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Healthy Growth Abbreviated Pilot Study

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01977105
Recruitment Status : Completed
First Posted : November 6, 2013
Last Update Posted : February 6, 2014
Sponsor:
Information provided by (Responsible Party):
Children's Hospital of Philadelphia

Brief Summary:
This is a single-group feasibility pilot trial of a peer-based, social media intervention to prevent obesity in infants.

Condition or disease Intervention/treatment Phase
Childhood Obesity Behavioral: Grow Together peer group Not Applicable

Detailed Description:

This novel intervention, delivered to mothers primarily through private Facebook groups, will promote behavior change through peer and self-modeling photo/video activities.

In this study, we will implement an abbreviated 2-month version of the intervention with a single peer group of up to 10 mothers. We will assess the feasibility and acceptability of both the intervention and our intended outcome measures, in preparation for a randomized pilot trial of the full intervention.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 9 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Abbreviated Pilot Trial of a Peer-Based Social Media Intervention to Promote Healthy Growth During Infancy
Study Start Date : September 2013
Actual Primary Completion Date : December 2013
Actual Study Completion Date : December 2013

Arm Intervention/treatment
Experimental: Pilot Intervention Group
Mothers who are screened and determined to be eligible for this single-group pilot study will be enrolled along with their infants in the Grow Together peer group intervention.
Behavioral: Grow Together peer group

Participants in this intervention will:

  • Participate in Facebook group of 6-10 peers for about 8 weeks, led by a professional group mentor.
  • Complete an intervention video activity approximately weekly:

    • 1. View educational videos addressing topics related to healthy infant growth
    • 2. Create photos/videos modeling healthy behaviors and post them to the group
    • 3. Provide and receive feedback on posts
    • 4. Be encouraged to share information with key caregivers of their child
  • Attend group party soon after enrollment, to meet peers and group leader in person.
  • Receive text message reminders, 1) to schedule recommended primary care visits for their infant, and 2) to attend appointments scheduled in CHOP Care Network.
  • Have basic program information provided to pediatrician to enhance conversation during office visits.




Primary Outcome Measures :
  1. Intervention Acceptability Survey [ Time Frame: Study end (approximately 2 months) ]
    Satisfaction with the overall intervention will be assessed for mothers using a standard survey. Subjects will be asked a series of open-ended and Likert-scaled questions.

  2. Study population eligibility and interest [ Time Frame: Study end (approximately 2 months) ]
    • Proportion of all mothers contacted who meet enrollment criteria
    • Proportion of mothers meeting enrollment criteria who enroll

    These proportions will be calculated using study recruitment records.


  3. Participant engagement [ Time Frame: Study end (approximately 2 months) ]
    • Proportion of enrolled mother-infant dyads that comply with intervention participation requirements
    • Proportion of enrolled mother-infant dyads that complete each weekly module activity
    • Proportion of enrolled mother-infant dyads that complete each study measure
    • Number and type of each participant's Facebook group interactions per week (posts, comments, "Likes")
    • Frequency, type, and content of each contact between moderator/study staff and each participant

    This study process data will be obtained from the Facebook group and study records at study end.


  4. Week 1 Curriculum Module Acceptability Survey [ Time Frame: 1 week (approximately) ]
    Subjects will assess the Week 1 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.

  5. Week 2 Curriculum Module Acceptability Survey [ Time Frame: 2 weeks (approximately) ]
    Subjects will assess the Week 2 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.

  6. Week 3 Curriculum Module Acceptability Survey [ Time Frame: 3 weeks (approximately) ]
    Subjects will assess the Week 3 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.

  7. Week 4 Curriculum Module Acceptability Survey [ Time Frame: 4 weeks (approximately) ]
    Subjects will assess the Week 4 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.

  8. Week 5 Curriculum Module Acceptability Survey [ Time Frame: 5 weeks (approximately) ]
    Subjects will assess the Week 5 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.

  9. Week 6 Curriculum Module Acceptability Survey [ Time Frame: 6 weeks (approximately) ]
    Subjects will assess the Week 6 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.

  10. Week 7 Curriculum Module Acceptability Survey [ Time Frame: 7 weeks (approximately) ]
    Subjects will assess the Week 7 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.

  11. Week 8 Curriculum Module Acceptability Survey [ Time Frame: 8 weeks (approximately) ]
    Subjects will assess the Week 8 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.


Other Outcome Measures:
  1. Infant feeding beliefs [ Time Frame: Study start (enrollment to approximately 1 week) and study end (approximately 8 weeks) ]
    Maternal beliefs regarding infant feeding will be measured using the Infant Feeding Style Questionnaire (IFSQ), which contains 10 items measuring beliefs, coded on a 5-point scale (disagree, slightly disagree, neutral, slightly agree, agree).

  2. Infant feeding practices [ Time Frame: Study start (enrollment to approximately 1 week) and study end (approximately 8 weeks) ]

    Maternal behaviors related to infant feeding will be measured using 10 items on the Infant Feeding Style Questionnaire (IFSQ). Behavior items are coded on a 5-point scale (never, seldom, half of the time, most of the time, always).

