Comparing In-Person and Technology-Supported Health Coaching for Postpartum Lifestyle Changes in WIC Clinics

What this Trial Is About

Researchers are studying how to best deliver the Diabetes Prevention Program DPP to postpartum women receiving services from WIC clinics. This trial compares two strategies one with 24 in-person health coaching sessions and another with 12 in-person sessions supplemented by technology support. The study aims to evaluate which method is better for implementation, effectiveness, and sustainability in helping women improve their health after childbirth. The study involves 38 WIC clinics randomized into two groups. One group delivers the standard 24 in-person health coaching sessions over one year, focusing on diet, physical activity, and weight management. The other group delivers 12 in-person sessions combined with technology tools that support self-monitoring and connection with coaches and participants asynchronously. Both use the Group Lifestyle Balance GLB behavioral intervention adapted from the Diabetes Prevention Program for community settings. Participants will be followed for 12 months during the intervention, with measurements taken at baseline, 3, 6, 9, and 12 months, including weight changes and other health-related outcomes. A follow-up visit 6 months after the intervention will assess how well the programs are sustained. Researchers will monitor implementation outcomes like uptake, fidelity, acceptability, and cost-effectiveness, as well as health outcomes such as weight reduction, physical activity, diet quality, blood pressure, hemoglobin A1c, and quality of life.

Strategies for Implementing a Postpartum Lifestyle Intervention in WIC Clinics