Goals for Reaching Optimal Wellness: GROWell
Pregnancy Related, Gestational Weight Gain, Postpartum Weight Retention
About this trial
This is an interventional prevention trial for Pregnancy Related focused on measuring pregnancy, gestational weight gain, postpartum weight retention, overweight, obesity, diet, mHealth, digital health
Eligibility Criteria
Inclusion Criteria:
- 10-16 weeks gestation of a confirmed pregnancy (i.e., ultrasound/heartbeat detected)
- Nulliparous or >12 months since previous birth
- Receive care at one of eight UC Davis Obstetric Clinics and plan to deliver at UC Davis Medical Center
- BMI >25 and <40 who are willing to receive and respond to texts using their own cell phone or a study-provided phone
Exclusion Criteria:
- Known pregnancy or fetal complications/high-risk status
- Multiple gestation
- Unable to read/write English
- BMI >40
- Current smokers
- Quit smoking <6 months prior to enrollment
Sites / Locations
- UC DavisRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
GROWell (Interactive Obesity Treatment Approach)
Attention Support Control
With Self-regulation Theory as the framework, the Interactive Obesity Treatment Approach Adapted for Pregnancy/Postpartum includes four components: (1) personalized goal setting, (2) daily support and educational messages, (3) self-monitoring of behavior with tailored feedback, and (4) skills training. Each component aligns with the self- regulatory processes shown in previous studies to be necessary for behavior change. All interactions with participants are via text using a cell phone.
The attention control will be delivered using text messaging to reduce the potential placebo effect that interacting with our mHealth system may have on pregnancy weight gain and postpartum weight loss. Information will be provided to control group participants that is specific to pregnancy, labor, delivery, and early infancy, but not to diet. Texts are specific to the participant's partner, pregnancy, employment, and breastfeeding plans/status.