Cognitive-Behavioral Intervention to Increase Tummy Time Practice and Maintain Healthy Weight in Infants

NCT ID: NCT06616467

Last Updated: 2025-02-20

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

144 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-02

Study Completion Date

2025-08-31

Brief Summary

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Childhood obesity is a serious health problem worldwide evidenced by its high prevalence, specifically for the age group called the first 1000 days of life. This condition has serious consequences on the health of infants who suffer from it, being a precursor for the development of diseases such as diabetes and hypertension. For this reason, international organizations have proposed physical activity as a priority component for the prevention of childhood obesity. The objective of this study is to evaluate the preliminary effect of an intervention based on social cognitive theory aimed at Mexican mothers with children under six months of age to increase the practice of Tummy Time and maintain the healthy weight of the infant compared to usual care. The methodology will be a pilot randomized clinical trial with randomization to the Experimental Group and Control Group, the intervention will be with a single-blind approach and repeated measurements. A non-probabilistic sampling will be used for convenience and the sample will be 144 participants who will be dyads of mothers and children who are in the immediate postpartum hospitalized in a second-level hospital in Mexico.

Detailed Description

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Conditions

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Obesity/therapy Prevention and Control

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The present research will be a phase II intervention study (Gitlin \& Czaja, 2016), of the Pilot Randomized Clinical Trial (RCT) type, because it is intended to manipulate the independent variable that will be the intervention that integrates the components of: knowledge, beliefs, infant temperament, self-efficacy and sedentary practices, to measure the effect on the variables dependent on Tummy Time practice practice and healthy weight control. The Experimental Group (EG) and Control Group (CG) will be randomized, the intervention will be with a single-blind approach and repeated measurements (Grove \& Burns, 2015).
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Tummy Time Group

This group will receive the 12-week intervention, which will have follow-up measurements during the implementation of the intervention.

Group Type EXPERIMENTAL

Tummy Time for the prevention of childhood obesity

Intervention Type BEHAVIORAL

A cognitive-behavioral intervention aimed at mothers of infants is presented that aims to increase the practice of TT and maintain a healthy weight in the infant, called \"Tummy Time for the prevention of childhood obesity\", within the intervention modifiable variables are involved that directly impact the expected results such as: the knowledge and beliefs of the mothers, infant temperament, parental self-efficacy and self-efficacy for the practice of TT.

The intervention lasts 12 weeks from the first contact with the participants and consists of eight sessions broken down as follows: the first session is presented in a face-to-face format with expository, audiovisual and demonstrative means; sessions two, four, five and seven are provided through a text message with use WhatsApp® and the use of visual media. Sessions three, six and eight are delivered via telephone call with the aim of offering feedback on the doubts generated up to that point.

Hospital Group

This group receives the usual hospital care where the mother is provided with general information on breastfeeding, vaccination and infant screening.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Tummy Time for the prevention of childhood obesity

A cognitive-behavioral intervention aimed at mothers of infants is presented that aims to increase the practice of TT and maintain a healthy weight in the infant, called \"Tummy Time for the prevention of childhood obesity\", within the intervention modifiable variables are involved that directly impact the expected results such as: the knowledge and beliefs of the mothers, infant temperament, parental self-efficacy and self-efficacy for the practice of TT.

The intervention lasts 12 weeks from the first contact with the participants and consists of eight sessions broken down as follows: the first session is presented in a face-to-face format with expository, audiovisual and demonstrative means; sessions two, four, five and seven are provided through a text message with use WhatsApp® and the use of visual media. Sessions three, six and eight are delivered via telephone call with the aim of offering feedback on the doubts generated up to that point.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Mother-child dyads that are in the postpartum
* mothers who declare that they know how to read and write in spanish
* have an electronic device (cell phone, tablet or computer),
* have an internet connection.
* Have the social network WhatsApp®
* Agree to participate voluntarily evidenced by informed consent will be considered

Exclusion Criteria

* Women who report having received information about TT one month before the intervention.
* Women who are actively participating in programs related to early stimulation
* Who declare that they have a premature infant born before 37 SDG,
* who has a low birth weight \<2,500g,
* who has a medical condition or complication at birth that impacts their physical mobility and
* who has chronic health problems or congenital anomalies.
Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Universidad de la Sabana

OTHER

Sponsor Role collaborator

Universidad Autonoma de Nuevo Leon

OTHER

Sponsor Role lead

Responsible Party

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Gabriela Iveth Martínez Figueroa

Master in Nursing

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Velia M Cárdenas Villarreal, PhD

Role: STUDY_DIRECTOR

Universidad Autonoma de Nuevo León

Jorge A Mayo Abarca, Master

Role: STUDY_CHAIR

Universidad Autonoma de Nuevo León

Gloria Carvajal Carrascal, PhD

Role: STUDY_CHAIR

Universidad de la Sabana

Locations

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Hospital Universitario Dr. Jose Eleuterio Gonzalez

Monterrey, Nuevo León, Mexico

Site Status

Countries

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Mexico

References

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Related Links

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https://www.amai.org/NSE/index.php

Mexican Association of Market Intelligence and Opinion Agencies

https://apps.who.int/iris/bitstream/handle/10665/250750/9789243503271-spa.pdf;sequence=1

Establishment of priority areas of action for the prevention of Childhood Obesity.

https://www.paho.org/hq/dmdocuments/2009/Module_C_final.pdf

WHO Child Growth Patterns: Training Course on Child Growth Assessment

https://www.diputados.gob.mx/LeyesBiblio/regley/Reg_LGS_MIS.pdf

Regulation of the General Health Law on Health Research. DOF 02-04-2014

Other Identifiers

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FAEN-D-2016

Identifier Type: -

Identifier Source: org_study_id

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