Healthy Growth Abbreviated Pilot Study

Childhood Obesity Clinical Trial

Official title:

Abbreviated Pilot Trial of a Peer-Based Social Media Intervention to Promote Healthy Growth During Infancy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01977105
• Other study ID #: 12-009905
• Status: Completed
• Phase: N/A
• First received: September 30, 2013
• Last updated: February 4, 2014
• Start date: September 2013
• Est. completion date: December 2013

Study information

• Verified date: February 2014
• Source: Children's Hospital of Philadelphia
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

This is a single-group feasibility pilot trial of a peer-based, social media intervention to prevent obesity in infants.

Description:

This novel intervention, delivered to mothers primarily through private Facebook groups, will promote behavior change through peer and self-modeling photo/video activities.

In this study, we will implement an abbreviated 2-month version of the intervention with a single peer group of up to 10 mothers. We will assess the feasibility and acceptability of both the intervention and our intended outcome measures, in preparation for a randomized pilot trial of the full intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 9
• Est. completion date: December 2013
• Est. primary completion date: December 2013
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Women age 18 years and older

• Enrolled in Medicaid at the time of study enrollment

• Overweight or obese (BMI >= 25, calculated using self-reported pre-pregnancy height and weight)

• Subjects able to speak, read and write in English

• Attend their infant's (up to 1 month old) primary care visit at a CHOP Primary Care Network site

• Received prenatal care

• Own a smartphone with both a data and text plan

• Able to use their phone to obtain photographs and videos prior to enrollment

Exclusion Criteria:

• Cannot provide consent.

• Non-English speaking.

• Score 10 or greater on Patient Health Questionnaire (PHQ-9) measure for clinical depression

• Diagnosed with gestational diabetes during pregnancy with their newborn

• Had a multiple pregnancy.

• Premature delivery (before 37 weeks) of their newborn.

• Have a newborn who was hospitalized in the Neonatal Intensive Care Unit (NICU) for one week or longer.

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention

Related Conditions & MeSH terms

• Childhood Obesity
• Pediatric Obesity

Intervention

Behavioral:
• Grow Together peer group
Participants in this intervention will: Participate in Facebook group of 6-10 peers for about 8 weeks, led by a professional group mentor. Complete an intervention video activity approximately weekly: 1. View educational videos addressing topics related to healthy infant growth 2. Create photos/videos modeling healthy behaviors and post them to the group 3. Provide and receive feedback on posts 4. Be encouraged to share information with key caregivers of their child Attend group party soon after enrollment, to meet peers and group leader in person. Receive text message reminders, 1) to schedule recommended primary care visits for their infant, and 2) to attend appointments scheduled in CHOP Care Network. Have basic program information provided to pediatrician to enhance conversation during office visits.

Locations

Country	Name	City	State
United States	The Children's Hospital of Philadelphia	Philadelphia	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
Children's Hospital of Philadelphia

