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This project aims to understand the local feasibility and acceptability of MamaMeals (a home-delivered nutritious, postpartum meal delivery program) and MamaMatters (a moderated social media-based peer support group) among peripartum women who are eligible for federal supplemental nutrition assistance programs such as The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) or Supplemental Nutrition Assistance Program (SNAP). The investigators will conduct a prospective randomized controlled trial (RCT) of these two interventions among postpartum individuals. Analyses will be performed to determine the relative risk of postpartum depressive or anxiety symptoms (primary outcome) and overall well-being and maternal/infant health (secondary/exploratory outcomes) between groups. Findings from this pilot intervention study will inform a future, large RCT exploring the effectiveness of MamaMeals and/or MamaMatters on reducing postpartum mental health symptoms and cardiovascular morbidity among individuals with food insecurity during and after pregnancy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dual interventions | Experimental | Receive both interventions: MamaMeals and MamaMatters Interventions |
|
| Meals intervention only | Active Comparator | MamaMeals |
|
| Control | Sham Comparator | Wait-list control (received MamaMeals between 16-20 weeks postpartum) (after primary data collection time point) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Meals | Other | 12 weeks of medically tailored meals |
|
| Measure | Description | Time Frame |
|---|---|---|
| % of meals delivered to and consumed by subjects | Feasibility of meal delivery social media support delivery | 12 weeks |
| perception of the nutritious home delivered meal program | subject engagement with interventions and perception of interventions | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| % of Edinburgh postnatal depression scale score >15 at 12 weeks postpartum | 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Texas Tech University Health Sciences Center | Amarillo | Texas | 79106 | United States |
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| ID | Term |
|---|---|
| D019052 | Depression, Postpartum |
| D000078064 | Gestational Weight Gain |
| D009750 | Nutritional and Metabolic Diseases |
| ID | Term |
|---|---|
| D011644 | Puerperal Disorders |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D062407 | Meals |
| ID | Term |
|---|---|
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
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randomized controlled trial
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| Meals + Social Support | Other | 12 weeks of medically tailored meals and12 weeks of social media based support |
|
|
| Control | Other | Waitlist Control Group (no intervention for first 4 months and then receive MamaMeals between 16-20 weeks postpartum) |
|
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
| D015430 | Weight Gain |
| D001836 | Body Weight Changes |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |