The First 1,000 Days Program: Maternal-Child Obesity Prevention in Early Life

N/ACompletedNCT03191591

Massachusetts General Hospital1,645 enrolled

Overview

The First 1000 Days (conception to age 2) is a crucial period for the development and prevention of obesity and its adverse consequences in mother-child pairs and their families. The overall aim of the First 1000 Days program is to work across early-life systems to prevent obesity, promote healthy routines and behaviors, address social determinants of health, and reduce health disparities among vulnerable children and families at community health centers in the Boston, MA area. The study aims to simultaneously implement and evaluate an obesity prevention program across early life systems to reduce the prevalence of obesity risk factors within racial/ethnic minority families, close the gap in maternal-child health disparities, and assess and address social determinants of health.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Enrollment

1,645

Conditions

Overweight and Obesity Social Determinants of Health Physical Activity Sleep

Interventions

First 1,000 Days Program SiteBEHAVIORAL

Program components will include 1) Enhancements to and improved use of electronic health records to improve the quality of preventive services and screening for social determinants of health; 2) Staff and provider training; 3) Consistent behavior change messaging; 4) Patient education via print materials, text messaging and short videos; and 5) Strengthening the integration of clinical and public health services to support behavior change and address social determinants of health.

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * All pregnant women receiving prenatal care at select community health centers in the Boston, MA area * All families of children aged 0-2 years receiving pediatric care at select community health centers in the Boston, MA area

Outcomes

Primary Outcomes

Maternal Gestational Weight Gain

Weight gained during pregnancy

Time frame: First prenatal care visit to 36 weeks gestation

Infant Weight-for-Length Z-Score

Age- and sex-specific weight-for-length z-score

Time frame: Child age 6 months

Infant Weight-for-Length Z-score

Age- and sex-specific weight-for-length z-score

Time frame: Child age 12 months

Infant Weight-for-Length Z-Score

Age- and sex-specific weight-for-length z-score

Time frame: Child age 24 months