Healthy for Two-Home Visiting (H42-HV): Health Coaching for Pregnant Women
Postpartum Weight Retention, Pregnancy Weight Gain, Overweight and Obesity
About this trial
This is an interventional prevention trial for Postpartum Weight Retention focused on measuring Behavioral Intervention, Early Childhood Home Visiting, Overweight, Obesity, Postpartum, Pregnancy
Eligibility Criteria
Inclusion Criteria: Pregnant, ≤33 weeks gestation Singleton pregnancy Pre pregnancy BMI≥25.0 Kg/m^2 (calculated based on self-reported pre pregnancy height and weight) Able to provide informed consent English or Spanish speaking Enrolled in participating home visiting program Completion of screening and baseline data collection Willing to participate in the intervention and data collection procedure (e.g., home weights) Exclusion Criteria: Type 1 diabetes or taking insulin prior to delivery > 33 weeks gestation Pregnant with multiple fetuses Unable to walk 1 block without pain or shortness of breath Not cleared by the study's clinicians or home visiting program staff Planning to relocate from area during next 1 year Active substance abuse disorder (except marijuana) Psychiatric or substance use related hospitalization in past 1 year Active eating disorder
Sites / Locations
- Johns Hopkins School of NursingRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Healthy for Two-Health Coaching (H42)
Maintain Health in Pregnancy and Postpartum (mHIPP)
Those assigned to the intervention group will receive the 8 to 11 month H42 health coaching intervention in addition to usual home visiting and usual prenatal and postpartum care clinical services. Intervention duration will depend on the participant's gestational age at the of enrollment. Participants can be enrolled as early in pregnancy as 20 weeks gestation and as late as 33 weeks gestation. All participants would be enrolled for 6 months postpartum. Therefore, the minimum time in the intervention would be 8 months and maximum would be 11 months.
Those assigned to the "usual home visiting plus" comparison group, called maintain health in pregnancy and postpartum (mHIPP), will receive the typical, evidence-based experience in participants' home visiting program in addition to the participants' usual prenatal and postpartum care clinical services. In addition, the investigators will provide a brief (less than 5 minutes) maternal warning signs educational video that is available in English or Spanish. The video was developed for a home visiting client audience and is publicly available, https://mdmom.org/warningsigns.