Location: Office of The Area Director
Project Number: 6001-51000-001-09-S
Project Type: Non-Assistance Cooperative Agreement
Start Date: Jul 1, 2010
End Date: Jun 30, 2013
This project aims to develop, implement, and evaluate the effectiveness of a culturally tailored, prenatal and early childhood, nutrition, healthy behaviors, and breastfeeding promotion program, delivered within the participant’s home by community home visitors and a lactation expert, on anthropometric, dietary, and health behavior outcomes of both mother and baby 24 and 36 months post-delivery compared to control site mothers.
This intervention will be adapted from the INFANT trial conducted in Melbourne, Australia. The intervention will be modified for home-dissemination, education level, and for cultural appropriateness. There will be an intervention and control site. Moms that are pregnant or have a child less than two months of age will be eligible for recruitment into StartSmart. Moms that are pregnant, at the time of recruitment, will receive both the breastfeeding promotion and nutrition intervention components. Moms enrolled post-natal will only receive the nutrition intervention component. Moms recruited at the control site will receive routine care. Outreach workers will present interactive lessons, 15-20 minutes in length, every three months during the intervention period (3-23 months). Key concepts covered during StartSmart lessons will include reducing barriers related to breast-feeding, parental feeding styles, introduction of solid foods and sweetened beverages, nutrition basics, parental modeling of healthy behaviors, meal planning on a budget, and identifying and reducing sedentary behaviors. Outcomes measures and intervention effectiveness will be evaluated through direct assessment of anthropometrics, self-report questionnaires, and in-person/phone-based dietary recalls. The primary outcome will be child BMI z-score at 24 and 36 months of age in intervention vs. control children. Secondary outcomes will include dietary knowledge, psycho-social factors related to breastfeeding and healthy eating, healthy parental feeding styles, modeling of healthy behaviors, identifying and reducing time spent in sedentary behaviors and dietary intake will be compared between groups at child month 24 and 36 months.