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Overweight and ObesityHMHCNCT03866902

Healthy Mothers-Healthy Children Nutrition

A study testing Nutrition and Physical Activity Intervention and English for Second Language Intervention in people with Overweight and Obesity and Adiposity, run by University of Miami at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Using a randomized two-group, repeated measures experimental design, the goal of the proposed study is to investigate the efficacy of a 12-week nutrition and exercise education, physical activity, coping skills training, and home-based physical activity intervention in Hispanic women and their 3-5 year old children… Read more about this study

Who is it for?
Ages 3 to 50 yearsHealthy volunteers can take part
What is being tested?
Nutrition and Physical Activity Intervention and English for Second Language Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
578 participants
Where
1 siteUnited States
Study dates
8 Feb 2019to 30 Jun 2024
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 3 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • age 18 years or older
  • self-identification as Hispanic
  • limited English proficiency; little acculturation, as measured by the Short Acculturation Scale for Hispanics with a score from 1.00 to 2.99
  • ability to understand spoken Spanish
  • a BMI >25kg/m^2
  • residence with the child
Show all 10Show fewer
  • consent to join the study and consent for their child to join the study.
  • age 3-5 years
  • ability to understand spoken Spanish
  • a BMI > 25th percentile for age and gender

Who cannot join

  • heart murmur
  • congenital heart disease
  • family history of sudden death
  • difficulty exercising
  • psychological problems

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27599

Other trials in United States

About this study

Official title: Healthy Mothers-Healthy Children: An Intervention With Hispanic Mothers and Their Young Children

Using a randomized two-group, repeated measures experimental design, the goal of the proposed study is to investigate the efficacy of a 12-week nutrition and exercise education, physical activity, coping skills training, and home-based physical activity intervention in Hispanic women and their 3-5 year old children and 6 months of continued monthly contact to help overweight and obese Hispanic mothers improve adiposity, weight, health behaviors, and self-efficacy and their 3-5 year old children improve their adiposity and weight gain trajectory and health behaviors.

Read the detailed description

Hispanic women and children who become overweight or obese are at risk for developing prediabetes, type 2 diabetes, and cardiovascular disease later in life. To date, there have been no interdisciplinary interventions that have targeted Hispanic women and their 3-5 year old children to improve nutrition and physical activity behaviors to manage adiposity and weight in mothers and prevent excessive adiposity and weight gain trajectory in their children. Using a randomized two-group, repeated measures experimental design, the goal of the proposed study is to investigate the efficacy of a 12-week nutrition and exercise education, physical activity, coping skills training, and home-based physical activity intervention in Hispanic women and their 3-5 year old children and 6 months of continued monthly contact to help overweight and obese Hispanic mothers improve adiposity, weight, health behaviors (nutrition and physical activity), and self-efficacy and their 3-5 year old children improve their adiposity and weight gain trajectory and health behaviors (nutrition and physical activity). The investigators will partner with two federally qualified health departments in Durham and Chatham, North Carolina to enroll Hispanic women and their 3-5 year old children and the investigators will partner with community centers to deliver the intervention. A total of 294 Hispanic women with a BMI >25 kg/m² and 294 Hispanic 3-5 year old children with a BMI percentile > 25 will be enrolled over 4 years and randomized to the experimental or equal attention control group. Data will be collected at Time 1 (0 months [baseline]) to Time 2 (9 months [completion of the intervention]) and Time 1 to Time 3 (15 months [after 6 months with no contact from the study staff]). Data collected will include adiposity (primary outcomes: waist circumference, triceps and subscapular skinfolds) in mothers and children and weight (primary outcomes: body mass index [BMI] in mothers and BMI percentile in the children). Secondary outcomes will include health behaviors and self-efficacy in the mothers (Adult Health Behavior Questionnaire, Lifestyle Health Promoting Profile II, 3 day 24-Hour Food Recall, and 7 day Accelerometer, Eating Self-Efficacy Scale and Exercise Self-Efficacy Scale) and in the children (7 day Accelerometer and 3 day 24-Hour Food Recall). The investigators will also evaluate the cost of delivering the program for public health departments. Data analysis will use general linear mixed models to test the hypotheses. Decreasing overweight and obesity in Hispanic women and slowing adiposity and weight gain trajectory in young Hispanic children is urgently needed to decrease morbidity, mortality, and future health care costs. The knowledge to be gained from this study may provide a foundation for extending this intervention to other Hispanic mothers and children in other communities to assist mothers in managing their weight and preventing excessive adiposity and weight gain in their children. This approach is translatable, real-world, and could be replicated in other areas of the United States.

