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dc.contributor.authorRosal, Milagros C
dc.contributor.authorHaughton, Christina
dc.contributor.authorEstabrook, Barbara
dc.contributor.authorWang, Monica L.
dc.contributor.authorChiriboga, German
dc.contributor.authorNguyen, Oahn H.T.
dc.contributor.authorPerson, Sharina D.
dc.contributor.authorLemon, Stephenie C
dc.date2022-08-11T08:09:46.000
dc.date.accessioned2022-08-23T16:42:45Z
dc.date.available2022-08-23T16:42:45Z
dc.date.issued2016-09-09
dc.date.submitted2017-01-09
dc.identifier.citationBMC Public Health. 2016 Sep 9;16:953. doi: 10.1186/s12889-016-3520-0. <a href="http://dx.doi.org/10.1186/s12889-016-3520-0">Link to article on publisher's site</a>
dc.identifier.issn1471-2458 (Linking)
dc.identifier.doi10.1186/s12889-016-3520-0
dc.identifier.pmid27612615
dc.identifier.urihttp://hdl.handle.net/20.500.14038/40155
dc.description.abstractBACKGROUND: Overweight and obesity are prevalent among young women and are greater among minority and low-income women. The postpartum period is critical in women's weight trajectories as many women do not lose their pregnancy weight, and others lose some and then plateau or experience weight gain. Excess weight puts women at greater risk of chronic disease and thus weight loss in the postpartum period may be key to the long-term health of young women. This paper describes the design and methods of a randomized clinical trial of Fresh Start, an innovative narrative-based group intervention aimed at promoting postpartum weight loss among low-income, diverse women. METHODS/DESIGN: Study participants were recruited from the five sites of the Women, Infants and Children (WIC) program in central Massachusetts. Participants were English-speaking, age > /= 18 years, 6 weeks to 6 months postpartum, with a body mass index (BMI) > /= 27 kg/m(2). The Fresh Start postpartum weight loss intervention, adapted from the Diabetes Prevention Program (DPP) in collaboration with WIC staff and clients, consisted of an 8-week group-based curriculum followed by nine monthly telephone calls. It included a narrative component (i.e., storytelling), group discussions, print materials and access to exercise facilities. The study is a two-arm randomized controlled trial. The control condition included print materials and access to exercise facilities. In-person assessments were conducted at baseline and at 6 and 12 months following the eight-week intervention phase. DISCUSSION: The Fresh Start intervention translated key elements of an evidence-based weight loss protocol into a format that is hypothesized to be relevant, acceptable and effective for the target audience of low-SES postpartum women. This novel intervention was developed in collaboration with WIC to be sustainable within the context of its clinics, which reach approximately 9 million individuals per year across the U.S. via 10,000 clinics. TRIAL REGISTRATION: clinicaltrials.gov NCT02176915. Registered 25 June 2014.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=27612615&dopt=Abstract">Link to Article in PubMed</a>
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectHealth disparities
dc.subjectNarrative interventions
dc.subjectObesity
dc.subjectPostpartum weight loss
dc.subjectRandomized clinical trial
dc.subjectWomen
dc.subjectBehavior and Behavior Mechanisms
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectMaternal and Child Health
dc.subjectObstetrics and Gynecology
dc.subjectPreventive Medicine
dc.subjectWomen's Health
dc.titleFresh Start, a postpartum weight loss intervention for diverse low-income women: design and methods for a randomized clinical trial
dc.typeJournal Article
dc.source.journaltitleBMC public health
dc.source.volume16
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=3959&amp;context=oapubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/2954
dc.identifier.contextkey9532624
refterms.dateFOA2022-08-23T16:42:45Z
html.description.abstract<p>BACKGROUND: Overweight and obesity are prevalent among young women and are greater among minority and low-income women. The postpartum period is critical in women's weight trajectories as many women do not lose their pregnancy weight, and others lose some and then plateau or experience weight gain. Excess weight puts women at greater risk of chronic disease and thus weight loss in the postpartum period may be key to the long-term health of young women. This paper describes the design and methods of a randomized clinical trial of Fresh Start, an innovative narrative-based group intervention aimed at promoting postpartum weight loss among low-income, diverse women.</p> <p>METHODS/DESIGN: Study participants were recruited from the five sites of the Women, Infants and Children (WIC) program in central Massachusetts. Participants were English-speaking, age > /= 18 years, 6 weeks to 6 months postpartum, with a body mass index (BMI) > /= 27 kg/m(2). The Fresh Start postpartum weight loss intervention, adapted from the Diabetes Prevention Program (DPP) in collaboration with WIC staff and clients, consisted of an 8-week group-based curriculum followed by nine monthly telephone calls. It included a narrative component (i.e., storytelling), group discussions, print materials and access to exercise facilities. The study is a two-arm randomized controlled trial. The control condition included print materials and access to exercise facilities. In-person assessments were conducted at baseline and at 6 and 12 months following the eight-week intervention phase.</p> <p>DISCUSSION: The Fresh Start intervention translated key elements of an evidence-based weight loss protocol into a format that is hypothesized to be relevant, acceptable and effective for the target audience of low-SES postpartum women. This novel intervention was developed in collaboration with WIC to be sustainable within the context of its clinics, which reach approximately 9 million individuals per year across the U.S. via 10,000 clinics. TRIAL</p> <p>REGISTRATION: clinicaltrials.gov NCT02176915. Registered 25 June 2014.</p>
dc.identifier.submissionpathoapubs/2954
dc.contributor.departmentPrevention Research Center
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.source.pages953


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