Optimizing health from pregnancy through one year postpartum: A sequential multiple assignment randomized trial (SMART) of perinatal lifestyle intervention
Optimizing health from pregnancy through one year postpartum: A sequential multiple assignment randomized trial (SMART) of perinatal lifestyle intervention
批准号:
10392312
负责人:
MICHELE D LEVINE
金额:
$36.84万
依托单位国家:
美国
项目类别:
财政年份:
2021
资助国家:
美国
项目状态:
已结题
起止时间:
2021-09-13 至 2024-06-30
关键词:
AddressAdministrative SupplementAffectAreaAttenuatedBehaviorBehavioralBehavioral trialBody mass indexCOVID-19COVID-19 pandemicCaringData CollectionDietary intakeDiscriminationExposure toFaceFoodGoalsGrantHealthHealth behaviorInterventionMaternal HealthMeasuresMental HealthModelingMoodsMothersObesityOutcomeOverweightParentsPennsylvaniaPerinatalPersonal SatisfactionPhysical activityPostpartum PeriodPregnancyPregnant WomenPsychosocial StressReportingResearchRiskRoleSamplingSequential Multiple Assignment Randomized TrialSleepSocial EnvironmentStressStructural RacismUnited States National Institutes of HealthWeightWomanWomen&aposs Healthadverse maternal outcomesbiopsychosocialblack womencomparison interventiondepressive symptomsevidence basefood insecurityimprovedlifestyle interventionmaternal weightneonatal outcomenovelpandemic diseaseperinatal healthperinatal interventionperinatal periodpregnantprepregnancypsychoeducationpsychosocialracial discriminationracial health disparityracismrandomized trialrecruitresponsestress managementstressortreatment as usual
中文摘要
摘要
英文摘要
ABSTRACT
We are currently recruiting women with overweight/obesity (prepregnancy BMI ≥ 25) at the beginning of
pregnancy into a two-stage randomized trial of lifestyle interventions delivered across pregnancy and the first
year postpartum (R01HL132578). In response to NOT-OD-21-071 “Administrative Supplements and Urgent
Competitive Revisions for NIH Grants to Add or Expand Research Focused on Maternal Health, Structural
Racism and Discrimination (SRD), and COVID-19,” we propose to enhance the aims of our ongoing trial of
perinatal lifestyle interventions, “Optimizing Health from Pregnancy through One Year Postpartum: A
Sequential Multiple Assignment Randomized Trial [SMART] of Perinatal Lifestyle Intervention” to address
questions about the ways in which the COVID-19 pandemic and structural racism and discrimination (SRD)
affect perinatal health and mental health. We propose to enhance the aims of our ongoing trial in several ways.
First, we aim to evaluate the effects of the COVID-19 pandemic on weight, weight-related behaviors,
depressive symptoms, and psychosocial stress among women with prepregnancy overweight/obesity from
pregnancy to 6 months postpartum and examine the potential for behavioral and psychosocial intervention
delivered during the perinatal period to attenuate negative effects of the pandemic on maternal health and
mental health. Second, we propose to add assessments of food insecurity and racial discrimination. Given the
disproportionate effects of the COVID-19 pandemic on Black women’s health, we will enhance our sample by
recruiting 40 additional Black pregnant women (prepregnancy BMI ≥ 25). The added assessments of food
insecurity and discrimination will supplement measures of dietary intake, physical activity, depressive
symptoms, psychosocial stress, sleep, and weight collected in the parent R01. Intervention components such
as psychoeducation, coaching, goal-setting, and support related to health behavior promotion, mood and
stress management can address stressors related to the pandemic, and the myriad challenges and concerns
women face during pregnancy and postpartum. The aims of this supplement are to: (1) Examine the impact of
the COVID-19 pandemic on weight, weight-related behaviors, depressive symptoms, and psychosocial stress
in women with overweight/obesity at the end of pregnancy and 6 months postpartum; (2) Determine whether
perinatal lifestyle intervention attenuates negative pandemic-related effects on weight, weight-related
behaviors and mental health; and (3) Evaluate food insecurity and perceived discrimination in relation to
maternal weight, mental health outcomes, and lifestyle intervention response. Thus, we aim to leverage the
ongoing R01 to contribute an evidence base to improve care by documenting the potential for lifestyle
intervention to attenuate negative impacts of the COVID-19 pandemic on perinatal maternal health and mental
health.
期刊论文(2)
专著(0)
科研奖励(0)
会议论文
Taste manipulation during a food cue-reactivity task: Effects on cue-elicited food craving and subsequent food intake among individuals with overweight and obesity.