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Infant feeding beliefs	Maternal beliefs regarding infant feeding will be measured using the Infant Feeding Style Questionnaire (IFSQ), which contains 10 items measuring beliefs, coded on a 5-point scale (disagree, slightly disagree, neutral, slightly agree, agree).	Study start (enrollment to approximately 1 week) and study end (approximately 8 weeks)	No
Other	Infant feeding practices	Maternal behaviors related to infant feeding will be measured using 10 items on the Infant Feeding Style Questionnaire (IFSQ). Behavior items are coded on a 5-point scale (never, seldom, half of the time, most of the time, always).; Also, four items from the validated Infant Feeding Practices Questionnaire (IFPQ) will be used to assess maternal feeding practices related to obesity. The IFPQ contains 20 items, with a 5-point adapted Likert response scale ranging from 0 (Never) to 4 (Always).	Study start (enrollment to approximately 1 week) and study end (approximately 8 weeks)	No
Other	Breastfeeding survey	Breastfeeding intent, initiation, and duration will be assessed using a survey	Study start (enrollment to approximately 1 week) and study end (approximately 8 weeks)	No
Other	Introduction of solid foods and sugar-sweetened beverages	Timing of initiation of solid foods and sugar sweetened beverages will be assessed using a survey.	Study end (approximately 8 weeks)	No
Other	Infant sleep behaviors	Infant sleeping and related maternal activities will be measured using the validated Brief Infant Sleep Questionnaire (BISQ). Subjects will complete the abbreviated 13-item BISQ (A-BISQ), as well as 2 additional questions from the expanded version (E-BISQ).	Study end (approximately 8 weeks)	No
Other	Parenting self-efficacy	The Karitane Parenting Confidence Scale (KPCS) is a 15-item validated scale that will be used to measure parenting self-efficacy. Questions assess the frequency of certain beliefs, skills and abilities related to successful parenting, measured using a 4-point response structure (No, hardly ever; No, not very often; Yes, some of the time; Yes, most of the time).	Study end (approximately 8 weeks)	No
Other	Positive parenting behaviors	Mothers will be assessed regarding specific parenting practices using the 10-item Infant/Toddler (IT) Home Observation for Measurement of the Environment (HOME) Inventory. Individual responses for each yes/no item are coded to 0 or 1.	Study end (approximately 8 weeks)	No
Other	Maternal self-care behaviors	Mothers will be asked 11 questions related to their self-care behaviors, including their own sleep habits, support-seeking behaviors, and taking time for themselves. These items are a combination of Likert-scaled items and simple measures of the frequency of behaviors.	Study end (approximately 8 weeks)	No
Other	Maternal social support	Mothers' level of social support will be assessed using the Multidimensional Scale of Perceived Social Support (MSPSS). This validated scale is made up of 12 items. Responses for this scale are coded from 1 to 7 (very strongly disagree, strongly disagree, mildly disagree, neutral, mildly agree, strongly agree, and very strongly agree).	Study start (enrollment to approximately 1 week) and study end (approximately 8 weeks)	No
Other	Maternal stress	The Parental Stress Scale (PSS) is a validated, 18-item public domain scale measuring perceived parental stress using a 5-point Likert rating scale ('Strongly disagree' to 'strongly agree').	Study end (approximately 8 weeks)	No
Other	Infant weight and growth	Infants' weight will be measured using using a calibrated digital scale and length will be measured using a standard infantometer. Measurements will be taken by a trained nurse or other trained staff member at the primary care recruitment sites, or by a member of the study staff trained in anthropometric measures.	Study start (enrollment visit) and study end (approximately 8 weeks)	No
Primary	Intervention Acceptability Survey	Satisfaction with the overall intervention will be assessed for mothers using a standard survey. Subjects will be asked a series of open-ended and Likert-scaled questions.	Study end (approximately 2 months)	No
Primary	Study population eligibility and interest	Proportion of all mothers contacted who meet enrollment criteria; Proportion of mothers meeting enrollment criteria who enroll; These proportions will be calculated using study recruitment records.	Study end (approximately 2 months)	No
Primary	Participant engagement	Proportion of enrolled mother-infant dyads that comply with intervention participation requirements; Proportion of enrolled mother-infant dyads that complete each weekly module activity; Proportion of enrolled mother-infant dyads that complete each study measure; Number and type of each participant's Facebook group interactions per week (posts, comments, "Likes"); Frequency, type, and content of each contact between moderator/study staff and each participant; This study process data will be obtained from the Facebook group and study records at study end.	Study end (approximately 2 months)	No
Primary	Week 1 Curriculum Module Acceptability Survey	Subjects will assess the Week 1 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.	1 week (approximately)	No
Primary	Week 2 Curriculum Module Acceptability Survey	Subjects will assess the Week 2 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.	2 weeks (approximately)	No
Primary	Week 3 Curriculum Module Acceptability Survey	Subjects will assess the Week 3 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.	3 weeks (approximately)	No
Primary	Week 4 Curriculum Module Acceptability Survey	Subjects will assess the Week 4 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.	4 weeks (approximately)	No
Primary	Week 5 Curriculum Module Acceptability Survey	Subjects will assess the Week 5 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.	5 weeks (approximately)	No
Primary	Week 6 Curriculum Module Acceptability Survey	Subjects will assess the Week 6 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.	6 weeks (approximately)	No
Primary	Week 7 Curriculum Module Acceptability Survey	Subjects will assess the Week 7 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.	7 weeks (approximately)	No
Primary	Week 8 Curriculum Module Acceptability Survey	Subjects will assess the Week 8 curriculum activity module using a short (approximately 10-item) survey consisting of Likert-scaled and open-ended questions.	8 weeks (approximately)	No