NCT03444415

Brief Summary

The main objective of this study is to evaluate the effect of an early and intensive intervention, based on techniques of effective counseling on healthy habits for parents, in order to reduce mean BMI at 2 years of age Secondly, the investigators will analyze the weighted increase of children's BMI, the eating habits of parents and children, duration of breastfeeding, physical activity level of parents and children and the children sleeping habits. In order to achieve it, the investigators have developed a randomized trial by Primary Care Centers, controlled by two parallel groups of study, open and multicenter study. The investigator team will recruit 414 pregnant women bwtween 12 and 16 weeks of gestation who will or will not receive an intervention, depending on their Primary Care Centers. The investigators will develop an intervention for parents, based on effective counseling techniques which are grounded on Motivational Interviewing approach with the objective of transmitting habits to reach a healthy lifestyle. The intervention consists in six workshops (90 minutes long), two prenatal and four postnatal, directed by professionals of the Field Researchers Basic Group (Family Practitioners, Pediatricians, Nurses and Midwives). Previously the field researchers will receive specialized training. This intervention will be compared to the usual model of care for children and women.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
414

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2015

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

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

November 1, 2015

Completed
2.1 years until next milestone

First Submitted

Initial submission to the registry

December 12, 2017

Completed
2 months until next milestone

First Posted

Study publicly available on registry

February 23, 2018

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2018

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2018

Completed
Last Updated

February 23, 2018

Status Verified

December 1, 2017

Enrollment Period

2.8 years

First QC Date

December 12, 2017

Last Update Submit

February 22, 2018

Conditions

Keywords

ObesityChildrenPregnancyMotivational interviewFamily CarePrimary Care

Outcome Measures

Primary Outcomes (1)

  • BMI

    The investigator team will collect weight and height, calculate the BMI and we will work out the BMI Z-score according to WHO growth standards.

    2 years of age

Secondary Outcomes (10)

  • Weight growth rate

    2 years of age

  • Food intake habits in parents

    2 years of age

  • Physical activity in parents:

    2 years of age

  • Smoking habit in parents (self-reported): measuring the percentage of parents who smoke, consumption of cigarettes per day, and their level of motivation to quit smoking through the Richmond Test.

    2 years of age

  • Anthropometry of parents:

    2 years of age

  • +5 more secondary outcomes

Study Arms (2)

Motivational interviewing in groups

EXPERIMENTAL

The Intervention is performed at Primary Care Centers by health professionals (General Practitioners, Nurses, Pediatricians and Midwives), during pregnancy and the first 2 years of the child. Researchers will be trained in motivational interviewing and group dynamics. Intervention consists of six 90 minutes workshops, two of those during pregnancy and the other four within the following two years after the birth of the children. They intend to encourage the shift towards healthy lifestyles to parents on issues related to diet, physical activity and smoking habit, encourage breastfeeding and increase their knowledge and self-efficacy to promote healthy habits regarding diet, physical activity and sleep habits of their children.

Other: Motivational interviewing in groups

Control Group

OTHER

Control Group: Usual Care as established in the "Programa Integral de Atención a la Mujer" (Comprehensive Program of Woman Assistance) and the "Programa de Atención al Niño Sano" (Well Child Program) in the Servicio Murciano de Salud. Parents will receive information about height, weight, and BMI percentile provided by a health professional during usual well child visits.

Other: Usual care

Interventions

Intervention consists of six 90 minutes workshops, two of those during pregnancy and the other four within the following two years after the birth of the children.

Motivational interviewing in groups

Parents will receive information about height, weight, and BMI percentile provided by a health professional during usual well child visits

Control Group

Eligibility Criteria

Age18 Years - 45 Years
Sexfemale(Gender-based eligibility)
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Attended in Primary Care Centers and not planning to change their place of residence in the period covered by the study.
  • Women over 18 years of age.
  • Gestational age between 12 and 16 weeks.
  • Women whose pregnancy is liable of follow-up in Primary Care.

You may not qualify if:

  • Women who cannot communicate in Spanish.
  • Women with metabolic diseases that modify their weight (diabetes, hypothyroidism, hyperthyroidism, etc.).
  • Maternal history of a serious medical or psychiatric illness or drug or alcohol abuse.
  • Multiple pregnancy.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Pedro Pérez López

Murcia, Alcantarilla-Sangonera, 30820, Spain

RECRUITING

MeSH Terms

Conditions

Obesity

Interventions

Motivational InterviewingPopulation Groups

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Directive CounselingCounselingMental Health ServicesBehavioral Disciplines and ActivitiesHealth ServicesHealth Care Facilities Workforce and ServicesDemographyPopulation Characteristics

Study Officials

  • Pedro Pérez López

    SMS

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Maria Gonzalez Barberá

CONTACT

mariagb94@gmail.com Gonzalez Barberá

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 12, 2017

First Posted

February 23, 2018

Study Start

November 1, 2015

Primary Completion

September 1, 2018

Study Completion

December 1, 2018

Last Updated

February 23, 2018

Record last verified: 2017-12

Locations