Being tested
Nutrition and Physical Activity Intervention, English for Second Language Intervention
Keywords
overweight, obesity, adiposity, nutrition, physical activity, Hispanic
Medical subject headings
Overweight, Obesity, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Nutrition and Physical Activity InterventionBehavioural

    Mothers. Twelve weekly classes for one hour focused on nutrition and exercise education and coping skills training followed by a forty five minute exercise class for mothers. Then they will return for one hour for continued support and a forty-five minute exercise class.

    Children. Twelve weekly classes for one hour focused on Color Me Healthy and one hour of free play. Then 6 monthly continued support classes where a Color Me Healthy class will be reviewed and they will have one hour of free play.

  • English for Second Language InterventionOther

    Mothers. Control group mothers will receive 12 weekly English for Second Language classes for one hour and forty-five minutes. Then 6 monthly one hour and forty minute follow-up classes receiving English for Second Language material.

    Children. Control group children will receive 12 weekly one hour and forty five minutes of having books read to them. Followed by 6 monthly meetings for one hour and 45 minutes being read to and coloring with crayons.

Study groups in NCT03866902
Study groupRoleWhat they receive
Nutrition and Physical Activity InterventionExperimentalClasses for the intervention mothers will be run by a bilingual interventionist and will last 105 minutes weekly for 12 weeks and then monthly for 6 months. Classes for intervention group children will be 105 minutes weekly for 12 weeks and then monthly for 6 months.
Receives: Behavioral: Nutrition and Physical Activity Intervention
English for Second Language InterventionActive comparatorMothers in the control group will receive English as a Second Language (ESL) classes taught by professional ESL teachers; they will receive the same number of contacts and time as the intervention group mothers for 105 minutes weekly for 12 weeks and 105 minutes monthly for 6 months. Children in the control group will be read to and color with crayons 105 minutes weekly for 12 weeks and then 105 minutes monthly for 6 months.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Mother's Height From Baseline (Time 1) to Time 2

    Height in centimeters

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  2. Change in Mother's Height From Baseline (Time 1) to Time 3

    Height in centimeters

    Measured: Baseline (Time 1), Time 3 (approximately 15 months)

  3. Change in Children's Height From Baseline (Time 1) to Time 2

    Height in centimeters

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  4. Change in Children's Height From Baseline (Time 1) to Time 3

    Height in centimeters

    Measured: Baseline (Time 1), Time 3 (approximately 15 months)

  5. Change in Mother's Weight From Baseline (Time 1) to Time 2

    Weight in kilograms

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  6. Change in Mother's Weight From Baseline (Time 1) to Time 3

    Weight in kilograms

    Measured: Baseline (Time 1), Time 3 (approximately 15 months)

  7. Change in Children's Weight From Baseline (Time 1) to Time 2

    Weight in kilograms

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  8. Change in Children's Weight From Baseline (Time 1) to Time 3

    Weight in kilograms

    Measured: Baseline (Time 1), Time 3 (approximately 15 months)

  9. Change in Mother's BMI From Baseline (Time 1) to Time 2

    Calculation of BMI in Mothers in kilograms divided by meters squared

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  10. Change in Mother's BMI From Baseline (Time 1) to Time 3

    Calculation of BMI in Mothers in kilograms divided by meters squared

    Measured: Baseline (Time 1), Time 3 (approximately 15 months)

  11. Change in Children's BMI Percentile From Baseline (Time 1) to Time 2

    Calculation of BMI measured in percentage in Children. Calculated by the percentage of the mean BMI.

