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HMZ 2.0 Intervention for Pregnancy Weight Management (HMZ Two Trial)
N/A
Recruiting
Research Sponsored by Penn State University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be between 18 and 65 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up measured at study completion and once all participants have completed the study, which could be roughly 2 years after start of study
Awards & highlights
No Placebo-Only Group
Summary
This trial tests a new intervention & digital platform to see if it helps pregnant women manage their weight & improve outcomes for them & their babies.
Who is the study for?
This trial is for pregnant women aged 18-45, with a BMI of 25.0 to 45.0, living in specific areas of Pennsylvania. They must be at 8-15 weeks gestation and have their doctor's consent to participate. Women over a BMI of 40 will need extra checks from their healthcare provider.
What is being tested?
The study tests the HMZ 2.0 intervention against an attention control group to manage weight during pregnancy and improve mother-infant outcomes using daily self-monitoring and weekly sessions with dieticians versus pain management education.
What are the potential side effects?
Since this is a behavioral intervention focusing on education and lifestyle changes rather than medication or medical procedures, significant side effects are not anticipated beyond the normal risks associated with pregnancy.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ measured at study completion and once all participants have completed the study, which could be roughly 2 years after start of study
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~measured at study completion and once all participants have completed the study, which could be roughly 2 years after start of study
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Energy Intake (EI) Estimation (Back-Calculation of Energy Intake)
Gestational Weight Gain and Weight Change
Physical Activity (PA) and Sedentary Behavior
Secondary study objectives
Activity and Sleep Logs
Diet Quality
Implementation Markers: Clinician Stakeholder Facilitators and Barriers
+15 moreOther study objectives
Clinical/Safety Protocol: Blood Pressure/Urine
Clinical/Safety Protocol: Center for Epidemiological Studies Depression Scale
Clinical/Safety Protocol: Height
+1 moreAwards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: HMZ 2.0 Intervention GroupExperimental Treatment1 Intervention
HMZ 2.0 will be delivered by a registered dietitian in weekly didactic, one-on-one discussions in remote synchronous format (e.g., Zoom). If a subject has internet connectivity issues, she will be able to participate in the remote sessions from an onsite location (e.g., laboratory space on the Penn State University Park campus, clinical space at Hershey campus or Geisinger). All intervention women will receive the baseline intervention delivered as a maximum of 24 weekly modules (depending on gestational age at enrollment) which includes: Education and Counseling (GWG/PA/EI/sedentary behaviors/sleep behaviors/stress management, etc.), Goal-Setting and Action Plans (guided and self-selected PA/EI goals including recipe and workout booklet use), Self-Monitoring (wearing/using mHealth tools to monitor GWG/PA/EI/sleep), and Featured Evidence and Fetal Growth Facts (evidence-based studies and baby growth fun facts shared with women about how mom's health impacts her baby).
Group II: Attention Control GroupActive Control1 Intervention
All women will receive prenatal care offered by recruitment sites with routine provider visits, prenatal counseling, brief discussions on healthy prenatal behaviors, and clinical oversight of health (e.g., monitor glucose levels if diagnosed with gestational diabetes during the study period). Women randomized to the attention control group will complete the same measurement procedures as the intervention group. To match the HMZ intervention group, women will receive weekly, remote-delivered education content (60 min/session) on preparing for labor/delivery and benefits of behavioral pain management strategies (e.g., mindfulness-based relaxation, imagery, music, massage, deep-breathing) to regulate pain after childbirth with non-pharmacological approaches. Content is drawn from evidence-based guidelines and materials designed by Dr. Downs and her team for a Patient-Provider Toolbox to reduce opioid-related pain management use after childbirth.
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Who is running the clinical trial?
Penn State UniversityLead Sponsor
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127,419 Total Patients Enrolled
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249 Patients Enrolled for Gestational Weight Gain
Arizona State UniversityOTHER
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107,793 Total Patients Enrolled
3 Trials studying Gestational Weight Gain
114 Patients Enrolled for Gestational Weight Gain
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