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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