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Table 3 Intervention modules and messages

From: The Early Childhood Obesity Prevention Program (ECHO): an ecologically-based intervention delivered by home visitors for newborns and their mothers

Intervention module

Intervention messages

Intervention activities/Components

Feeding My Baby

1. Breast milk is best

-Picture of mom breastfeeding infant

2. Breast milk is the only food a baby needs until 6 months

-3 reasons to breastfeed

-Importance/Confidence rulers

3. If formula feeding, mix formula correctly

-Goal setting tool

-Steps to achieving goal

-Barriers/Problem solving

-Community resources to support activity: Heritage and Pride program

-Self-monitoring calendar

-Progress assessment

Juice/Sugar sweetened beverages

1. No juice or SSB before 6 months of age

-Picture of baby wearing “No sugar drinks for me” bib

2. Serve only 100% juice

-Education around messages

3. Sugar in 100% juice

-How to read a label to determine sugar content and addition

4. No more than 4-6 oz juice/day

-Measuring cup, 6 oz sippy cup, bib,toothbrush

-Importance/Confidence rulers

-Goal setting tool

-Steps to achieving goal

-Barriers/Problem solving

-Community resources to support activity: Cooking Matters, Shopping Matters

-Self-monitoring calendar

-Progress assessment

Little Tummy

1. Delay introduction of solids to 6 months

-Picture of baby (baby’s tummy)

2. Do not add cereal to the bottle

-Education around messages

3. How to introduce solids

-Measuring spoons

4. What are the first solids

-Food card “quiz”

5. Portion sizes

-Importance/Confidence rulers

-Goal setting tool

-Steps to achieving goal

-Barriers/Problem solving

-Community resources to support activity: WIC, Fruits and vegetable coupons

-Self-monitoring calendar

-Progress assessment

Screen Time

1. No TV/screen time under 2 years

-Picture of mother and infant looking at book, listening to music

2. Remove TV from bedroom

-Education around message

-Paper and crayons to make No TV sign

-Importance/Confidence rulers

-Goal setting tool

-Steps to achieving goal

-Barriers/Problem solving

-Community resources to support activity: Brighter Future Family Center activities

-Self-monitoring calendar

-Progress assessment

Establishing Routines

     A. Rock-a-bye Baby

1. Infant sleep duration

-Picture of baby sleeping

2. Create a healthy bedtime routine

-Education around messages

-Sleep sack

-Importance/Confidence rulers

-Goal setting tool

-Steps to achieving goal

-Barriers/Problem solving

-Community resources to support activity: Parenting support groups

-Self-monitoring calendar

-Progress assessment

     B. Tummy Time

1. Use tummy time to play

-Picture of baby engaging in tummy time

-Education around benefits of tummy time for baby and mother

-Importance/Confidence rulers

-Playmat

-Goal setting tool

-Steps to achieving goal

-Barriers/Problem solving

-Community resources to support activity: Parenting support group

-Self-monitoring calendar

-Progress assessment

     C. Calm Baby

1. Techniques to soothe and calm baby instead of feeding

-Picture of mother holding baby

-Education on hunger and satiety cues; strategies to calm baby

2. Taking care of mother when infant is crying

-Importance/Confidence rulers

-Goal setting tool

-Steps to achieving goal

-Barriers/Problem solving

-Community resources to support activity: Parenting support group

-Self-monitoring calendar

-Progress assessment

Healthy Mom, Healthy Baby

1. Eat 5 servings of fruits and vegetables daily

-Picture of mother

-Education about diet and physical activity; activity with her baby

2. Get 10,000 steps a day

-Pedometer, Fruit and Vegetable coupons

3. Be physically active 30 minutes/day 5 days/week

-Importance/Confidence rulers

-Goal setting tool

-Steps to achieving goal

-Barriers/Problem solving

-Community resources to support activity: Exercise classes, Cooking Matters, Shopping Matters

-Self-monitoring calendar

-Progress assessment