The Healthy Lifestyles Passport Program: a Nutrition Education Program to Prevent Childhood Obesity

Bronx-Lebanon Hospital Center Health Care System150 enrolled

Overview

The purpose of this study is to evaluate the effectiveness of the Healthy Lifestyles Passport Program (HLPP) in preventing infant and childhood obesity. It is hypothesized that the participants in the intervention arm will exhibit less excessive weight-for-length gain from 4- to 6-months of age. In 2-years and 5-years, it is predicted that the participants in the intervention arm will yield lower Body Mass Index (BMI) z-scores than the participants in the control arm, who receive usual care.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

150

Conditions

Childhood Obesity

Interventions

Healthy Lifestyles PassportOTHER

The participants will be provided with the Healthy Lifestyles Passport, and with each corresponding page, there will be an activity. Each participant in the Healthy Lifestyles Passport arm will receive the same education.

Eligibility

Sex: FEMALE

Medical Language ↔ Plain English

Inclusion Criteria: * pregnant women during the third trimester (\>28 weeks gestation) receiving care in the institution's Women's Health Center * no medical conditions complicating their pregnancy * must be able to communicate in English or Spanish * be reachable by phone * plan to be the consistent caretaker of the child at least 75% of the time * plan to attend the institution's pediatric outpatient clinic for the child's routine healthcare Exclusion Criteria: * Child with any disabling or chronic illnesses * Any existing and/or pre-existing disabling or chronic illnesses that would qualify the mother as "high risk" * Wards of the state * Mothers with a disabling/serious chronic illness * Drug/alcohol use during pregnancy

Locations (1)

Bronx-Lebanon Hospital Center

The Bronx, New York, United States

Outcomes

Primary Outcomes

Change in child's gender-specific weight-for-length (WFL) z-score

The child's weight and length will be extracted from the medical record at the child's 4-month and 6-month old office visit and the weight-for-length z-scores will be calculated. The difference between each arm's z-score will be compared.

Time frame: 4-months to 6-months of the child's age

Secondary Outcomes

Child's Body Mass Index (BMI)

At 2-years and 5-years of age, the child's height and weight will be extracted from the medical record and BMI will be calculated. Each arm's BMI z-score will then be compared.

Time frame: At 2-years and 5-years of the child's age.

Mother's Knowledge, Skill, Attitude and Behavior.

At baseline, all participants will answer a battery of questionnaires, including a pre-test and the "Newest Vital Sign" assessment tool. The day after the intervention, a post-test will be administered over the phone to the participants in both arms. Two months after the baby is born the same post-test and the "Newest Vital Sign" assessment tool will be administered in person.

Time frame: Baseline, day after the intervention and two months after the baby is born.

Central Contacts

Tara N Scheiner, MS, RD

CONTACT

718-960-1416 Tschein@bronxleb.org

Data from ClinicalTrials.gov

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