    Also, four items from the validated Infant Feeding Practices Questionnaire (IFPQ) will be used to assess maternal feeding practices related to obesity. The IFPQ contains 20 items, with a 5-point adapted Likert response scale ranging from 0 (Never) to 4 (Always).


  3. Breastfeeding survey [ Time Frame: Study start (enrollment to approximately 1 week) and study end (approximately 8 weeks) ]
    Breastfeeding intent, initiation, and duration will be assessed using a survey

  4. Introduction of solid foods and sugar-sweetened beverages [ Time Frame: Study end (approximately 8 weeks) ]
    Timing of initiation of solid foods and sugar sweetened beverages will be assessed using a survey.

  5. Infant sleep behaviors [ Time Frame: Study end (approximately 8 weeks) ]
    Infant sleeping and related maternal activities will be measured using the validated Brief Infant Sleep Questionnaire (BISQ). Subjects will complete the abbreviated 13-item BISQ (A-BISQ), as well as 2 additional questions from the expanded version (E-BISQ).

  6. Parenting self-efficacy [ Time Frame: Study end (approximately 8 weeks) ]
    The Karitane Parenting Confidence Scale (KPCS) is a 15-item validated scale that will be used to measure parenting self-efficacy. Questions assess the frequency of certain beliefs, skills and abilities related to successful parenting, measured using a 4-point response structure (No, hardly ever; No, not very often; Yes, some of the time; Yes, most of the time).

  7. Positive parenting behaviors [ Time Frame: Study end (approximately 8 weeks) ]
    Mothers will be assessed regarding specific parenting practices using the 10-item Infant/Toddler (IT) Home Observation for Measurement of the Environment (HOME) Inventory. Individual responses for each yes/no item are coded to 0 or 1.

  8. Maternal self-care behaviors [ Time Frame: Study end (approximately 8 weeks) ]
    Mothers will be asked 11 questions related to their self-care behaviors, including their own sleep habits, support-seeking behaviors, and taking time for themselves. These items are a combination of Likert-scaled items and simple measures of the frequency of behaviors.

  9. Maternal social support [ Time Frame: Study start (enrollment to approximately 1 week) and study end (approximately 8 weeks) ]
    Mothers' level of social support will be assessed using the Multidimensional Scale of Perceived Social Support (MSPSS). This validated scale is made up of 12 items. Responses for this scale are coded from 1 to 7 (very strongly disagree, strongly disagree, mildly disagree, neutral, mildly agree, strongly agree, and very strongly agree).

  10. Maternal stress [ Time Frame: Study end (approximately 8 weeks) ]
    The Parental Stress Scale (PSS) is a validated, 18-item public domain scale measuring perceived parental stress using a 5-point Likert rating scale ('Strongly disagree' to 'strongly agree').

  11. Infant weight and growth [ Time Frame: Study start (enrollment visit) and study end (approximately 8 weeks) ]
    Infants' weight will be measured using using a calibrated digital scale and length will be measured using a standard infantometer. Measurements will be taken by a trained nurse or other trained staff member at the primary care recruitment sites, or by a member of the study staff trained in anthropometric measures.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Women age 18 years and older
  • Enrolled in Medicaid at the time of study enrollment
  • Overweight or obese (BMI >= 25, calculated using self-reported pre-pregnancy height and weight)
  • Subjects able to speak, read and write in English
  • Attend their infant's (up to 1 month old) primary care visit at a CHOP Primary Care Network site
  • Received prenatal care
  • Own a smartphone with both a data and text plan
  • Able to use their phone to obtain photographs and videos prior to enrollment

Exclusion Criteria:

  • Cannot provide consent.
  • Non-English speaking.
  • Score 10 or greater on Patient Health Questionnaire (PHQ-9) measure for clinical depression
  • Diagnosed with gestational diabetes during pregnancy with their newborn
  • Had a multiple pregnancy.
  • Premature delivery (before 37 weeks) of their newborn.
  • Have a newborn who was hospitalized in the Neonatal Intensive Care Unit (NICU) for one week or longer.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01977105


Locations
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United States, Pennsylvania
The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States, 19104
Sponsors and Collaborators
Children's Hospital of Philadelphia
Investigators
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Principal Investigator: Alexander G Fiks, MD, MSCE Children's Hospital of Philadelphia
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Children's Hospital of Philadelphia
ClinicalTrials.gov Identifier: NCT01977105    
Other Study ID Numbers: 12-009905
First Posted: November 6, 2013    Key Record Dates
Last Update Posted: February 6, 2014
Last Verified: February 2014
Keywords provided by Children's Hospital of Philadelphia:
Infants
Mothers
Social media
Obesity prevention
Additional relevant MeSH terms:
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Pediatric Obesity
Obesity
Overnutrition
Nutrition Disorders
Overweight
Body Weight