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  12. Change in Children's BMI Percentile From Baseline (Time 1) to Time 3

    Calculation of BMI Percentile in Children. Calculated by the percentage of the mean BMI.

    Measured: Baseline (Time 1), Time 3 (approximately 15 months)

  13. Change in Mother's Adiposity (Waist Circumference) From Baseline (Time 1) to Time 2

    Waist Circumference in centimeters

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  14. Change in Mother's Adiposity (Waist Circumference) From Baseline (Time 1) to Time 3

    Waist Circumference in centimeters

    Measured: Baseline (Time 1), Time 3 (approximately 15 months)

  15. Change in Children's Adiposity (Waist Circumference) From Baseline (Time 1) to Time 2

    Waist circumference in centimeters

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  16. Change in Children's Adiposity (Waist Circumference) From Baseline (Time 1) to Time 3

    Waist circumference in Centimeters

    Measured: Baseline (Time 1), Time 3 (approximately 15 months)

  17. Change in Mother's Adiposity (Triceps Skinfold) From Baseline (Time 1) to Time 2

    Triceps skinfolds in Millimeters

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  18. Change in Mother's Adiposity (Triceps Skinfold) From Baseline (Time 1) to Time 3

    Triceps skinfolds in millimeters

    Measured: Baseline (Time 1), Time 3 (approximately 15 months)

  19. Change in Children's Adiposity (Triceps Skinfold) From Baseline (Time 1) to Time 2

    Triceps skinfolds in millimeters

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  20. Change in Children's Adiposity (Triceps Skinfold) From Baseline (Time 1) to Time 3

    Triceps skinfolds in millimeters

    Measured: Baseline (Time 1), Time 3 (approximately 15 months)

  21. Change in Mother's Adiposity (Subscapular Skinfolds) Baseline (Time 1) to Time 2

    Subscapular skinfolds in millimeters

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  22. Change in Mother's Adiposity (Subscapular Skinfolds) Baseline (Time 1) to Time 3

    Subscapular skinfolds in millimeters

    Measured: Baseline (Time 1), Time 3 (approximately 15 months)

  23. Change in Children's Adiposity (Subscapular Skinfolds) From Baseline (Time 1) to Time 2

    Subscapular skinfolds in millimeters

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  24. Change in Children's Adiposity (Subscapular Skinfolds) Baseline (Time 1) to Time 3

    Subscapular skinfolds in millimeters

    Measured: Baseline (Time 1), Time 3 (approximately 15 months)

Secondary outcomes (10)
  1. Change in Health Behaviors (Health Promoting Lifestyle Profile II) in Mothers Baseline (Time 1) to Time 2

    There are 34 questions and the answer choices are never, sometime, often or routinely. Never is scored a 0, sometimes is scored a 1, often is scored a 2 and routine is scored a 3. The 34 questions are summed to provide a total score. A higher score reflects healthier behaviors and a lower score reflects unhealthier behaviors.

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  2. Change in Health Behaviors (Health Promoting Lifestyle Profile II) in Mothers From Baseline (Time 1) to Time 3

    There are 34 questions and the answer choices are never, sometime, often or routinely. Never is scored a 0, sometimes is scored a 1, often is scored a 2 and routine is scored a 3. The 34 questions are summed to provide a total score. A higher score reflects healthier behaviors and a lower score reflects unhealthier behaviors.

    Measured: Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 15 months)

  3. Change in Health Behaviors (Accelerometer Measurement for 7 Days) in Mothers From Baseline (Time 1) to Time 2

    The Mother will wear an accelerometer for 7 days total. This information will be uploaded into the computer to provide data on low, moderate, and high intensity physical activity.

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  4. Change in Health Behaviors (Accelerometer Measurement for 7 Days) in Mothers From Baseline (Time 1) to Time 3

    The Mother will wear an accelerometer for 7 days total. This information will be uploaded into the computer to provide data on low, moderate, and high intensity physical activity.

