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Information about ongoing health services research and public health projects
| A pragmatic, scalable e-health intervention for management of gestational weight gain in low-income mothers | |
|---|---|
| Investigator (PI): | Redman, Leanne Maree |
| Performing Organization (PO): |
(Current): Louisiana State University, Pennington Biomedical Research Center / (225) 763-2500 |
| Supporting Agency (SA): | National Institutes of Health (NIH), National Institute of Nursing Research (NINR) |
| Initial Year: | 2018 |
| Final Year: | 2023 |
| Record Source/Award ID: | RePorter/R01NR017644 |
| Funding: | 2019 Award Amount: $625,821 2021 Award Amount: $699,510 |
| Award Type: | Grant |
| Abstract: | Pregnancy is a critical nutritional time point that influences the immediate and long-term health of both the mother and child. While the health and nutritional status of women (e.g., obesity, smoking, etc.) prior to pregnancy is arguably the most important for long-term health outcomes, the nutritional status of women during pregnancy, including gestational weight gain, influences birth outcomes, health, and long-term risk for chronic disease. More than one in eight women in the U.S. lived in poverty in 2015 and women with low incomes are the most vulnerable to poor nutrition, maternal obesity, excess weight gain in pregnancy, and poor birth outcomes. Lifestyle interventions during pregnancy positioned to reduce excess gestational weight gain may reduce risk factors for chronic disease in women and obesity in children. To impact the health of the most vulnerable pregnant women, infants, and children in the U.S., there is a critical need for scalable and effective health care services targeting underserved, minority women through community-based programs. The United States Department of Agriculture (USDA) Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)--a national program--is highly suited to deliver scalable and effective lifestyle interventions in low-income and nutritionally at-risk pregnant women. However, there is a dearth of clinical trials testing efficacious, well-designed, culturally relevant, and appropriately powered interventions aimed to promote healthy weight gain in pregnant women with low incomes. In response to the National Institutes of Health funding opportunity (PA-18-135) "Maternal nutrition and pre-pregnancy obesity: effects on mothers, infants and children," the overarching goal of this research is to develop and test the effectiveness of SmartMoms, a patient-centered, pragmatic, and scalable weight management program previously shown to foster healthy gestational weight gain and to increase the proportion of pregnant women who achieve appropriate gestational weight gain. This research will be conducted in two phases; Acculturation of SmartMoms (aim 1), and a statewide, randomized controlled trial in 432 pregnant women enrolled in the Louisiana Women's, Infants, and Children (WIC) program (aim 2). The primary hypothesis is that compared to WIC participants receiving usual care, participants receiving SmartMoms, a smartphone-based, high-intensity, health literacy-appropriate, and culturally adapted lifestyle intervention promoting healthy gestational weight gain will have greater adherence to the 2009 Institute of Medicine (IOM) gestational weight gain guidelines and significant improvements in physiological and behavioral factors. |
| Abstract Archived: |
Pregnancy is a critical nutritional time point that influences the immediate and long-term health of both the mother and child. While the health and nutritional status of women (e.g., obesity, smoking, etc.) prior to pregnancy is arguably the most important for long-term health outcomes, the nutritional status of women during pregnancy, including gestational weight gain, influences birth outcomes, health, and long-term risk for chronic disease. More than one in eight women in the U.S. lived in poverty in 2015 and women with low incomes are the most vulnerable to poor nutrition, maternal obesity, excess weight gain in pregnancy, and poor birth outcomes. Lifestyle interventions during pregnancy positioned to reduce excess gestational weight gain may reduce risk factors for chronic disease in women and obesity in children. To impact the health of the most vulnerable pregnant women, infants, and children in the U.S., there is a critical need for scalable and effective health care services targeting underserved, minority women through community-based programs. The United States Department of Agriculture (USDA) Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)--a national program--is highly suited to deliver scalable and effective lifestyle interventions in low-income and nutritionally at-risk pregnant women. However, there is a dearth of clinical trials testing efficacious, well-designed, culturally relevant, and appropriately powered interventions aimed to promote healthy weight gain in pregnant women with low incomes. In response to the National Institutes of Health funding opportunity (PA-18-135) "Maternal nutrition and pre-pregnancy obesity: effects on mothers, infants and children," the overarching goal of this research is to develop and test the effectiveness of SmartMoms, a patient-centered, pragmatic, and scalable weight management program previously shown to foster healthy gestational weight gain and to increase the proportion of pregnant women who achieve appropriate gestational weight gain. This research will be conducted in two phases; Acculturation of SmartMoms (aim 1), and a statewide, randomized controlled trial in 432 pregnant women enrolled in the Louisiana Women's, Infants, and Children (WIC) program (aim 2). The primary hypothesis is that compared to WIC participants receiving usual care, participants receiving SmartMoms, a smartphone-based, high-intensity, health literacy-appropriate, and culturally adapted lifestyle intervention promoting healthy gestational weight gain will have greater adherence to the 2009 Institute of Medicine (IOM) gestational weight gain guidelines and significant improvements in physiological and behavioral factors. |
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| Keywords: |
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| Country: | United States |
| State: | Louisiana |
| Zip Code: | 70808 |
| UI: | 20194161 |
| Project Status: | Ongoing |
| Related Records: | A pragmatic, scalable e-health intervention for management of gestational weight gain in low-income mothers (COVID supplement to R01NR017644) |
| Record History: | ('2021: New abstract added and older abstract archived.',) |