Table 3 Schematic overview of the ‘E-health4Uth Healthy Toddler’ intervention
Steps according persuasion- | Element of the ‘Healthy | Age of the | |
|---|---|---|---|
communication model [[20]] | Toddler’ intervention | Content/activities | child |
Attention for the health message | 1st E-health module | - Assessment of four key behaviors | ± 18 months |
- Assessment of parenting behavior | |||
- Feedback on four key behaviors, in comparison with recommendations | |||
- Tailored advice, taking into account the four behaviors and parenting practices | |||
Changing determinants and behavior: | Counseling with motivational interviewing technique | - Making parents aware of their child’s behavior | ± 18 months |
- Motivate parents to prevent overweight in their child | |||
- Attitude | |||
- Self-efficacy | - Stress the parents responsibility and importance of strict parenting | ||
- Parenting behavior | - Motivate parents to change their parenting | ||
- Discuss advantages of strict parenting | |||
- Discuss potential barriers (e.g. time constraints) | |||
- Improve self-efficacy | |||
- Provide parenting skills: | |||
- Setting rules, giving good examples, use praise and award, do not use food as a means of control | |||
Maintain behavior change | Reminder | - Reminder of tailored advice from E-Health module | ± 18 months |
- Positive feedback | |||
2nd E-health module | - Assessment of four key behaviors | ± 24 months | |
- Assessment of parenting behavior | |||
- If behavior change was achieved, parents receive positive feedback. If not, parents receive tailored advice | |||
2nd Counseling with motivational interviewing technique | - Assessment of behavior | ± 24 months | |
- If behavior is improved, provide positive feedback. If not, repeat activities described in 1st counseling | |||
2nd Reminder | - Reminder of tailored advice from E-Health module | ± 24 months |