A Smartphone Intervention for WIC Mothers to Improve Nutrition and Weight Gain During Pregnancy

NCT ID: NCT04028843

Last Updated: 2025-10-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

351 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-12

Study Completion Date

2025-05-29

Brief Summary

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The study will test the effectiveness of a smartphone-based behavior modification program adapted for use in Women, Infants, and Children program in a state-wide, randomized controlled trial in 432 low-income women enrolled in the Louisiana Women, Infants, and Children program.

Detailed Description

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The study is a multi-site randomized controlled trial, testing the effectiveness of the smartphone-based behavior modification program in pregnant women within the Louisiana Women, Infants, and Children program. Equal number of participants will be randomized to either the intervention or the control. Although the intervention itself lasts 24 weeks (only during pregnancy), women will be enrolled in this study for approximately 18 months, from the 10-16th week of pregnancy until 12 month postpartum follow-up. Study outcomes will be assessed at three visits during pregnancy (early, mid, and late,) and three visits postpartum (1, 6, and 12 months).

Conditions

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Weight Gain During Pregnancy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel assigned stratified by maternal BMI and site
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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WIC Nutrition

Participants will receive weight management advice and care through the standard Women, Infants, and Children program. They will also receive weekly health information related to pregnancy, birth, and infant health through a closed Facebook group.

Group Type NO_INTERVENTION

No interventions assigned to this group

Healthy Beginnings

Participants will receive the SmartMoms smartphone application, a wireless connected scale, and a Fitbit. The Healthy Beginnings program includes a 24 week intensive behavior modification program that targets healthy gestational weight gain through self-monitoring of weight and activity data, automated prescriptive feedback from the SmartMoms smartphone application, personalized feedback from counselors, and evidence-based behavioral intervention delivered throughout pregnancy.

Group Type EXPERIMENTAL

Healthy Beginnings

Intervention Type BEHAVIORAL

The program includes a 24 week intensive behavior modification program that targets healthy gestational weight gain through self-monitoring of weight and activity data, automated prescriptive feedback from the smartphone application, personalized feedback from counselors and, evidence-based behavioral intervention delivered throughout pregnancy.

Interventions

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Healthy Beginnings

The program includes a 24 week intensive behavior modification program that targets healthy gestational weight gain through self-monitoring of weight and activity data, automated prescriptive feedback from the smartphone application, personalized feedback from counselors and, evidence-based behavioral intervention delivered throughout pregnancy.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Less than 16 weeks gestational age at screening visit
* Have a BMI of 18.5 to 40 kg/m2
* Expecting a singleton pregnancy
* Certified to receive Women, Infants, and Children services during current pregnancy
* Has smartphone with internet access
* Willing to be identifiable to other study participants in this study program

Exclusion Criteria

* Smoking
* Drug or alcohol use
* Non-pregnancy related illness
* Hypertension at screening visit
* Current mental health issue or eating disorder
* Inability to complete a behavioral run-in task
* Plans to move out of the state in the next 18 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Louisiana Department of Health

UNKNOWN

Sponsor Role collaborator

National Institute of Nursing Research (NINR)

NIH

Sponsor Role collaborator

Pennington Biomedical Research Center

OTHER

Sponsor Role lead

Responsible Party

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Leanne Redman

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Leanne M Redman, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Pennington Biomedical Research Center

Locations

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Pennington Biomedical Research Center

Baton Rouge, Louisiana, United States

Site Status

Countries

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United States

References

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Kebbe M, Falkenhain K, Beyl R, Altazan AD, Flanagan EW, Kracht CL, Cabre HE, Woolf EK, Hsia DS, Apolzan JW, Redman LM. An eHealth Intervention in Pregnancy on Maternal Body Composition and Subsequent Perinatal Outcomes: A Randomized Trial. Obesity (Silver Spring). 2025 Sep;33(9):1680-1693. doi: 10.1002/oby.24357. Epub 2025 Jul 24.

Reference Type DERIVED
PMID: 40707419 (View on PubMed)

Flanagan EW, Altazan AD, Comardelle NR, Gilmore LA, Apolzan JW, St Romain J, Hardee JC, Puyau RS, Mayet CL, Beyl RA, Barlow SA, Bounds SS, Olson KN, Kennedy BM, Hsia DS, Redman LM. The Design of a Randomized Clinical Trial to Evaluate a Pragmatic and Scalable eHealth Intervention for the Management of Gestational Weight Gain in Low-Income Women: Protocol for the SmartMoms in WIC Trial. JMIR Res Protoc. 2020 Sep 10;9(9):e18211. doi: 10.2196/18211.

Reference Type DERIVED
PMID: 32909954 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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R01NR017644

Identifier Type: NIH

Identifier Source: secondary_id

View Link

PBRC 2018-039

Identifier Type: -

Identifier Source: org_study_id

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