The Healthy Lifestyles Passport Program: a Nutrition Education Program to Prevent Childhood Obesity

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the effectiveness of the Healthy Lifestyles Passport Program (HLPP) in preventing infant and childhood obesity. It is hypothesized that the participants in the intervention arm will exhibit less excessive weight-for-length gain from 4- to 6-months of age. In 2-years and 5-years, it is predicted that the participants in the intervention arm will yield lower Body Mass Index (BMI) z-scores than the participants in the control arm, who receive usual care.

Official Title
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The Healthy Lifestyles Passport Program: a Randomized Control Trial of a Prenatal Maternal Education Program to Prevent Infant and Childhood Obesity (HLPP)

Conditions
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Childhood Obesity

Intervention / Treatment
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* Other: Healthy Lifestyles Passport


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: pregnant women during the third trimester (>28 weeks gestation) receiving care in the institution's Women's Health Center no medical conditions complicating their pregnancy must be able to communicate in English or Spanish be reachable by phone plan to be the consistent caretaker of the child at least 75% of the time plan to attend the institution's pediatric outpatient clinic for the child's routine healthcare Exclusion Criteria: Child with any disabling or chronic illnesses Any existing and/or pre-existing disabling or chronic illnesses that would qualify the mother as high risk Wards of the state Mothers with a disabling/serious chronic illness Drug/alcohol use during pregnancy
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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Usual Care<br>The Usual Care arm, will not be receiving the interactive nutrition education. They will be meeting with the Registered Dietitian twice in person after the participants are randomized in each arm, and once on the phone. The first meeting, they will be receiving pamphlets and handouts, which are typically given as part of usual care. The second meeting is a post-test assessment and Newest Vital Sign Assessment Tool. The second meeting and the follow-up phone call are both the same for usual care and the Healthy Lifestyles Passport arm. | |
| Experimental: Healthy Lifestyles Passport<br>The Healthy Lifestyles Passport arm will be receiving the intervention. They will be meeting with the Registered Dietitian twice in person after the participants are randomized into each arm, and once on the phone. The first meeting, they will be receiving the Healthy Lifestyles Passport, including the interactive nutrition education. The second meeting is a post-test assessment and Newest Vital Sign Assessment Tool. | Other: Healthy Lifestyles Passport<br>* The participants will be provided with the Healthy Lifestyles Passport, and with each corresponding page, there will be an activity. Each participant in the Healthy Lifestyles Passport arm will receive the same education.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in child's gender-specific weight-for-length (WFL) z-score | The child's weight and length will be extracted from the medical record at the child's 4-month and 6-month old office visit and the weight-for-length z-scores will be calculated. The difference between each arm's z-score will be compared. | 4-months to 6-months of the child's age | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Child's Body Mass Index (BMI) | At 2-years and 5-years of age, the child's height and weight will be extracted from the medical record and BMI will be calculated. Each arm's BMI z-score will then be compared. | At 2-years and 5-years of the child's age. | 
| Mother's Knowledge, Skill, Attitude and Behavior. | At baseline, all participants will answer a battery of questionnaires, including a pre-test and the Newest Vital Sign assessment tool. The day after the intervention, a post-test will be administered over the phone to the participants in both arms. Two months after the baby is born the same post-test and the Newest Vital Sign assessment tool will be administered in person. | Baseline, day after the intervention and two months after the baby is born. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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obesity, overweight, childhood obesity, prevention, Z score, weight for length, WFL, body mass index, BMI, prenatal, maternal, nutrition education, health education, health literacy, health numeracy, passport, healthy lifestyles, growth, growth chart