Grant Details
| Grant Number: | 3R01HD037368-04S3 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: | 2004 |
Abstract
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.
Publications
The influence of maternal acculturation on child body mass index at age 24 months.
Authors: Sussner KM, Lindsay AC, Peterson KE
Source: J Am Diet Assoc, 2009 Feb;109(2), p. 218-25.
PMID: 19167948
Related Citations
Grant Numbers:
| NICHD NIH HHS - R01 HD37368 |
MeSH Terms:
Influence of social context on eating, physical activity, and sedentary behaviors of Latina mothers and their preschool-age children.
Authors: Lindsay AC, Sussner KM, Greaney ML, Peterson KE
Source: Health Educ Behav, 2009 Feb;36(1), p. 81-96.
EPub date: 2008 Aug 8.
PMID: 18689491
Related Citations
Grant Numbers:
| NCI NIH HHS - R03 CA108347-01 | NICHD NIH HHS - R03 HD37368 |
MeSH Terms:
The influence of immigrant status and acculturation on the development of overweight in Latino families: a qualitative study.
Authors: Sussner KM, Lindsay AC, Greaney ML, Peterson KE
Source: J Immigr Minor Health, 2008 Dec;10(6), p. 497-505.
PMID: 18373200
Related Citations
Grant Numbers:
| NCI NIH HHS - R03 CA108347-01 | NICHD NIH HHS - R01 HD37368 |
MeSH Terms:
Individual and neighborhood differences in diet among low-income foreign and U.S.-born women.
Authors: Dubowitz T, Subramanian SV, Acevedo-Garcia D, Osypuk TL, Peterson KE
Source: Womens Health Issues, 2008 May-Jun;18(3), p. 181-90.
EPub date: 2008 Jan 28.
PMID: 18222706
Related Citations
Grant Numbers:
| NINDS NIH HHS - F31 NS046131-03 | NINDS NIH HHS - F31 NS046131-02 | NINDS NIH HHS - F31 NS046131-01 |
| NICHD NIH HHS - 1 R01 HD37368-01 |
MeSH Terms:
The influence of acculturation on breast-feeding initiation and duration in low-income women in the US.
Authors: Sussner KM, Lindsay AC, Peterson KE
Source: J Biosoc Sci, 2008 Sep;40(5), p. 673-96.
EPub date: 2007 Nov 29.
PMID: 18045509
Related Citations
Grant Numbers:
| NICHD NIH HHS - R01 HD37368 |
MeSH Terms:
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 SA, Acevedo-Garcia D, Subramanian SV, Peterson KE
Source: Am J Public Health, 2007 Oct;97(10), p. 1787-90.
EPub date: 2007 Aug 29.
PMID: 17761585
Related Citations
Grant Numbers:
| PHS HHS - 5T76 MC 00001 | NINDS NIH HHS - F31-NS046161-02 | NHLBI NIH HHS - -K25-HL08-1275 |
| NICHD NIH HHS - 1 R01 HD37368-01 | NIMHD NIH HHS - 5P60MD-000207-04 |
MeSH Terms:
| Vegetables | Questionnaires | Humans |
| Boston | Ethnic Groups | Poverty |
| Adult | Diet | Fruit |
| Adolescent | Postpartum Period | Time Factors |
| Female |
Lifecourse, immigrant status and acculturation in food purchasing and preparation among low-income mothers.
Authors: Dubowitz T, Acevedo-Garcia D, Salkeld J, Lindsay AC, Subramanian SV, Peterson KE
Source: Public Health Nutr, 2007 Apr;10(4), p. 396-404.
PMID: 17362536
Related Citations
Grant Numbers:
| PHS HHS - 5T76 MC 00001 | NINDS NIH HHS - F31-NS046161-02 | NICHD NIH HHS - 1 R01 HD37368-01 |
| NIMHD NIH HHS - 5P60MD-000207-04 |
MeSH Terms:
Motivational interviewing in community-based research: experiences from the field.
Authors: Hecht J, Borrelli B, Breger RK, Defrancesco C, Ernst D, Resnicow K
Source: Ann Behav Med, 2005 Apr;29 Suppl, p. 29-34.
PMID: 15921487
Related Citations
Grant Numbers:
| NIAMS NIH HHS - 1AR01 45901 | NHLBI NIH HHS - R01 HL62165 | NIMH NIH HHS - 1 R01 MH59594-01 |
| NCRR NIH HHS - 5M01 RR00334 | NICHD NIH HHS - 1 R01 HD37368-01 | NIDCR NIH HHS - 1 R01 DE13093-01 |
MeSH Terms:
| Interview, Psychological | Motivation | Psychotherapy |
| Humans | Sampling Studies | Interdisciplinary Communication |
| Community-Institutional Relations | Alcohol Drinking |
Design of an intervention addressing multiple levels of influence on dietary and activity patterns of low-income, postpartum women.
Authors: Peterson KE, Sorensen G, Pearson M, Hebert JR, Gottlieb BR, McCormick MC
Source: Health Educ Res, 2002 Oct;17(5), p. 531-40.
PMID: 12408198
Related Citations
Grant Numbers:
| NICHD NIH HHS - R01 HD37368 | NIH HHS - OD-98-002 |
MeSH Terms:
