Healthy Lifestyle Intervention for High-Risk Minority Pregnant Women

A randomized controlled trial will test a cognitive behavioral skills building intervention
(COPE-P) in Black and Hispanic women experiencing emotional distress in two sites (New York
and Ohio) to determine if the intervention leads to better health behaviors, better
psychosocial health (anxiety, stress, and depressive symptoms), and improved birth and
post-natal outcomes in women experiencing emotional distress. Developing scalable prenatal
interventions designed to improve birth outcomes as well as maternal physical and
psychosocial health is essential to decrease health disparities in pregnant minority women.

Inclusion Criteria:

- Pregnant women between the ages of 18-40 years old

- Pregnant women in their first trimester with a singleton pregnancy

- Pregnancy of less than 16 weeks

- Self-identified as either Black or Hispanic

- Able to read and speak English.

- The child participants born to the participants will have their record accessed for
data collection.

Exclusion Criteria:

- Women with chronic medical conditions (e.g., hypertension, or diabetes), are currently
receiving treatment or therapy for a psychiatric diagnosis, or have participated in
this study with a prior pregnancy.

- Women with obstetrical complications, such as preeclampsia, gestational diabetes, or
fetal abnormalities.