momHealth: Multiple Health Behavior Change Intervention in Teen Pregnancy & Parenting Using Mobile Technology

Study Overview
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Brief Summary
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The purpose of this study is to find out if information and support provided with a mobile-delivered (via iPad) momHealth Teen Pregnancy Program can promote healthy choices and behaviors during and after pregnancy.

Detailed Description
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This is a RCT to pilot test an innovative multiple health behavior intervention to influence three areas of health for pregnant and parenting adolescents: breastfeeding, healthy eating/active living, and depression prevention. Intervention and control groups will be compared in the main outcomes of the study (see 4.2.c. and 4.3). Beginning in the last eight weeks of pregnancy and extending to one month after giving birth, we use mobile health technology (e.g., iPad minis) to deliver multi-media educational modules, text-messaging, virtual home visits with professionals using secure televideo, and real-time peer group support over televideo. At birth, five weeks, and three months after giving birth, effectiveness of the program outcomes will be assessed and compared to a usual care control group and include breastfeeding/infant-feeding practices; healthy eating and physical activity; and depressive symptoms. This is the first known study to address these multiple behaviors simultaneously with pregnant and parenting adolescent women.

Official Title
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momHealth: Multiple Health Behavior Change Intervention in Teen Pregnancy & Parenting Using Mobile Technology

Conditions
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Health Behavior

Intervention / Treatment
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* Behavioral: momHealth
* Behavioral: Standard of Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnant females English-speaking Giving birth to first child Intending to keep the newborn Access to a telephone 27-31 weeks gestation Low-risk pregnancy Exclusion Criteria: Multiple gestation pregnancy High-risk pregnancy Women with active untreated mental health conditions such as affective disorder, substance use disorder, anxiety disorder (excluding simple phobia), or psychosis

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 20 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: momHealth<br>Participants will receive support and information via the momHealth program. | Behavioral: momHealth<br>* Mobile health program delivered via an iPad. Program delivers information and support related to breastfeeding education, Ten Steps of the Baby Friendly Hospital Initiative, healthy eating and active living topics, and depression prevention information.<br>|
| Active Comparator: Control<br>Participants will receive the normal support they would normally receive if they were not in a study. | Behavioral: Standard of Care<br>* Participants will receive standard health care via their prenatal provider, including routine prenatal education and postpartum support.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Duration of breastfeeding | Number of days out to 3 months postpartum of any breastfeeding. | Month 3 | 
| Consumption of red foods per day | Measure will be assessed using the Automated Self-Administered 24-hour Recall™ (ASA24™). Participants will provide information on food eaten through an online site and accessed with an individualized link. | Change from Baseline to Month 3 | 
| Minutes of moderate to vigorous physical activity per week | Measure will be assessed using ActiGraph Physical Activity Monitors. | Change from Baseline to Month 3 | 
| Change in depressive symptoms | Assessed using the Edinburgh Postnatal Depression Scale (EPDS), a 10-item questionnaire. Each question response is coded from 0 to 3. Scores can range from a minimum of 0 to a maximum of 30. A score of 10 or greater detects a major depressive disorder with sensitivity. | Month 3 | 
| Rate of any and exclusive breastfeeding | Self-report data on breastfeeding continuation, either wholly or partially, out to 3 months postpartum. | Month 3 |