A Pilot Study to Evaluate an Intervention for Gestational Weight Gain

Strategies for Self-Management Around the Reproductive Transition: A Pilot Study

The purpose of this study is to enable the investigator to conduct proof of concept work related to the feasibility, acceptability, initial efficacy and mechanisms of action (focusing on maternal and infant modifiable factors) for a novel self-management intervention for pregnant women.

This proposed study aims to adapt intervention to address excessive gestational weight gain and psychosocial functioning among a socioeconomically and racially diverse sample of pregnant women .Additionally, data on behavioral mechanisms associated with self-regulatory capacity, such as impulsive control and the ability to delay rewards, that may be linked to self-regulation during pregnancy are needed to support future interventions.

In this study, the investigators will develop and adapt an intervention (Self-Management Around the Reproductive Transition; SMART) that addresses maternal weight, stress, and mood, and document the feasibility, acceptability and initial efficacy of the SMART intervention.

Inclusion Criteria:

• At least 14 years of age
• Less than 16 weeks gestation
• English speaking
• Singleton pregnancy
• Receiving care at Magee-Womens Hospital, Latterman family health or other UPMC practices that provide obstetric care

Exclusion Criteria:

• Preexisting diabetes
• Use of medications known to affect weight
• Enrolled in current weight management programming
• History of weight loss surgery
• Women who endorse acute psychiatric symptoms (e.g., suicidality) that warrant immediate care