Feasibility of Meal Delivery Postpartum

Study Overview
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Brief Summary
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This study is being done to assess the feasibility and acceptability of a meal delivery intervention among low-income postpartum women with obesity.

Detailed Description
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This is a single-group pilot study in which subjects will receive 10 home-delivered meals per week for 8 weeks.

Official Title
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Feasibility of a Meal Delivery Intervention for Postpartum Weight Management

Conditions
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Postpartum Weight Retention, Obesity

Intervention / Treatment
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* Behavioral: Meal Delivery


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Medicaid eligible and/or have a household income at or below 185 percent of the federal poverty line 18 years of age or older Initiated prenatal care at a University of Alabama at Birmingham prenatal clinic Experienced a healthy singleton pregnancy 5-18 weeks postpartum at enrollment Body mass index >= 30 at enrollment Residing within the meal company's delivery radius Willing to consent Exclusion Criteria: Self-reported major health condition (such as renal disease, cancer, or Type 1 or Type 2 diabetes) Current treatment for severe psychiatric disorder (such as schizophrenia) Self-reported diagnosis of anorexia or bulimia Current use of medication expected to significantly impact body weight Current substance abuse Participation in another dietary and/or weight management intervention postpartum Unable to understand and communicate in English Unwilling or unable to consume study meals

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Meal Delivery<br>Meal delivery intervention program designed to help low income postpartum women lose weight through weekly meal delivery and behavioral strategies. | Behavioral: Meal Delivery<br>* 10 home-delivered meals per week provided by a local meal delivery company supplemented by remote weekly behavioral support with study staff.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participant Adherence to Intervention | Proportion of weekly study meals participants consumed based on responses to weekly electronic surveys in which participants will report the number of study meals a) they consumed, b) other household members consumed, or c) that were uneaten. | Collected weekly from intervention start (6-21 weeks postpartum) to follow-up (14-29 weeks postpartum) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Study Participation Rate | Percentage of eligible subjects who agreed to participate out of those who were screened | baseline (5-19 weeks postpartum) | 
| Participant Retention | The proportion of enrolled participants who complete follow-up | baseline (5-19 weeks postpartum), follow-up (14-29 weeks postpartum) | 
| Change in Participant Satisfaction with Diet | To assess satisfaction with the study intervention, the 28-item Diet Satisfaction Questionnaire will be used in which participants respond to 28 statements using a 5-point Likert scale. Responses are average to produce a total diet satisfaction score ranging from 1-5. Changes in overall diet satisfaction, as well as changes in subscale scores for Cost Factor and Planning & Preparation Factor will be examined from baseline to follow-up. | baseline (5-19 weeks postpartum), follow-up (14-29 weeks postpartum) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Postpartum, Weight management, Meal delivery