- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04477577
First Heroes: Engaging Fathers in the First 1000 Days (First Heroes)
The First Heroes study plans to influence weight and health trajectories, modify disease risk, and improve health care services for mother-father-infant triads from racial/ethnic minority and health disparity populations.
This study is a two-arm, randomized controlled trial recruiting from Massachusetts General Hospital (MGH) obstetrics practices. This study will enroll 250 father-mother dyads in the second trimester of pregnancy and intervene through their offspring's 1-year birthday. Each mother-father dyad participating will be randomly assigned to one of two arms: 1. Obstetric and Pediatric Standard of Care + New Parent Engagement Intervention Arm or; 2. Obstetric and Pediatric Standard of Care + Safety Control Arm.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Elsie Taveras, MD
- Phone Number: 617-726-8555
- Email: elsie.taveras@mgh.harvard.edu
Study Contact Backup
- Name: Haley Farrar-Muir, MA
- Phone Number: 617-643-9240
- Email: hfarrar@mgh.harvard.edu
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Parental dyads must meet the following criteria:
- Pregnant females and father of the baby, both aged ≥ 18 years
- Singleton pregnancy
- Planned involvement during the first year of the child's life
- Planning to receive post-partum and pediatric care for child at any pediatric practice within the MassGeneral Brigham (Partners) Healthcare system
- Ability to speak in English or Spanish
- Capable of giving consent
Exclusion Criteria:
- Dyads whose unborn child is found to have a severe defect or comorbidity upon 18-20 week ultrasound.
- Mothers who intend on raising a child alone without any participation from the father of the child.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: New Parent Intervention
|
This arm will receive the Obstetric and Pediatric primary care provided within MGH obstetric and pediatric primary care practices, with additional active and targeted engagement of new parents by a health coach.
|
Active Comparator: Safety Control
|
This arm will receive the Obstetric and Pediatric primary care provided within MGH obstetric and pediatric primary care practices, with additional infant safety education materials.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Prevalence of rapid infant weight gain
Time Frame: Birth to child age 6 months
|
Weight-for-length z-score
|
Birth to child age 6 months
|
Prevalence of rapid infant weight gain
Time Frame: Birth to child age 12 months
|
Weight-for-length z-score
|
Birth to child age 12 months
|
Prevalence of overweight in infants
Time Frame: Birth to child age 12 months
|
Weight-for-length ≥97.7th percentile based on World Health Organization standards
|
Birth to child age 12 months
|
Prevalence of overweight in infants
Time Frame: Birth to child age 12 months
|
Weight-for-length ≥95 percentile based on Center for Disease Control
|
Birth to child age 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Maternal post-partum weight retention
Time Frame: Child birth to 6-month postpartum
|
Weight in kilograms
|
Child birth to 6-month postpartum
|
Maternal post-partum weight retention
Time Frame: Child birth to 12-month postpartum
|
Weight in kilograms
|
Child birth to 12-month postpartum
|
Maternal diet
Time Frame: Baseline to 6-month postpartum
|
Average weekly intake of fruits and vegetables
|
Baseline to 6-month postpartum
|
Maternal diet
Time Frame: Baseline to 12-month postpartum
|
Average weekly intake of fruits and vegetables
|
Baseline to 12-month postpartum
|
Maternal physical activity
Time Frame: Baseline to 6-month postpartum
|
Days per week physically active for at least 30 minutes per day
|
Baseline to 6-month postpartum
|
Maternal physical activity
Time Frame: Baseline to 12-month postpartum
|
Days per week physically active for at least 30 minutes per day
|
Baseline to 12-month postpartum
|
Maternal adherence to preventive health services
Time Frame: Baseline to 12 months post-partum
|
Number of preventative care visits attended
|
Baseline to 12 months post-partum
|
Paternal Mean Body Mass Index
Time Frame: Baseline to 6-month postpartum
|
Mean change in paternal BMI calculated by weight in kilograms and height in meters to report BMI in kg/m^2.
