and inches will be recorded at each of the in person meetings
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Timepoint 0 (Baseline at screening), T1 = 31 gestational weeks, T2= 6-8 week postpartum visit, T3 = at 6 month well baby visit
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Group Prenatal Care Acceptability
Time Frame: T1=31 gestational weeks
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Survey addressing participant responses to prenatal care in a group setting
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T1=31 gestational weeks
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Program Evaluation
Time Frame: T1=31 gestational weeks; T3=6 month well-baby visit
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Separate forms for intervention and attention control that address qualitative data regarding participant experience in study program as well as delivery method, virtually or in-person
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T1=31 gestational weeks; T3=6 month well-baby visit
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Bernadette Melnyk, PhD, Ohio State University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2017B0425
- 1R01MD012770-01A1 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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