The overarching research question is: "Does the provision of healthy food (Delivering HOPE) during pregnancy reduce the proportion of women who experience excessive gestational weight gain compared with enhanced standard of care (ESoC)?" To answer this question, the investigators will conduct a large multi-site randomized controlled trial with 1,440 women. Women will be randomized to either the Delivering HOPE arm or the ESoC arm, with approximately 720 participants per arm. Participants randomized to the ESoC arm will receive the standard clinical protocol for nutritional and gestational weight gain counseling recommended for all pregnant women, WIC and SNAP enrollment assistance, referrals to safety net food organizations.Those randomized to the Delivering HOPE arm will be provided the same nutritional and gestational weight gain counseling, WIC and SNAP assistance, and food referrals, as well as a total of $1000/$2000/$3000 (depending on household size) during pregnancy to be used specifically for the purchase of healthy foods recommended in the nutritional counseling. Data for the primary outcome (pre-pregnancy weight and weight at delivery) will be collected from birth records.
The overarching research question is: "Does the provision of healthy food (Delivering HOPE) during pregnancy reduce the proportion of women who experience excessive gestational weight gain compared with enhanced standard of care (ESoC)?" To answer this question, the investigators will conduct a large multi-site randomized controlled trial with 1,440 women. Women will be randomized to either the Delivering HOPE arm or the ESoC arm, with approximately 720 participants per arm. Participants randomized to the ESoC arm will receive the standard clinical protocol for nutritional and gestational weight gain counseling recommended for all pregnant women, WIC and SNAP enrollment assistance, referrals to safety net food organizations.Those randomized to the Delivering HOPE arm will be provided the same nutritional and gestational weight gain counseling, WIC and SNAP assistance, and food referrals, as well as a total of $1000/$2000/$3000 (depending on household size) during pregnancy to be used specifically for the purchase of healthy foods recommended in the nutritional counseling. Data for the primary outcome (pre-pregnancy weight and weight at delivery) will be collected from birth records.
Delivering HOPE (Helping Women Optimize Prenatal Equity)
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1st Choice Healthcare, Corning, Arkansas, United States, 72422
Olly Neal Community Health Center, Marianna, Arkansas, United States, 72360
Boston Mountain Rural Health Center, Marshall, Arkansas, United States, 72650
Mainline Health Systems, Monticello, Arkansas, United States, 71655
Jefferson Comprehensive Care System, Pine Bluff, Arkansas, United States, 71601
River Valley Primary Care Services, Ratcliff, Arkansas, United States, 72951
Community Clinic, Springdale, Arkansas, United States, 72764
East Arkansas Family Health Center, West Memphis, Arkansas, United States, 72301
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
For general information about clinical research, read Learn About Studies.
16 Years to 44 Years
FEMALE
Yes
University of Arkansas,
Pearl McElfish, PhD, PRINCIPAL_INVESTIGATOR, University of Arkansas
Lanita White, PharmD, PRINCIPAL_INVESTIGATOR, Community Health Centers of Arkansas
2029-12-31