|
Baseline to 6-month postpartum
|
Paternal Mean Body Mass Index
Time Frame: Baseline to 12-month postpartum
|
Mean change in paternal obesity calculated by weight in kilograms and height in meters to report BMI in kg/m^2.
|
Baseline to 12-month postpartum
|
Paternal prevalence of obesity
Time Frame: Baseline to 12-month postpartum
|
Prevalence of BMI≥30 kg/m2 calculated by weight in kilograms and height in meters.
|
Baseline to 12-month postpartum
|
Paternal adherence to preventive health services
Time Frame: Baseline to 12-month post-partum
|
Number of preventative care visits attended
|
Baseline to 12-month post-partum
|
Paternal diet
Time Frame: Baseline to 6 months post-partum
|
Average weekly intake of fruits and vegetables
|
Baseline to 6 months post-partum
|
Paternal diet
Time Frame: Baseline to 12 months post-partum
|
Average weekly intake of fruits and vegetables
|
Baseline to 12 months post-partum
|
Paternal physical activity
Time Frame: Baseline to 6 months post-partum
|
Days per week physically active for at least 30 minutes per day
|
Baseline to 6 months post-partum
|
Paternal physical activity
Time Frame: Baseline to 12 months post-partum
|
Days per week physically active for at least 30 minutes per day
|
Baseline to 12 months post-partum
|
Parental perceived stress
Time Frame: 6 month post-partum
|
Perceived Stress Scale - 4-item validated scale
|
6 month post-partum
|
Prevalence of parental post-partum depression
Time Frame: 6 month post-partum
|
Patient Health Questionnaire 2 (PHQ-2)
|
6 month post-partum
|
Prevalence of parental post-partum depression
Time Frame: 12 month post-partum
|
Patient Health Questionnaire 2 (PHQ-2)
|
12 month post-partum
|
Prevalence of breastfeeding initiation
Time Frame: 6 months post-partum
|
Self-reported response questionnaire
|
6 months post-partum
|
Infant introduction of solid foods
Time Frame: 6 months post-partum
|
Self-reported response questionnaire
|
6 months post-partum
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Family enrollment in food assistance programs during intervention period
Time Frame: Baseline to 12 months post partum
|
Yes/No response options for program enrollment in WIC/SNAP
|
Baseline to 12 months post partum
|
Family housing insecurity during intervention period
Time Frame: Baseline to 12 months post partum
|
National Survey of American Families - 2-item validated scale
|
Baseline to 12 months post partum
|
Family food insecurity during intervention period
Time Frame: Baseline to 12 months post partum
|
Hager 2-question validated scale
|
Baseline to 12 months post partum
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Elsie Taveras, MD, Massachusetts General Hospital
Publications and helpful links
General Publications
- Silver SR, Whooten RC, Kwete GM, Farrar-Muir H, Cournoyer RN, Barth EA, Kotelchuck M, Taveras EM. Stakeholder engagement in developing a father-inclusive early life obesity prevention intervention: First Heroes. BMC Pregnancy Childbirth. 2022 May 27;22(1):443. doi: 10.1186/s12884-022-04759-z.
- Whooten RC, Kwete GM, Farrar-Muir H, Cournoyer RN, Barth EA, Kotelchuck M, Taveras EM. Engaging fathers in the first 1000 days to improve perinatal outcomes and prevent obesity: Rationale and design of the First Heroes randomized trial. Contemp Clin Trials. 2021 Feb;101:106253. doi: 10.1016/j.cct.2020.106253. Epub 2020 Dec 17.
- Whooten RC, Kotelchuck M, Gonzalez AVC, Johnson N, Kwete G, Luo M, Muir HF, Barth EA, Smith N, Taveras EM. Expectant fathers' health behaviors, infant care intentions, and social-emotional wellbeing in the perinatal period: A latent class analysis and comparison to mothers. Prev Med Rep. 2023 Aug 26;36:102375. doi: 10.1016/j.pmedr.2023.102375. eCollection 2023 Dec.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
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
- 2019P003739
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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