Fit Moms- an Internet-based Postpartum Weight Loss Program

Develop recruitment methods and determine feasibility of recruiting WIC postpartum women who
meet inclusion criteria. We will collect data on number of individuals screened and reasons
for exclusions. Establish and examine feasibility and effectiveness of protocol for WIC
counselors reinforcing adherence to web based program. We will assess frequency with which
WIC counselors adhere to protocol of reinforcing adherence to web-based program and extent
to which any "treatment contamination" occurs between WIC counselors and Standard Care
participants.In those randomized to Enhanced WIC + Internet-based postpartum program,
examine acceptability, burden, ease of use, frequency of technical problems, and adherence
to web-based program (number of logins, message board postings)Explore whether the Enhanced
WIC plus Internet postpartum weight loss program will produce significantly greater weight
losses than Standard WIC at 2 months. Explore whether Enhanced WIC plus Internet postpartum
weight loss program will result in greater improvements in eating and exercise behaviors
(examined at 0, and 2 months) and psychosocial parameters (i.e., depression, social support,
self-efficacy, body image) than standard care.

Inclusion Criteria:

- Age 18-35 years.

- Delivery within 6-52 weeks

- Exceed pre-pregnancy weight by at least 6.8 kg (15 pounds)

- Current BMI > 22

- English speaking

- Has computer with internet access

- Literacy of at least 5th grade reading level

Exclusion Criteria:

- Pregnant or planning to become pregnant

- Relocating in the next year

- Serious medical problem (i.e. heart disease, cancer, renal disease and diabetes), for
which physician supervision of diet and exercise prescription is needed.