Trial to Improve Metabolic Health in African American Pregnant Women with Overweight or Obesity Using Sleep and Pregnancy Education Interventions

What this Trial Is About

Researchers are evaluating a behavioral intervention designed to promote better maternal glucose metabolism in African American pregnant women who are overweight or obese. This randomized controlled trial compares a culturally targeted sleep improvement program against an attention control group receiving pregnancy-related training. The study aims to prevent complications related to pregnancy through lifestyle counseling and tailored behavioral strategies. Participants are randomly assigned to one of two groups the BETTER intervention focusing on sleep hygiene and cognitive-behavioral principles, or the Birth-Prep control group providing general training on pregnancy issues. The study includes women between 16 and 22 weeks of gestation and follows them through various assessments during pregnancy to monitor glucose metabolism and sleep quality. Throughout the study, participants undergo baseline and follow-up assessments of fasting glucose, insulin resistance, and glucose response at specified gestational weeks. Sleep quality and duration are self-reported and objectively measured at multiple points. Medical records are reviewed up to three months after delivery. The trial is conducted under triple masking and involves routine monitoring to ensure adherence and safety over the course of pregnancy.

Better Lifestyle Counseling for African American Women During Pregnancy