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Table 2 Intervention overview

From: Integrating a family-focused approach into child obesity prevention: Rationale and design for the My Parenting SOS study randomized control trial

Sessions Key parenting messages Nutrition/PA messages/activities
Stress management • Identification of common parenting stressors
• Effect of stress on parenting
• Strategies for managing stress
• Examples of ineffective coping strategy = using food/alcohol as source of comfort
• Examples of effective coping strategies = taking care of yourself - eating a healthy diet and getting regular exercise
Parenting style • Introduction of 4 major parenting styles (authoritarian, authoritative, indulgent, uninvolved)
• Importance of balancing warmth and support with discipline
• Discuss strategies that parents with different styles might use to get their child to eat fruits and vegetables, and the pros and cons of each
Child management (2 sessions) • Strategies for managing child behavior (attending, reinforcement and rewarding, effortful ignoring, setting clear rules and limits, choices, consequences, time out) • Use of attending and verbal reward to encourage intake of healthy foods
• Alternatives to using food as a reward or bribe to control child's behavior
Emotion regulation • Improve understanding of how parents contribute to their child's emotional development through role modeling, their own response to their emotions, and their parenting behaviors • Re-emphasize examples of ineffective and effective coping strategies and that children will learn these from their parents' example
• Food should not be a substitute for love and affection
Coparenting • Strategies for strengthening the communication between coparents so that they can present a united front • Encouraging parents to present a united front when it comes to healthy habits
Family routines • Introduction to creating routines that can improve efficiency and predictability at home • Planning time for healthy meals should be part of morning and evening routines
Nutrition and feeding practices
(2 sessions)
• Routines can help parents find the time to plan, prepare, and eat meals as a family
• Use of the authoritative parenting style and choices can help parents encourage healthy eating
• Attending and verbal praise is a way to reinforce children's healthy choices
• Introduction to the food guide pyramid
• Identification of go, slow, and whoa foods
• Appropriate portion sizes
• Family meals
• Overcoming picky eating behaviors
Physical activity and activity practices
(2 sessions)
• Planning ahead can help parents make the time for family activity
• Rethinking house rules to accommodate active play
• Using rules and limits to manage time children spend in sedentary activities
• Introduction to physical activity guidelines for adults and children
• Examples of different levels of activity
• Age-appropriate physical activities
• Being active as a family
• Managing media time
Sleep habits • Creating bedtime routines can help parents get children to bed with fewer battles
• Incorporating quality time between parent and child as part of the bedtime routine
• Using child management skills to help limit/discourage the child from repeatedly getting up during the night
• Sleep recommendations for children and adults
• Adverse health outcomes associated with insufficient sleep