Trial Parameters
Brief Summary
The proposed multicomponent digital health intervention has the potential to significantly impact the trajectory of maternal health in a rural, pregnant, Black adolescent population with the highest risks for cardiometabolic diseases worldwide. The proposed implementation strategy leverages mobile technologies which are ubiquitous across the socioeconomic gradient and proposes to train young adult WIC moms to deliver peer health coaching in a telehealth setting to address social barriers and support behavior change in pregnant, Black adolescent WIC clients in the Mississippi Delta - a rural region where the population is more than two-thirds percent Black and the teen birth rate is the highest in the United States. This is a scalable and sustainable approach to enhance WIC services and improve WIC's impact on population health and cardiometabolic health disparities in Black women.
Eligibility Criteria
Inclusion criteria: * 15- to 19-years * Black or African American * \<20 weeks' gestation * Enrolled in WIC * Residing in 1 of 8 Mississippi Delta Counties * English speaking * Own or have personal use of a mobile smart phone * Singleton pregnancy * Plan to carry the fetus to term and keep the infant after birth * No history of chronic medical conditions in the past year that could influence weight loss or gain Exclusion Criteria: * Restrictions on physical activity or exercise