Healthy Mothers on the Move

Study Overview
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Brief Summary
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Healthy Mothers on the Move (Healthy MOMs), was a prospective randomized controlled trial that aimed to demonstrate the effectiveness of a healthy lifestyle intervention to reduce risk factors for obesity and type 2 diabetes. This behavioral intervention was tailored to the needs of pregnant and postpartum Latino women. This study was conducted between 2004 and 2006 in southwest Detroit.

Detailed Description
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Specific Aims Intervention group participants will have improved levels of protective behaviors (improved daily dietary composition and increased level of physical activity) that reduce the risk of type 2 diabetes compared to control group. Intervention group participants will have improved their status on clinical measures of risk for type 2 diabetes (anthropometric and metabolic status) compared to the control group. To assess whether theory-based variables, including changes in attitudes, behavioral and control beliefs, perceived social support and behavioral intention change from baseline, and whether these changes influence behavioral outcomes. To identify aspects of project planning and implementation that contributed to achievement of behavioral and clinical outcomes. Measures include recruitment, retention and intervention participation rates, barriers and facilitators of participation; and community involvement in, and satisfaction with, intervention components and project activities; and fidelity of intervention components.

Conditions
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Pregnancy, Postpartum Period

Intervention / Treatment
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* Behavioral: Healthy MOMs Healthy Lifestyle Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years of age or older A resident of Southwest Detroit Less than 20 weeks gestational at the eligibility screening Exclusion Criteria: women with: Type 1 or type 2 diabetes Incompetent cervix/cerclage Active thyroid Multiple gestation Cardiac, vascular or pulmonary disease Drug or alcohol addiction Serious physical or mental illness or condition that would substantially interfere with participation in or completion of the entire intervention

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br>These women received general information about pregnancy and the postpartum period and tips for stress management. This information was delivered during 3 group meetings during pregnancy and 1 group meeting postpartum by trained staff from a local community mental health agency. | |
| Experimental: MOMs Healthy Lifestyle Intervention<br>These women received the culturally tailored Healthy MOMs Healthy Lifestyle Intervention, which included social support from Women's Health Advocates (community health workers) and peers, and the Healthy MOMs curriculum. This intervention curriculum covered topics related to healthy eating, physical activity, and stress management during pregnancy and postpartum. General information about pregnancy and the postpartum period were also provided. This intervention was delivered during 10 group meetings and 4 home visits. | Behavioral: Healthy MOMs Healthy Lifestyle Intervention<br>* These women received the culturally tailored Healthy MOMs Healthy Lifestyle Intervention, which included social support from Women's Health Advocates (community health workers) and peers, and the Healthy MOMs curriculum. This intervention curriculum covered topics related to healthy eating, physical activity, and stress management during pregnancy and postpartum. General information about pregnancy and the postpartum period were also provided. This intervention was delivered during 10 group meetings and 4 home visits.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Diet |  |  | 
| Physical Activity |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Weight (gain during pregnancy, postpartum retention) |  |  | 
| Metabolic (e.g., glucose) |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Mexican Americans, Pregnancy, Diabetes Mellitus Type 2, Prevention, Community health workers, Community based participatory research, Behavioral Intervention, Lifestyle Intervention