Grant Number:	5R01HD037368-03 Interpret this number
Primary Investigator:	Peterson, Karen
Organization:	Harvard University (Sch Of Public Hlth)
Project Title:	Reducing Disease Risk in Low Income Postpartum Women
Fiscal Year:	2001

The postpartum period is a window of opportunity to promote behaviors to reduce risk of chronic disease and benefit reproductive health, through interventions that address multiple levels of influence in the social context of low-income women. This study will test the efficacy of an education model delivered by community-based paraprofessionals from the Expanded Food and Nutrition Program (EFNEP). This educational program aims to improve dietary and activity patterns among low income, multi- ethnic women over a 12-mo postpartum period, followed by a 6-mo maintenance period. Women will be recruited through the Special Supplemental Food Program for Women, Infants, and Children (WIC) and randomized to: l) Usual WIC Care, consisting of nutrition-risk appropriate and breastfeeding educational messages at the first postpartum and follow-up visits; 2) Enhanced EFNEP, consisting of Usual WIC Care plus a three-component intervention including 4 home visits and 4 group cooking and activity classes delivered by EFNEP paraprofessionals, and monthly motivational telephone calls made by project staff. During a 6-mo maintenance period, staff will make calls bi-monthly. Primary study Outcomes assessed at 4 time points (2-6 wk and 6, 12, 18 mo postpartum) include: a) fruit and vegetable intake; b) saturated fat intake; c) physical activity; secondary outcomes are Body Mass Index and indicators of fat mass and distribution. Statistical analysis will include explorations of mediating and modifying factors including social support and norms, perceived health status, smoking, television viewing, food insecurity, food/activity access, and utilization of federal programs and health care. Using existing federal programs for low income families as channels, intervention components specifically address influences that mediate adoption of healthy diet and activity behaviors among multi-ethnic, postpartum women. If efficacious, this program can be readily disseminated through the existing community organizations in which it is being tested.




Influence of social context on eating, physical activity, and sedentary behaviors of Latina mothers and their preschool-age children.
Authors: Lindsay A.C. , Sussner K.M. , Greaney M.L. , Peterson K.E. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2009 Feb; 36(1), p. 81-96.
PMID: 18689491
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The influence of maternal acculturation on child body mass index at age 24 months.
Authors: Sussner K.M. , Lindsay A.C. , Peterson K.E. .
Source: Journal Of The American Dietetic Association, 2009 Feb; 109(2), p. 218-25.
PMID: 19167948
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The influence of immigrant status and acculturation on the development of overweight in Latino families: a qualitative study.
Authors: Sussner K.M. , Lindsay A.C. , Greaney M.L. , Peterson K.E. .
Source: Journal Of Immigrant And Minority Health / Center For Minority Public Health, 2008 Dec; 10(6), p. 497-505.
PMID: 18373200
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The influence of acculturation on breast-feeding initiation and duration in low-income women in the US.
Authors: Sussner K.M. , Lindsay A.C. , Peterson K.E. .
Source: Journal Of Biosocial Science, 2008 Sep; 40(5), p. 673-96.
PMID: 18045509
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Individual and neighborhood differences in diet among low-income foreign and U.S.-born women.
Authors: Dubowitz T. , Subramanian S.V. , Acevedo-Garcia D. , Osypuk T.L. , Peterson K.E. .
Source: Women's Health Issues : Official Publication Of The Jacobs Institute Of Women's Health, 2008 May-Jun; 18(3), p. 181-90.
PMID: 18222706
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Nativity and duration of time in the United States: differences in fruit and vegetable intake among low-income postpartum women.
Authors: Dubowitz T. , Smith-Warner S.A. , Acevedo-Garcia D. , Subramanian S.V. , Peterson K.E. .
Source: American Journal Of Public Health, 2007 Oct; 97(10), p. 1787-90.
PMID: 17761585
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Lifecourse, immigrant status and acculturation in food purchasing and preparation among low-income mothers.
Authors: Dubowitz T. , Acevedo-Garcia D. , Salkeld J. , Lindsay A.C. , Subramanian S.V. , Peterson K.E. .
Source: Public Health Nutrition, 2007 Apr; 10(4), p. 396-404.
PMID: 17362536
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Motivational interviewing in community-based research: experiences from the field.
Authors: Hecht J. , Borrelli B. , Breger R.K. , Defrancesco C. , Ernst D. , Resnicow K. .
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 2005 Apr; 29 Suppl, p. 29-34.
PMID: 15921487
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Design of an intervention addressing multiple levels of influence on dietary and activity patterns of low-income, postpartum women.
Authors: Peterson K.E. , Sorensen G. , Pearson M. , Hebert J.R. , Gottlieb B.R. , McCormick M.C. .
Source: Health Education Research, 2002 Oct; 17(5), p. 531-40.
PMID: 12408198
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