The proposed multicomponent digital health intervention has the potential to significantly impact the trajectory of maternal health in a rural, pregnant, Black adolescent population with the highest risks for cardiometabolic diseases worldwide. The proposed implementation strategy leverages mobile technologies which are ubiquitous across the socioeconomic gradient and proposes to train young adult WIC moms to deliver peer health coaching in a telehealth setting to address social barriers and support behavior change in pregnant, Black adolescent WIC clients in the Mississippi Delta - a rural region where the population is more than two-thirds percent Black and the teen birth rate is the highest in the United States. This is a scalable and sustainable approach to enhance WIC services and improve WIC's impact on population health and cardiometabolic health disparities in Black women.
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Acceptability
Timeframe: Perceptions of acceptability at 36 weeks' gestation (post-intervention)
Appropriateness
Timeframe: Perceptions of appropriateness at study month 30 (of 36 months).
Intensity coaching session number
Timeframe: Average number of coaching sessions completed at 20 weeks (post-intervention)
Intensity coaching session length
Timeframe: Average length in minutes of coaching sessions at 20 weeks (post-intervention)
Intensity text message response number
Timeframe: Average number of text message responses at 20 weeks (post-intervention)