Overview
This study will recruit 20 women who are high risk for prenatal cannabis use for a 12-week program of using the tracker and receiving a Lifestyle Physical Activity program. The primary outcomes will be self reported percent days of cannabis use and physical activity. Secondary outcomes include self -reported measures of depression and anxiety symptoms, adaptive coping, and self-efficacy for cannabis abstinence.
Description
This study will recruit 20 women in an open trial who are high risk for prenatal cannabis use for a 12-week program of using a Fitbit activity tracker and receiving a Lifestyle Physical Activity program. The primary outcomes will be self reported percent days of cannabis use and physical activity. Secondary outcomes include self -reported measures of depression and anxiety symptoms, adaptive coping, and self-efficacy for cannabis abstinence. The investigators will clinically monitor all participants in the study for safety and clinical deterioration, and measure a variety of symptom outcomes over the course of the intervention period during pregnancy, as well as at a postpartum follow-up.
Eligibility
Inclusion Criteria:
- Women aged 18+
- 12-25 weeks gestation with a healthy singleton pregnancy
- Medically cleared for moderate physical activity
- Self-report of cannabis use at least once/week in the 3 months prior to the pregnancy desire to not engage in prenatal cannabis use
- Elevated depression (EPDS>=7) or anxiety (GAD7>=5)
- English-speaking
- Owns a smartphone to enable use of the Fitbit app
- Current physical activity does not meet health recommendations (150 min/week mod intensity activity)
- Expresses interest in reducing or discontinuing cannabis use
Exclusion Criteria:
- Current DSM-5 diagnosis of moderate/severe substance use disorder other than CUD or nicotine use disorder
- Use of illicit substances in the last 3 months (other than cannabis)
- Acute psychotic symptoms
- Current or recent suicidality or homicidally
- Current anorexia or bulimia
- Cognitive impairment
- Physical or medical problems that would not allow safe participation in moderate intensity PA (i.e., not medical cleared by Ob/Gyn)
- Has a plan to relocate away from the area during study period
- Recently started new mental health or substance use treatment within past 4 weeks.