eMOMS of Rochester

NCT ID: NCT01331564

Last Updated: 2015-12-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1641 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2014-12-31

Brief Summary

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The project aims to develop, implement and evaluate electronically-mediated behavioral intervention programs for pregnant and postpartum women in order to prevent excessive weight gain during pregnancy and postpartum weight retention.

Detailed Description

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This study seeks to expand the understanding of how to slow the accumulation of weight in childbearing women. The intervention goals are to decrease the prevalence of excessive pregnancy weight gain and mean weight retention in the first 18 months postpartum in socio-economically and racially/ethnically diverse sample of 1,641 pregnant women. Women will be randomly assigned to one of three groups: Intervention Group 1 will receive the intervention program only during pregnancy (e-intervention 1). Intervention Group 2 will receive e-intervention 1 plus intervention for 18 months postpartum (e-intervention 2). Control women will receive non-weight related content during both time periods at the project website. The primary hypotheses for the randomized controlled trial are: H1: The proportion of women in Intervention Groups 1 and 2 who gain more weight in pregnancy than is recommended by the IOM will be 33% less than the proportion of the women in the Control Group who gain excessively and H2: The Control Group will have a higher mean weight retention at 12 months postpartum than Intervention Groups 1 and 2.

Conditions

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Gestational Weight Gain Postpartum Weight Retention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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electronic intervention group 2

(e-intervention 2) receives a behavioral intervention through a website during pregnancy and until 18 months postpartum

Group Type EXPERIMENTAL

electronic intervention during pregnancy and postpartum

Intervention Type BEHAVIORAL

Electronically-mediated behavioral interventions to encourage women to gain an appropriate amount of weight during pregnancy and to follow a healthy lifestyle postpartum to minimize postpartum weight retention

electronic intervention group 1

(e-intervention 1) receives a behavioral intervention through a website during pregnancy. During the postpartum period this arm receives the same non-weight-related information as the control arm

Group Type EXPERIMENTAL

electronic intervention during pregnancy

Intervention Type BEHAVIORAL

Electronically-mediated behavioral interventions to encourage women to gain an appropriate amount of weight during pregnancy.

Control

Group Type PLACEBO_COMPARATOR

Control

Intervention Type BEHAVIORAL

Control women will receive non-weight related content during both time periods at the project website.

Interventions

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electronic intervention during pregnancy and postpartum

Electronically-mediated behavioral interventions to encourage women to gain an appropriate amount of weight during pregnancy and to follow a healthy lifestyle postpartum to minimize postpartum weight retention

Intervention Type BEHAVIORAL

electronic intervention during pregnancy

Electronically-mediated behavioral interventions to encourage women to gain an appropriate amount of weight during pregnancy.

Intervention Type BEHAVIORAL

Control

Control women will receive non-weight related content during both time periods at the project website.

Intervention Type BEHAVIORAL

Other Intervention Names

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Behavior modification intervention for pregnancy Behavior modification intervention for postpartum Prevention of excessive gestational weight gain Prevention of postpartum weight retention Electronically-mediated behavioral interventions Behavior modification intervention for pregnancy Prevention of excessive gestational weight gain Electronically-mediated behavioral interventions Control group

Eligibility Criteria

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Inclusion Criteria

* Age 18 - 35 at the time of delivery
* Consented at or before 20 weeks gestation
* Intending to be available for a 24 months intervention
* Plan to deliver in one of the 4 hospitals in Rochester, NY (the study area)
* Plan to carry the pregnancy to term
* Plan to keep the baby
* Read and understand English

