A Personalized Telehealth Intervention for Health and Weight Loss in Postpartum Women

Study Overview
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Brief Summary
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The purpose of this study is to help women lose the weight they gained during their pregnancy using a SmartPhone app the investigators have developed called E-Moms. The investigators hypothesize that the moms given the app to use during the study will lose more weight than the moms who do not use the app.

Detailed Description
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The E-Moms Study will last about 4 months. The weight management program is 4 months long and will end about 6 months after the participant's baby is born. All participants will receive Women, Infants and Children (WIC) services. For the weight management program, participants will be put into one of these groups: WIC Moms: receive advice and services for nutrition and weight management after pregnancy from their WIC clinic. WIC E-Moms: receive a personalized diet and exercise plan to help them lose the weight they gained during their pregnancy. All information will be given to them using a SmartPhone, such as an iPhone. They will also get advice and services from your WIC clinic.

Official Title
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E-Moms: A Personalized Telehealth Intervention for Health and Weight Loss in Postpartum Women

Conditions
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Postpartum Weight Retention

Intervention / Treatment
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* Behavioral: WIC E-Moms


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Are a female who has delivered a baby within the last 2 months Are 18 years of age or older Have a body mass index ≥25 kg/m2 or <40 kg/m2 Are accepted for post-pregnancy WIC services Are English-speaking Exclusion Criteria: Are participating in the Nurse Family Partnership program Had multiples in your most recent pregnancy Are unwilling to be assigned at random to either of the 2 study groups Are planning to move out of the study area within the next 6 months Have a history of psychiatric conditions or chronic disease than can impact body weight, appetite, or energy intake such as HIV/AIDS, cancer, bipolar disorder or schizophrenia Currently use antipsychotic medications or have used such medications in the previous 12 months Have been diagnosis with type I diabetes Report having a heart attack, stroke, or being hospitalized or treated for chest pain Currently taking medications or supplements to aid in weight loss Have had weight loss surgery in the past year or plan to have it prior to study completion. Currently participating in another interventional study that influences weight control Currently abusing drugs or alcohol (up to 14 drinks per week allowed)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: WIC E-Moms<br>If picked for this group, you will receive a personalized diet and exercise plan to help you lose the weight you gained during your pregnancy. All information will be given to you using a SmartPhone, such as an iPhone. You can use your own phone or one can be loaned to you for the study. You will also be loaned a scale so you can weigh yourself at home. You will also get advice and services from your WIC clinic. | Behavioral: WIC E-Moms<br>* Participants enrolled in the E-Moms group will receive a personalized dietary prescription to promote weight loss and arrive at pregravid weight by 6 months postpartum. Our weight loss intervention will incorporate standard WIC nutritional advice and will encouraged 150 minutes/week of moderate intensity activity, which is about 3,000 - 4,000 steps/day above baseline, as recommended for maintenance of healthy weight. Each participant will be assigned a trained weight management counselor who will provide frequent recommendations and advice and support at least once per week.<br>* Other names: E-Moms;|
| No Intervention: WIC Moms<br>You will get advice and services for nutrition and weight management after pregnancy from your WIC clinic. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Body Weight Change | The primary outcome measure is weight change after the 16 week intervention. | Baseline and 16 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pregnancy, weight loss