Table 1 Examples of behavioral change objective matrices from each used module used in the Keys intervention

Providers consume high quality diets

PO 1

K.1.1

S.1.1

SE.1.1

A .1.1

SS.1.1

Au.1.1

Providers limit their intake of sugar, fat and salt

Know the effects of high amounts of sugar and fat in the diet

Ability to read food packaging labels to evaluate quality of food products

Feel confidence in ability to limit sugar, fat, and salt

Believe that it is worthwhile to limit sugar, fat, and salt

Awareness that others struggle with limiting sugar, fat, and salt

Choose to decrease the amount of sugar, fat, and salt in personal diet

K.1.2

S.1.2

SE.1.2

SS.1.2

Know the effects of high amounts of sodium in the diet

Ability to identify and prepare healthy alternatives for meals, snacks, and beverages

Feel confidence in ability to overcome barriers to eating a healthy diet and limit sugar, fat, and salt

Locate and interact with other providers who are trying to limit sugar, fat, and salt

K.1.3

Awareness of common foods and beverages that contain high amounts of sugar, fat, and salt

Increase amount of physical activity children accumulate while in child care

PO 2

K.2.1

S.2.1

SE. 2. 1

A.2.1

SS.2.1

Au.2.1

FCCH daily schedules include recommended time for various physical activity for children

Know that the recommended amount of physical activity for children is 120 min per day

Ability to lead physical activity for children two times per day

Feel confident in ability to help children enjoy physical activity

Believe that physical activity is important for children

Get support and ideas from other providers on incorporating physical activity into regular activities

Choose to provide time for various activity throughout the day

K.2.2

S.2.2

SE.2.2

Know that physical activity should not be withheld for bad behavior

Ability to plan outdoor active play time two times per day

Feel confident in the ability to not limit physical activity for

S.2.3

Ability to

reward good behavior with physical activity

bad behavior

Providers have and enforce a comprehensive contract and set of policies based on best business practices

PO 3

K.3.1

S.3.1

A.3.1

SS.3.1

PO 3

K.3.1

Have a current and comprehensive contract based on best business practices

State the important components of a contract

Feel confident in ability to create a contract for providing services as an FCCH

Express positive attitudes toward having a contracts and set of policies

Ask other providers about their policies (but not their program costs due to legality)

Have a current and comprehensive contract based on best business practices

State the important components of a contract

A.3.2

Express belief that you have the power to set or change policies