NCT06272045

Brief Summary

Early Intervention to Promote Cardiovascular Health of Mothers and Children (ENRICH) is a cluster randomized clinical trial, funded by the National Heart Lung \& Blood Institute. The study is designed to test the effectiveness of home visiting intervention to promote cardiovascular health and reduce disparities in maternal and early childhood cardiovascular health. Sites, in partnership with evidence-based home visiting programs, are recruiting 6618 participants in total (i.e., 3309 mother-child dyads which includes 3309 mothers and 3309 children) from diverse community settings with a high burden of cardiovascular disease risk factors.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
6,618

participants targeted

Target at P75+ for not_applicable

Timeline
35mo left

Started Jun 2024

Longer than P75 for not_applicable

Geographic Reach
1 country

9 active sites

Status
recruiting

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress39%
Jun 2024Mar 2029

First Submitted

Initial submission to the registry

February 15, 2024

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 22, 2024

Completed
4 months until next milestone

Study Start

First participant enrolled

June 19, 2024

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 30, 2028

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

March 30, 2029

Last Updated

April 13, 2026

Status Verified

April 1, 2026

Enrollment Period

3.8 years

First QC Date

February 15, 2024

Last Update Submit

April 7, 2026

Conditions

Keywords

Home visiting, cardiovascular health, prevention, maternal-child health

Outcome Measures

Primary Outcomes (4)

  • Parent physical activity

    Time spent in moderate and vigorous physical activity in parent participants

    12 months after birth

  • Parent diet measured by Mediterranean Eating Pattern for Americans (MEPA) scale

    Diet quality among parent participants as measured by Mediterranean Eating Pattern for Americans (MEPA) scale. The MEPA is a 16-item dietary screener designed to assess accordance with the Mediterranean-like diet patterns during the past 7 days among adults. A score of '0' will be given if the scoring condition is not met and a score of '1' will be given if the scoring condition is met. A score of '1' for any given item was indicative of Mediterranean-like diet accordance. If any condition was not met, a score of '0' was recorded for that item. The total MEPA score could range from 0 to 16. Scores will be converted to points on a 100-point scale based on quantiles of the 16-item measure. For example, scores from 0-3 (0 points), 4-7 (25 points), 8-11 (50 points), 12-14 (80 points), and 15-16 (100 points). Higher scores mean that the adult's diet is similar to a Mediterranean diet.

    12 months after birth

  • Parent body mass index

    Body mass index (BMI) of parent participants

    12 months after birth

  • Parent blood pressure

    blood pressure (BP) in parent participants

    12 months after birth

Secondary Outcomes (1)

  • Child body mass index

    24 months old

Study Arms (2)

ENRICHed home visiting

EXPERIMENTAL

Home Visiting with the addition of cardiovascular health promotion content

Behavioral: ENRICH

Usual Home Visiting

ACTIVE COMPARATOR

Usual home visiting without cardiovascular health promotion content

Behavioral: Usual Home Visiting

Interventions

ENRICHBEHAVIORAL

In the ENRICH intervention, home visitors will incorporate heart health information and activities into routine home visits beginning in pregnancy and continuing until children turn 2 years old. The intervention includes 1) Information and resources on topics such as healthy eating, physical activity, weight management, tobacco use, healthy sleep and stress reduction, 2) tools like scales, Fitbits, and blood pressure monitors to facilitate self-monitoring, and 3) activities and information focused on infant nutrition, feeding, healthy growth, sleep, play and emotions and soothing.

ENRICHed home visiting

Usual home visiting without cardiovascular health promotion content

Usual Home Visiting

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Be currently enrolled in an evidence-based home visiting program participating in ENRICH
  • Be pregnant, with a single or multifetal gestation, at or less than 34 weeks 0 days gestation (per self-report at time of consent)
  • Be 18 years of age or older
  • Speak English or Spanish

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

RECRUITING

California Polytechnic State University

San Luis Obispo, California, 93407, United States

RECRUITING

University of Colorado

Aurora, Colorado, 80204, United States

RECRUITING

Northwestern University

Chicago, Illinois, 60208, United States

RECRUITING

Washington University in St. Louis

St Louis, Missouri, 63130, United States

RECRUITING

Wake Forest University

Winston-Salem, North Carolina, 27109, United States

RECRUITING

University of Pittsburgh

Pittsburgh, Pennsylvania, 15260, United States

RECRUITING

Pennsylvania State University

State College, Pennsylvania, 16801, United States

RECRUITING

Brown University/Lifespan

Providence, Rhode Island, 02903, United States

RECRUITING

Central Study Contacts

Lori Burrell, MSW

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Masking Details
cluster randomized at the home visiting supervisor level, stratified within home visiting agencies Participants are masked throughout the study enrollment process (e.g., recruitment, consent, and baseline data collection). Participant may become unmasked to treatment arm after enrollment.
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 15, 2024

First Posted

February 22, 2024

Study Start

June 19, 2024

Primary Completion (Estimated)

March 30, 2028

Study Completion (Estimated)

March 30, 2029

Last Updated

April 13, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share

Locations