食物提示反应任务期间的味觉操纵:对超重和肥胖个体中提示引起的食物渴望和随后的食物摄入的影响。
DOI:
10.1016/j.eatbeh.2019.03.005
发表时间:
2019
期刊:
Eating behaviors
影响因子:
2.8
作者:
[Germeroth,LisaJ, Wallace,MeredithL, Levine,MicheleD]
通讯作者:
Levine,MicheleD
The role of impulsive phenotypes on weight trajectories and response to behavioral interventions during pregnancy and the postpartum period
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批准号:9906930
-
项目类别:
-
资助金额:$44.4万
-
财政年份:2018
-
负责人:MICHELE D LEVINE
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依托单位:
The role of impulsive phenotypes on weight trajectories and response to behavioral interventions during pregnancy and the postpartum period
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批准号:9516363
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项目类别:
-
资助金额:$40.3万
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财政年份:2018
-
负责人:MICHELE D LEVINE
-
依托单位:
Optimizing health from pregnancy through one year postpartum: A sequential multiple assignment randomized trial (SMART) of perinatal lifestyle intervention
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批准号:9336346
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项目类别:
-
资助金额:$74.43万
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财政年份:2016
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负责人:MICHELE D LEVINE
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依托单位:
Optimizing health from pregnancy through one year postpartum: A sequential multiple assignment randomized trial (SMART) of perinatal lifestyle intervention
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批准号:9195238
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项目类别:
-
资助金额:$74.37万
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财政年份:2016
-
负责人:MICHELE D LEVINE
-
依托单位:
Optimizing health from pregnancy through one year postpartum: A sequential multiple assignment randomized trial (SMART) of perinatal lifestyle intervention
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批准号:10020430
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项目类别:
-
资助金额:$69.66万
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财政年份:2016
-
负责人:MICHELE D LEVINE
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依托单位:
Relationship of Loss of Control Eating to Excessive Gestational Weight Gain
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批准号:8434025
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项目类别:
-
资助金额:$39.13万
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财政年份:2012
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负责人:MICHELE D LEVINE
-
依托单位:
Relationship of Loss of Control Eating to Excessive Gestational Weight Gain
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批准号:8234408
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项目类别:
-
资助金额:$40.42万
-
财政年份:2012
-
负责人:MICHELE D LEVINE
-
依托单位:
Relationship of Loss of Control Eating to Excessive Gestational Weight Gain
-
批准号:8620675
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项目类别:
-
资助金额:$40.82万
-
财政年份:2012
-
负责人:MICHELE D LEVINE
-
依托单位:
Relationship of Loss of Control Eating to Excessive Gestational Weight Gain
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批准号:8815956
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项目类别:
-
资助金额:$40.8万
-
财政年份:2012
-
负责人:MICHELE D LEVINE
-
依托单位:
Relationship of Loss of Control Eating to Excessive Gestational Weight Gain
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批准号:9026631
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项目类别:
-
资助金额:$39.28万
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财政年份:2012
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负责人:MICHELE D LEVINE
-
依托单位:
Addressing Postpartum Mood and Weight Concerns to Sustain Smoking Cessation
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批准号:7501479
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项目类别:
-
资助金额:$51.25万
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财政年份:2007
-
负责人:MICHELE D LEVINE
-
依托单位:
Addressing Postpartum Mood and Weight Concerns to Sustain Smoking Cessation
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批准号:7659689
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项目类别:
-
资助金额:$52.66万
-
财政年份:2007
-
负责人:MICHELE D LEVINE
-
依托单位:
Addressing Postpartum Mood and Weight Concerns to Sustain Smoking Cessation
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批准号:7841721
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项目类别:
-
资助金额:$53.6万
-
财政年份:2007
-
负责人:MICHELE D LEVINE
-
依托单位:
Addressing Postpartum Mood and Weight Concerns to Sustain Smoking Cessation
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批准号:8079502
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项目类别:
-
资助金额:$50.73万
-
财政年份:2007
-
负责人:MICHELE D LEVINE
-
依托单位:
Addressing Postpartum Mood and Weight Concerns to Sustain Smoking Cessation
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批准号:7370724
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项目类别:
-
资助金额:$49.37万
-
财政年份:2007
-
负责人:MICHELE D LEVINE
-
依托单位:
Treating Postpartum Nicotine Dependence
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批准号:7093583
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项目类别:
-
资助金额:$11.63万
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财政年份:2002
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负责人:MICHELE D LEVINE
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依托单位:
Treating Postpartum Nicotine Dependence
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批准号:6920037
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项目类别:
-
资助金额:$12.24万
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财政年份:2002
-
负责人:MICHELE D LEVINE
-
依托单位:
Treating Postpartum Nicotine Dependence
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批准号:6667098
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项目类别:
-
资助金额:$11.57万
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财政年份:2002
-
负责人:MICHELE D LEVINE
-
依托单位:
Treating Postpartum Nicotine Dependence
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批准号:6508803
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项目类别:
-
资助金额:$10.77万
-
财政年份:2002
-
负责人:MICHELE D LEVINE
-
依托单位:
Treating Postpartum Nicotine Dependence
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批准号:6768827
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项目类别:
-
资助金额:$11.32万
-
财政年份:2002
-
负责人:MICHELE D LEVINE
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依托单位:
海外基金