The Expecting intervention as delivered in prior studies in a clinical setting is described in a previous approved IRB submission (Protocol 202954). The current project will seek to engage community stakeholders to translate Expecting to a community-delivered intervention and to test its acceptability, feasibility, and fidelity in a proof of principle study with 60 expecting mothers.
The aim of this study is to adapt and determine acceptability, feasibility and fidelity of the research- clinic-based Expecting intervention with pregnant women with obesity in community settings. Specifically, the investigators will show effective application of the Replicating Effective Programs (REP) framework (e.g., fidelity, feasibility, acceptability) to translate the research clinic-based intervention to community settings. REP provides a four-phase process for implementing evidence-based interventions and has demonstrated effective application to translate clinical interventions to community settings. Built into the REP framework is the collection of feedback from community stakeholders, iterative piloting of the intervention in the community, and a process for standardizing the intervention across community settings. Following adaptation, the updated intervention will be piloted. The pilot study will include 60 expecting women. The investigators will randomize half to receive the community-adapted Expecting intervention (Intervention, N=30) and half to receive standard of care (Control, N=30).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
60
Women in this group will participate in psychical activity 3 times per week in their community setting.
Arkansas Children's Nutrition Center
Little Rock, Arkansas, United States
RECRUITINGFeasibility of Intervention Measure:38 weeks
Attitudinal Implementation Outcome on a 1 to 5 scale
Time frame: 38 weeks
Acceptability of Intervention Measure: 38 weeks
Attitudinal Implementation Outcome on a 1 to 5 scale
Time frame: 38 weeks
Number of intervention sessions completed
Measured with attendance records
Time frame: 15 weeks through 38 weeks
Number of minutes of physical activity
Measured with Actical
Time frame: Change from Baseline to Delivery and 6 Months Post Delivery
Body Mass Index
Collected from Medical Record, weight and height will be combined to report BMI in kg/m\^2
Time frame: Change from Baseline to Delivery and 6 Months Post Delivery
Blood Pressure
Collected from Medical Record
Time frame: Change from Baseline to Delivery and 6 Months Post Delivery
Total Cholesterol from Lipid Panel
Collected from Medical Record
Time frame: Change from Baseline to Delivery and 6 Months Post Delivery
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