570 Participants Needed

Grocery Delivery for Healthy Pregnancy Weight Management

MW
TC
Overseen ByTammy Chang, MD, MPH, MS
Age: < 65
Sex: Female
Trial Phase: Academic
Sponsor: University of Michigan
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Grocery Delivery for Healthy Pregnancy Weight Management?

Research shows that providing food directly to individuals, like through grocery delivery, can significantly improve weight management. A study found that home grocery delivery improved household food environments, which is linked to better dietary habits and weight control.12345

Is grocery delivery for healthy pregnancy weight management safe?

The research does not specifically address the safety of grocery delivery for healthy pregnancy weight management, but interventions involving grocery delivery and online shopping tools have been used to improve dietary quality without reported safety concerns.46789

How does the grocery delivery treatment for healthy pregnancy weight management differ from other treatments?

The grocery delivery treatment is unique because it provides direct access to healthy, unprocessed foods and unsweetened beverages, which can help manage pregnancy weight by reducing the intake of ultra-processed foods. Unlike other interventions that focus on counseling or education, this treatment offers practical support by delivering healthier food options directly to pregnant women.1011121314

What is the purpose of this trial?

This project will increase knowledge about how a simple intervention, grocery delivery, impacts weight gain and diet among low-income pregnant young women. Results can then be used to support other pregnant young women.

Research Team

TC

Tammy Chang, MD, MPH, MS

Principal Investigator

University of Michigan

Eligibility Criteria

This trial is for low-income, pregnant young women who are less than 20 weeks along, have a healthy single pregnancy, can text message, haven't had children before (nulliparous), drink sugary beverages and live where grocery delivery services operate. It's not for those with high-risk pregnancies needing special care like pre-existing diabetes, non-English speakers or if they share an address with another participant.

Inclusion Criteria

Nulliparous
Consume sugar sweetened beverages (SSBs)
Text message capability
See 3 more

Exclusion Criteria

Participants who live at the same address
Physical, mental, or cognitive handicaps that prevent participation
High risk pregnancy requiring specialized care (including pre-existing diabetes)

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive usual WIC counseling and food benefits, with some receiving additional home deliveries of WIC-approved foods and unsweetened beverages

Approximately 7 months
Monthly intensive nutritional counseling sessions

Follow-up

Participants are monitored for weight gain, dietary quality, and delivery outcomes

Up to delivery, approximately 40 weeks

Treatment Details

Interventions

  • Grocery delivery
  • Unsweetened beverage delivery
Trial Overview The study is testing whether delivering groceries and unsweetened beverages to participants' homes affects their weight gain and diet during pregnancy. The goal is to see if this simple support helps maintain a healthy weight among these young women.
Participant Groups
3Treatment groups
Experimental Treatment
Active Control
Group I: WIC + grocery delivery + unsweetened beverage deliveryExperimental Treatment2 Interventions
Usual WIC counseling and food benefits as well as twice-monthly home deliveries of WIC-approved foods PLUS unsweetened beverages to replace their current sugar-sweetened beverages (SSB) intake.
Group II: WIC + grocery deliveryExperimental Treatment1 Intervention
Usual WIC counseling and food benefits, as well as twice-monthly home deliveries of WIC-approved foods.
Group III: Women, Infants, and Children (WIC)Active Control1 Intervention
Usual WIC counseling and food benefits for use in person at approved grocery stores.

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Michigan

Lead Sponsor

Trials
1,891
Recruited
6,458,000+

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator

Trials
2,103
Recruited
2,760,000+

Findings from Research

A pilot study with 28 overweight participants showed that using a grocery home delivery service alongside standard behavioral weight loss treatment significantly reduced the number of foods in the home, particularly high-fat items.
While both treatment groups lost similar amounts of weight over 8 weeks, there was a trend suggesting that more frequent home deliveries correlated with weight loss, indicating potential benefits of this approach for healthier eating habits.
Home grocery delivery improves the household food environments of behavioral weight loss participants: results of an 8-week pilot study.Gorin, AA., Raynor, HA., Niemeier, HM., et al.[2021]
A systematic review of 40 studies found that the quality of food environments in hospitals varies significantly, impacting the availability of healthy food and beverages for employees and visitors.
Interventions like education, labeling, and financial incentives can enhance the hospital food environment, but multi-component strategies may inadvertently reduce the intake of fruits and vegetables.
Availability of Healthy Food and Beverages in Hospital Outlets and Interventions in the UK and USA to Improve the Hospital Food Environment: A Systematic Narrative Literature Review.Richardson, S., McSweeney, L., Spence, S.[2022]
In a study of 163 overweight women, those who received structured meal plans and grocery lists lost significantly more weight than those who only participated in a standard behavioral treatment program, with weight loss averages of -12.0 kg compared to -8.0 kg after six months.
The study found that providing free food did not lead to additional weight loss benefits, indicating that the key factor for success was the structured meal planning rather than the actual provision of food.
Food provision vs structured meal plans in the behavioral treatment of obesity.Wing, RR., Jeffery, RW., Burton, LR., et al.[2014]

References

Home grocery delivery improves the household food environments of behavioral weight loss participants: results of an 8-week pilot study. [2021]
Availability of Healthy Food and Beverages in Hospital Outlets and Interventions in the UK and USA to Improve the Hospital Food Environment: A Systematic Narrative Literature Review. [2022]
Food provision vs structured meal plans in the behavioral treatment of obesity. [2014]
Encouraging Healthier Food and Beverage Purchasing and Consumption: A Review of Interventions within Grocery Retail Settings. [2022]
The "Rolling Store:" an economical and environmental approach to the prevention of weight gain in African American women. [2022]
Dietary Interventions for Healthy Pregnant Women: A Systematic Review of Tools to Promote a Healthy Antenatal Dietary Intake. [2021]
Efficacy of supermarket and web-based interventions for improving dietary quality: a randomized, controlled trial. [2023]
Nudging while online grocery shopping: A randomized feasibility trial to enhance nutrition in individuals with food insecurity. [2021]
Neighborhood socioeconomic disadvantage and gestational weight gain and loss. [2022]
Study Protocol effectiveness of a nutritional intervention based on encouraging the consumption of unprocessed and minimally processed foods and the practice of physical activities for appropriate weight gain in overweight, adult, pregnant women: a randomized controlled trial. [2020]
Effectiveness of a minimally processed food-based nutritional counselling intervention on weight gain in overweight pregnant women: a randomized controlled trial. [2023]
12.United Statespubmed.ncbi.nlm.nih.gov
Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals. [2020]
13.United Statespubmed.ncbi.nlm.nih.gov
Does Partial Meal Replacement During Pregnancy Reduce 12-Month Postpartum Weight Retention? [2021]
Pregnant women's interest in a website or mobile application for healthy gestational weight gain. [2018]
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