Strong Study (Strong Together Raising Our Next Generation) (American Samoa)
In American Samoa, 86% of women enter pregnancy overweight or obese compared to 42% of the general US population. Pre-pregnancy overweight and obesity and excessive gestational weight gain are linked with a number of poor pregnancy outcomes for mother and infant - cesarean delivery, gestational diabetes, and excessive birth weight – as well as longer term chronic diseases such as hypertension, or heart disease.
Efficacious and sustainable interventions are critically needed to (a) change non-communicable disease (NCD) trajectories for women who are already overweight/obese upon entering pregnancy, and (b) prevent maternal obesity-related NCD in their infants. This study will incorporate a lifestyle intervention to prevent NCD into a widely validated, insurance supported group prenatal care model.
In the STRONG (Strong Together Raising Our Next Generation) study we will use an outcome assessment blinded randomized controlled trial design to compare the effectiveness of group prenatal care versus standard one-on-one care for the following outcomes: gestational weight gain, gestational diabetes screening, and breastfeeding at six weeks postpartum.
The study will take place at the Lyndon B Johnson Tropical Medical Center, Pago Pago, American Samoa
Timeline: This study will be actively recruiting participants between August 2017 and February 2018 in American Samoa
Investigators: Nicola Hawley, Bethel Muasau-Howard [Lyndon B Johnson Tropical Medical Center], Rochelle Rosen [Brown University], Elizabeth Triche & Alysa Pomer [both Yale University]
Funding Source: National Institutes of Health, National Institute for Nursing Research 1R21NR016352-01A1