Development of a Lifestyle Physical Activity Intervention to Reduce Risk for Perinatal Cannabis Use
Pregnancy, Cannabis
About this trial
This is an interventional treatment trial for Pregnancy
Eligibility Criteria
Inclusion Criteria:
- Women aged 18+
- 12-22 weeks gestation with a healthy singleton pregnancy
- Medically cleared for moderate physical activity
- Self-report of cannabis use at least once/week in the 3 months prior to the pregnancy desire to not engage in prenatal cannabis use
- Elevated depression (EPDS>=7) or anxiety (GAD7>=5)
- English-speaking
- Owns a smartphone to enable use of the Fitbit app
- Current physical activity does not meet health recommendations (150 min/week mod intensity activity)
- Expresses interest in reducing or discontinuing cannabis use
Exclusion Criteria:
- Current DSM-5 diagnosis of moderate/severe substance use disorder other than CUD or nicotine use disorder
- Use of illicit substances in the last 3 months (other than cannabis)
- Acute psychotic symptoms
- Current or recent suicidality or homicidally
- Current anorexia or bulimia
- Cognitive impairment
- Physical or medical problems that would not allow safe participation in moderate intensity PA (i.e., not medical cleared by Ob/Gyn)
- Has a plan to relocate away from the area during study period
- Recently started new mental health or substance use treatment within past 4 weeks.
Sites / Locations
- Butler HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
LPA+Fitbit intervention
Fitbit Only
Participants will receive a Fitbit to track activity levels and participate in a 6-session lifestyle physical activity intervention over the course of 12 weeks. The intervention consists of 20-25 minute phone or video-delivered session to: (a) review PA progress and re-evaluate current step-count goals, (b) problem-solve barriers to incorporating PA into their daily lives, (c) address difficulties utilizing the Fitbit, (d) encourage the use of bouts of PA as a coping strategy, and e) engage the participant in brief discussions focused on increasing and maintaining PA.
Participants will be given the same Fitbit as in the LPA condition. However, participants are not given specific step count goals to achieve during the 12-week intervention. Brief Telephone Check-ins. As with the LPA+Fitbit condition, those in the Fitbit Only condition will receive phone calls. These calls will last 5 minutes and be focused entirely on answering any problems related to the Fitbit such as syncing issues, charging the battery, and any other technical problems that may arise. No physical activity counseling will be delivered on these calls.