Reducing Stress-Sensitive Problems Among Pregnant Black Women With Childhood Adversity

The goal of this clinical trial is to test the feasibility and acceptability and compare outcomes of a trauma-informed prenatal intervention (TPI) in pregnant Black women with childhood adversity. TPI participants will receive four weekly individual online sessions of motivational interviewing to promote self-efficacy and guided mindfulness practice to enhance self-awareness. TPI is designed to foster behavior change and health coping by enhancing knowledge, beliefs, regulation skills and abilities.With the assistance of a trained facilitator, participants will be guided to identify a specific goal related to the behavior they want to change.Behavior change goals will be individualized to create a change plan that reinforces resilience-based coping, accountability, and self-care rewards.Participants will learn to apply mindfulness skills to facilitate awareness of internal cues related to desire, motivation, and individual responses to stress.Researchers will compare usual prenatal care plus TPI versus usual prenatal care plus prenatal education to see if TPI reduces psychological (e.g., depression, anxiety, and perceived stress), and improves socio-emotional (e.g., behavioral activation, negative mood regulation, and mindfulness), and prenatal health behaviors.

Inclusion Criteria:receiving prenatal care at Mile Square Health Centerage >/= 18 years>/= 2 adverse childhood experiencesBlack raceEnglish-speaking12-24 weeks gestationable to attend four sessionsowner of a smart phone and access to internetExclusion Criteria: inability to reliably or safely participate in the study due to self-reported serious or persistent mental health disorder (e.g., schizophrenia or bipolar disorder), which could also interfere with study adherence.