The Maternal Well-Being Study

NCT ID: NCT05484999

Last Updated: 2024-08-29

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-16

Study Completion Date

2025-05-30

Brief Summary

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This project aims to understand the local feasibility and acceptability of MamaMeals (a home-delivered nutritious, postpartum meal delivery program) and MamaMatters (a moderated social media-based peer support group) among peripartum women who are eligible for federal supplemental nutrition assistance programs such as The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) or Supplemental Nutrition Assistance Program (SNAP). The investigators will conduct a prospective randomized controlled trial (RCT) of these two interventions among postpartum individuals. Analyses will be performed to determine the relative risk of postpartum depressive or anxiety symptoms (primary outcome) and overall well-being and maternal/infant health (secondary/exploratory outcomes) between groups. Findings from this pilot intervention study will inform a future, large RCT exploring the effectiveness of MamaMeals and/or MamaMatters on reducing postpartum mental health symptoms and cardiovascular morbidity among individuals with food insecurity during and after pregnancy.

Detailed Description

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1. To assess the local feasibility and acceptability of MamaMeals (home-delivered, nutritious meals) during the 4th trimester for mothers with peripartum food insecurity.
2. To explore perceptions about receiving a medically-tailored meal delivery intervention during the 4th trimester (MamaMeals) among a diverse sample of peripartum individuals with food insecurity (FI).
3. To assess through a randomized trial the potential efficacy of the MamaMeals (nutritious, home-delivered meals) and MamaMatters (ehealth postpartum support) interventions on peripartum mood disorders (primary outcome), postpartum cardiometabolic risk\* (exploratory outcome), maternal wellbeing (exploratory outcome), and infant health (exploratory outcome) during the first 12 months following delivery. Hypothesis: Individuals who receive the MamaMeals + MamaMatters interventions will have lower Edinburgh Postpartum Depression Scale (EPDS) scores throughout the first 12 weeks postpartum compared to groups receiving only one intervention or the control group.

Conditions

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Postpartum Depression Postpartum Anxiety Weight Retention, Postpartum Nutritional and Metabolic Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized controlled trial
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Dual interventions

Receive both interventions: MamaMeals and MamaMatters Interventions

Group Type EXPERIMENTAL

Meals

Intervention Type OTHER

12 weeks of medically tailored meals

Meals + Social Support

Intervention Type OTHER

12 weeks of medically tailored meals and12 weeks of social media based support

Meals intervention only

MamaMeals

Group Type ACTIVE_COMPARATOR

Meals

Intervention Type OTHER

12 weeks of medically tailored meals

Control

Wait-list control (received MamaMeals between 16-20 weeks postpartum) (after primary data collection time point)

Group Type SHAM_COMPARATOR

Control

Intervention Type OTHER

Waitlist Control Group (no intervention for first 4 months and then receive MamaMeals between 16-20 weeks postpartum)

Interventions

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Meals

12 weeks of medically tailored meals

Intervention Type OTHER

Meals + Social Support

12 weeks of medically tailored meals and12 weeks of social media based support

Intervention Type OTHER

Control

Waitlist Control Group (no intervention for first 4 months and then receive MamaMeals between 16-20 weeks postpartum)

Intervention Type OTHER

Other Intervention Names

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MamaMeals MamaMeals + MamaMatters

Eligibility Criteria

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Inclusion Criteria

* screen positive for food insecurity or qualify for any of the following governmental assistance programs Medicaid, WIC, SNAP, TANF,
* speak English,
* are between 20-40 completed weeks of pregnancy,
* are ages 18 years or older.

Exclusion Criteria

* type 1 diabetes
* dietary contraindications (e.g., severe food allergy, or inflammatory bowel disease, celiac disease, chronic renal disease, bariatric surgery, short bowel syndrome)
* an active eating disorder (self-reported)
* hospitalization in the past 12 months for a mental health concern
* a history of postpartum psychosis
* Individuals with a history of being banned from any social media site will also be excluded.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Texas Tech University Health Sciences Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Texas Tech University Health Sciences Center

Amarillo, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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A22-4290

Identifier Type: -

Identifier Source: org_study_id

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