Effectiveness of Health Coaching to Reduce Cardiometabolic Risk in Early Home Visiting Services
Johns Hopkins University
Summary
The purpose of this study is to compare the effectiveness of H42-HV integrated into home visiting compared with usual home visiting services in reducing postpartum weight retention (difference between pre-pregnancy weight and weight at 6 months postpartum) among pregnant and postpartum participants. The overall goal is to improve long-term cardiometabolic health.
Description
There are four components of the H42-HV intervention: 1) Health coaching calls; 2) H42 web-based app for learning activities and goal setting functions; 3) Tracking of health behaviors (diet, exercise), and 4) Self-weighing (weekly). The overarching behavioral goals of the intervention are for participants to have lower postpartum weight retention at 6 months after delivery. Weight and behavioral goals will be promoted through the COACH Plan, a behavioral model guiding coaching calls, behavioral tracking targets and learning activities. Coaches will refer to home visitors for additional suppor…
Eligibility
- Age range
- 18+ years
- Sex
- Female
- Healthy volunteers
- No
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 * 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 * Pregnant with multiple fetuses * Unable to walk 1 block without pain or shortness of breath * Not cleared by the study's clinician…
Interventions
- BehavioralHealthy for Two-Health Coaching (H42)
The H42-HV intervention includes health coaching calls, H42 web based app, mobile phone-based tracking.
- BehavioralMaintain Healthy in Pregnancy and Postpartum(mHIPP)
A brief video on maternal warning signs that is available in English or Spanish.
Location
- Johns Hopkins School of NursingBaltimore, Maryland