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N/A N=648 Randomized Single-blind Prevention

First Heroes: Engaging Fathers in the First 1000 Days

Obesity, Childhood · Overweight and Obesity · Social Determinants of Health · Physical Activity · Feeding Behavior

Enrolled (actual)
648
Serious AEs
0.0%
Results posted
May 2026
Primary outcome: Primary: Number of Infants With Rapid Infant Weight Gain — 12; 27 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
New Parent Intervention (Behavioral); Safety Control (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Massachusetts General Hospital
Primary completion
Nov 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Infants With Rapid Infant Weight Gain
21; 39
PRIMARY
Number of Infants With Rapid Infant Weight Gain
21; 39
PRIMARY
Number of Overweight Infant Participants (WHO Criteria)
2; 3
PRIMARY
Number of Overweight Infant Participants (CDC Criteria)
4; 8
SECONDARY
Maternal Post-partum Weight Retention
2.01; 2.99
SECONDARY
Maternal Post-partum Weight Retention
2.01; 2.99
SECONDARY
Maternal Diet
54; 71
SECONDARY
Maternal Diet
54; 71
SECONDARY
Maternal Physical Activity
43; 47
SECONDARY
Maternal Physical Activity
43; 47
SECONDARY
Maternal Adherence to Preventive Health Services
43; 42
SECONDARY
Paternal Mean Body Mass Index
0.16; 0.60
SECONDARY
Paternal Mean Body Mass Index
0.16; 0.60
SECONDARY
Paternal Prevalence of Obesity
15; 24
SECONDARY
Paternal Adherence to Preventive Health Services
31; 32
SECONDARY
Paternal Diet
1.7; 1.3
SECONDARY
Paternal Diet
1.7; 1.3
SECONDARY
Paternal Physical Activity
43; 47
SECONDARY
Paternal Physical Activity
43; 47
SECONDARY
Parental Perceived Stress
4.74; 4.52; 4.75; 4.42
SECONDARY
Prevalence of Parental Post-partum Depression Risk
10; 5; 5; 6
SECONDARY
Prevalence of Parental Post-partum Depression
3; 5; 4; 5
SECONDARY
Prevalence of Breastfeeding Initiation
84; 90; 75; 79
SECONDARY
Infant Introduction of Solid Foods
4.7; 4.5; 4.7; 4.5

Summary

The First Heroes study plans to influence weight and health trajectories, modify disease risk, and improve health care services for mother-father-infant triads from racial/ethnic minority and health disparity populations. This study is a two-arm, randomized controlled trial recruiting from Massachusetts General Hospital (MGH) obstetrics practices. This study will enroll 250 father-mother dyads in the second trimester of pregnancy and intervene through their offspring's 1-year birthday. Each mother-father dyad participating will be randomly assigned to one of two arms: 1. Obstetric and Pediatric Standard of Care + New Parent Engagement Intervention Arm or; 2. Obstetric and Pediatric Standard of Care + Safety Control Arm.

Eligibility Criteria

Inclusion Criteria

  • Parental dyads must meet the following criteria:
  • Pregnant females and father of the baby, both aged ≥ 18 years
  • Singleton pregnancy
  • Planned involvement during the first year of the child's life
  • Planning to receive post-partum and pediatric care for child at any pediatric practice within the MassGeneral Brigham (Partners) Healthcare system
  • Ability to speak in English or Spanish
  • Capable of giving consent

Exclusion Criteria

  • Dyads whose unborn child is found to have a severe defect or comorbidity upon 18-20 week ultrasound.
  • Mothers who intend on raising a child alone without any participation from the father of the child.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04477577). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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