NCT02873481

Brief Summary

This is a pilot longitudinal mixed-methods study of pregnant women (n=20) who participate in CPC+Y at the VCU Health System Nelson Clinic or the Virginia Department of Health Richmond Health District's prenatal clinic (RHD) during their pregnancies. This pilot project will provide the necessary preliminary data to fuel an appropriately powered randomized controlled trial to evaluate the effects of CPC+Y in controlling weight gain, enhancing stress resilience, and improving maternal-child outcomes among overweight/obese diverse women. Because increasing physical activity has been found to have important mental health effects and maternal-child outcomes, it stands to reason that this innovative intervention has the potential to impact the way prenatal care is delivered in high risk populations.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40

participants targeted

Target at below P25 for not_applicable pregnancy

Timeline
Completed

Started Jul 2015

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2015

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

April 5, 2016

Completed
5 months until next milestone

First Posted

Study publicly available on registry

August 19, 2016

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2016

Completed
1.5 years until next milestone

Results Posted

Study results publicly available

June 6, 2018

Completed
Last Updated

June 6, 2018

Status Verified

June 1, 2018

Enrollment Period

1.4 years

First QC Date

April 5, 2016

Results QC Date

May 2, 2017

Last Update Submit

June 4, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Feasibility of Retention/ Adherence

    Numbers of women who stayed in the study through their pregnancy and attended all intervention sessions

    through study completion, an average of 20 weeks

Secondary Outcomes (6)

  • Self-efficacy for Physical Activity

    baseline (early pregnancy), end of pregnancy (approx 10 months)

  • Salivary Biomarkers (α-amylase)

    baseline (early pregnancy), mid-pregnancy (approx 4-5 months), end of pregnancy (approx 10 months)

  • Depressive Symptoms

    baseline (early pregnancy), end of pregnancy (approx 10 months)

  • Stress

    baseline (early pregnancy), end of pregnancy (approx 10 months)

  • Number of Subjects Participating in Focus Group

    at intervention completion, an average of 20 weeks

  • +1 more secondary outcomes

Study Arms (2)

Yoga (CPC+Y)

EXPERIMENTAL

Women in Centering Pregnancy Care (CPC) will receive the intervention which is a 30 minute yoga sessions during each of the 2-hour CPC meetings (CPC+Y)

Behavioral: Centering Pregnancy Care plus Yoga (CPC+Y)

Comparison (CPC alone)

NO INTERVENTION

To strengthen our ability to examine causal relationships between the intervention and outcomes, we will use longitudinal comparison group data contributed from deidentified archival data from an existing IRB-approved study (PI: Masho) which includes pregnant women who participated in the CPC model of care alone (without the yoga component) and were followed throughout their pregnancies using numerous measures identical to those in the proposed study, including weight/BMI, depressive symptoms, anxiety, and stress.

Interventions

Gentle prenatal yoga for 30 minutes at the end of the Centering Pregnancy Care session

Yoga (CPC+Y)

Eligibility Criteria

Age18 Years - 55 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • pregnant women age 18 years or older
  • currently participating in CPC at the VCU Health System Nelson Clinic or Richmond Health District

You may not qualify if:

  • current physical conditions preventing participation in physical activity (ACOG guidelines: restrictive lung disease, hemodynamically significant heart disease, incompetent cervix, multiple gestation at risk of premature labor, persistent 2nd or 3rd trimester bleeding, placenta previa after 26 weeks gestation, premature labor, ruptured membranes, preeclampsia, severe anemia)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Virginia Commonwealth University School of Nursing

Richmond, Virginia, 23298, United States

Location

MeSH Terms

Interventions

Yoga

Intervention Hierarchy (Ancestors)

Mind-Body TherapiesComplementary TherapiesTherapeuticsSpiritual TherapiesExercise Movement TechniquesPhysical Therapy Modalities

Results Point of Contact

Title
Dr. Patricia Kinser, Assistant Professor
Organization
Virginia Commonwealth University School of Nursing

Study Officials

  • Patricia Kinser, PhD

    VCU

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

April 5, 2016

First Posted

August 19, 2016

Study Start

July 1, 2015

Primary Completion

December 1, 2016

Study Completion

December 1, 2016

Last Updated

June 6, 2018

Results First Posted

June 6, 2018

Record last verified: 2018-06

Locations