Self-Management of Chronic Depressive Symptoms in Pregnancy

The investigators longitudinal mixed-methods study will use a one-group repeated measures
intervention design coupled with qualitative methods to provide a comprehensive view of the
feasibility, acceptability, and preliminary effects of the MOMS intervention. Semi-structured
interviews, recruitment and retention numbers, and participant logs will be used to evaluate
feasibility and acceptability of the intervention (Specific Aim 1). Recently collected
archival comparison group data from an existing study will be used to contribute to
explorations of preliminary effects of the intervention by comparing longitudinal
psychobehavioral data, birth weight data (Specific Aims 2 and 3).

Inclusion Criteria:

- ≥ age 18;

- self-report of depressive symptoms prior to pregnancy;

- current depressive symptoms at a moderate-to-severe level, as defined by a score ≥10
on the Patient Health Questionnaire-9;

- able to read, write, and understand English;

- self-identify as black/African American (AA) or White;

- absence of suicidal ideations (measured as low risk on the M.I.N.I. Neuropsychiatric
Interview tool);

- absence of pregnancy complications/physical conditions making physical activity (PA)
inadvisable;

- has not engaged in a consistent mindfulness-based PA routine during the pregnancy
(such as yoga or similar activities more than once per month).

Exclusion Criteria:

- If individual does not meet the inclusion criteria listed above, they are ineligible
for the study.