Exclusion Criteria

* BMI \< 18.5 kg/m2 and \> 35.0 kg/m2.
* Multiple gestation. If multiple gestation is diagnosed after enrollment participant will be terminated from the study (reasons for termination will be included in the consent form)
* Medical conditions prior to pregnancy which could influence weight loss or gain: cystic fibrosis, hyperthyroidism, renal insufficiency1, proteinuria1, cerebral palsy, lupus erythematosus; rheumatoid arthritis, Crohns disease (severity and other autoimmune diseases evaluated case by case), ulcerative colitis, maternal congenital heart disease (patients are often underweight); hypertension treated with medication2,
* Psychiatric medication associated with major weight gain or loss (e.g.; Lithium \& Divalproex) Common Criteria
* Household member on study staff
* Past or planned (within the next 24 months) weight loss surgery (e.g. gastric bypass, lap band, or liposuction); current participation in a commercial weight loss program (e.g. Weight Watcher's, Jenny Craig); currently enrolled or planned to enroll in a weight loss or another weight gain prevention study
* Participants will be excluded during screening if they report regular use of systemic steroids, prescription weight loss drugs, and/or diabetes medications (oral or injected- insulin, metformin, byetta, TZDs, other). "Regular use" is defined as "taking this medication most days of the week for the previous month"
* Current treatment for eating disorder
* Positive screening for bulimia
* Weight loss of more than 15 pounds in the three months prior to pregnancy
* Cardiovascular event (heart attack, stroke, episode of heart failure, or revascularization procedure) within the last 6 month. Revascularization is defined as bypass surgery or stints
* Mental or psychiatric condition that precludes giving informed consent and completing questionnaires
* Current treatment for malignancy (other than non-melanoma skin cancer and CIN cervix) or on remission for less than 5 years
* Blood pressure criterion
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Cornell University

OTHER

Sponsor Role collaborator

University of Rochester

OTHER

Sponsor Role lead

Responsible Party

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Diana Fernandez

Associate Professor of Public Health Sciences

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Isabel D Fernandez, MD, MPH, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Rochester

Christine M Olson, PhD

Role: PRINCIPAL_INVESTIGATOR

Cornell University

Locations

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University of Rochester

Rochester, New York, United States

Site Status

Countries

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United States

References

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Yu Y, Ma Q, Fernandez ID, Groth SW. Mental Health, Behavior Change Skills, and Eating Behaviors in Postpartum Women. West J Nurs Res. 2022 Oct;44(10):932-945. doi: 10.1177/01939459211021625. Epub 2021 Jun 4.

Reference Type DERIVED
PMID: 34088249 (View on PubMed)

Olson CM, Groth SW, Graham ML, Reschke JE, Strawderman MS, Fernandez ID. The effectiveness of an online intervention in preventing excessive gestational weight gain: the e-moms roc randomized controlled trial. BMC Pregnancy Childbirth. 2018 May 9;18(1):148. doi: 10.1186/s12884-018-1767-4.

Reference Type DERIVED
PMID: 29743026 (View on PubMed)

Olson CM, Strawderman MS, Graham ML. Association between consistent weight gain tracking and gestational weight gain: Secondary analysis of a randomized trial. Obesity (Silver Spring). 2017 Jul;25(7):1217-1227. doi: 10.1002/oby.21873. Epub 2017 Jun 2.

Reference Type DERIVED
PMID: 28573669 (View on PubMed)

Graham ML, Strawderman MS, Demment M, Olson CM. Does Usage of an eHealth Intervention Reduce the Risk of Excessive Gestational Weight Gain? Secondary Analysis From a Randomized Controlled Trial. J Med Internet Res. 2017 Jan 9;19(1):e6. doi: 10.2196/jmir.6644.

Reference Type DERIVED
PMID: 28069560 (View on PubMed)

Fernandez ID, Groth SW, Reschke JE, Graham ML, Strawderman M, Olson CM. eMoms: Electronically-mediated weight interventions for pregnant and postpartum women. Study design and baseline characteristics. Contemp Clin Trials. 2015 Jul;43:63-74. doi: 10.1016/j.cct.2015.04.013. Epub 2015 May 6.

Reference Type DERIVED
PMID: 25957183 (View on PubMed)

Demment MM, Graham ML, Olson CM. How an online intervention to prevent excessive gestational weight gain is used and by whom: a randomized controlled process evaluation. J Med Internet Res. 2014 Aug 20;16(8):e194. doi: 10.2196/jmir.3483.

Reference Type DERIVED
PMID: 25143156 (View on PubMed)

Other Identifiers

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HL096760

Identifier Type: -

Identifier Source: org_study_id