    Measured: Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 15 months)

  5. Change in Health Behaviors (Accelerometer Measurement for 7 Days) in Children From Baseline (Time 1) to Time 2

    The Child will wear an accelerometer for 7 days total. This information will be uploaded into the computer to provide data on low, moderate, and high intensity physical activity.

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  6. Change in Health Behaviors (Accelerometer Measurement for 7 Days) in Children From Baseline (Time 1) to Time 3

    The Child will wear an accelerometer for 7 days total. This information will be uploaded into the computer to provide data on low, moderate, and high intensity physical activity.

    Measured: Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 15 months)

  7. Change in Eating Self-Efficacy Questionnaire in Mothers From Baseline (Time 1) to Time 2

    This is a 25 question questionnaire asking how much difficulty the Mother has with controlling her eating in social situations and everyday. The range of scores go from 1 to 7 with 1 being no difficulty controlling eating to 4 moderate difficulty controlling eating to 7 the most difficulty controlling eating. The 25 questions are added to produce a total score. A lower score equals less difficulty controlling eating and a higher score equals more difficulty controlling eating.

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  8. Change in Eating Self-Efficacy Questionnaire in Mothers From Baseline (Time 1) to Time 3

    This is a 25 question questionnaire asking how much difficulty the Mother has with controlling her eating in social situations and everyday. The range of scores go from 1 to 7 with 1 being no difficulty controlling eating to 4 moderate difficulty controlling eating to 7 the most difficulty controlling eating. The 25 questions are added to produce a total score. A lower score equals less difficulty controlling eating and a higher score equals more difficulty controlling eating.

    Measured: Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 15 months)

  9. Change in Exercise Self-Efficacy Questionnaire in Mothers From Baseline (Time 1) to Time 2

    This is a 18 question questionnaire asking how much difficulty the Mother has with exercise. The range of scores go from 1 to 10 with 1 being she can not do it at all and 6 that she can moderately do exercise and a 10 that she is certain she can do it. The numbers are summed for a total score. A lower number indicates that the mother has a lot of difficulty exercising and a higher number means that the mother is more certain she can exercise.

    Measured: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)

  10. Change in Exercise Self-Efficacy Questionnaire in Mothers From Baseline (Time 1) to Time 3

    This is a 18 question questionnaire asking how much difficulty the Mother has with exercise. The range of scores go from 1 to 10 with 1 being she can not do it at all and 6 that she can moderately do exercise and a 10 that she is certain she can do it. The numbers are summed for a total score. A lower number indicates that the mother has a lot of difficulty exercising and a higher number means that the mother is more certain she can exercise.

    Measured: Baseline (Time 1), Time 3 (after 6 months with no contact from the study staff, approximately 15 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Mar 2019
  2. Study start8 Feb 2019
  3. Primary completion13 Apr 2023
  4. Study completion30 Jun 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Two group randomized controlled repeated measures study
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
578 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03866902
Sponsor's protocol ID
20220623
Other IDs
1R01NR017199-01, 17-0979
Acronym
HMHC
Status last verified
Jun 2026
First submitted
24 Feb 2019
Last updated
26 Jun 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Berry DC, Gonzales C, Montano NP, Perreira KM, Ammerman AS, Crandell J, Evenson KR, Faith MS, Waters H, Linares C, Comicronrtes YI, Perrin EM. Rationale, design, and methodology for the healthy mothers-healthy children study: a randomized controlled trial. BMC Nutr. 2019 Dec 16;5:58. doi: 10.1186/s40795-019-0322-7. eCollection 2019.

    PubMed 32153971

Questions about this trial

What is this clinical trial studying?

A study testing Nutrition and Physical Activity Intervention and English for Second Language Intervention in people with Overweight and Obesity and Adiposity, run by University of Miami at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 13 Aug 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Mother's Height From Baseline (Time 1) to Time 2 (time frame: Baseline (Time 1), Time 2 (Intervention completion, approximately 9 months)). The study lists 24 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03866902, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jun 2026.

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