Table 2.
Session 1 |
Session 2 |
Session 3 |
Session 4 |
Session 5 |
Session 6 |
Session 7 |
Session 8 |
Session 9 |
Session 10 |
Session 11 |
Session 12 |
Session 13 |
Session 14 |
Session 15 |
|
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 Timing | Prenatal | Prenatal | Newborn (0–2 weeks) | Young infant (2–4 weeks) | Young infant (1–2 months) | 2–5 months | 5–7 months | 7–9 months | 9–12 months | 12–15 months | 15–18 months | 18–21 months | 21–24 months | 24–30 months | 30–36 months |
2 Purpose/Objective | Establish rapport Conduct assessments |
Determine feeding intention: breast or bottle? | Provide early breastfeeding support |
Mother’s fatigue and stress as contributors to breastfeeding success | Infant sleeping issues or fussiness in relation to feeding | Continue to promote breastfeeding | How to introduce solid foods at 6 months |
Adding new solid foods |
Self-feeding | Delay introduction of sugar-sweetened beverages Encourage drinking water |
Parent model healthy eating behaviors Parent provides access to healthy food Provide structure for meals and snacks |
Discourage sedentary behavior Encourage physical activity |
Parent models physical activity and incorporates into daily routine Parent delays the introduction of TV viewing Importance of family meals |
Parents learn about healthy snacking Parents working with daycare to provide healthy food and opportunities for safe active play |
Parent provides healthy “away from home” meals Parent seeks safe outside play spaces |
3 Check-in | Question list | Question list | Question list | Question list | Question list | Question list | Question list | Question list | Question list | Question list | Question list | Question list | Question list | Question list | Question list |
4 Information/Discussion | Another introduction to the study | Infant feeding principles | Reassure mother Help for breast discomfort Infant feeding cues |
Reassure mother Crying and colic |
How to read baby’s hunger and fullness cues Delaying solid foods |
Baby’s need for touch and security | It takes time for baby to learn to accept solid foods | Avoiding sugar- sweetened beverages and juices | Self-feeding | Assess beverage consumption Define sugar-sweetened beverages and their health effects |
Parent’s role in feeding child | Benefits of physical activity How to encourage physical activity Harmful effects of sedentary behavior |
Parent as role model Creating family activities |
Snacks and competitive foods Talking to daycare staff about snacks and play |
Planning for meals outside the home Safe and enjoyable meals at restaurants |
4 a Nutrition | Maternal | Maternal | Feeding frequency | Feeding frequency | Feeding frequency | Reasons for delaying solid foods to 6 months | Continued breastfeeding Infant cereals |
Continued breastfeeding Infant cereals Adding fruits and vegetables |
Breast milk, cereal, fruits, and vegetables Adding meats, beans, grains, etc. |
Introduction to 100% fruit juice Water as a beverage Health effects of sugar-sweetened beverages |
Parent provides variety of healthy foods Child chooses own portions |
TV viewing and obesity | What and how to serve family meals How to introduce new foods |
Healthy snacks Giving children opportunities to choose what they eat |
Parent decides what healthy foods and beverages to serve and what serving sizes |
4 b Physical activity | Mother’s rest and exercise | Mother’s rest and exercise | Burping Feeding positions |
Beginning baby exercise | Baby stretches | Passive stretches | Seated fun and water play | Crawling fun | Standing fun | Discourage introduction of TV viewing until 2 years of age Steps, obstacle course, toe stands, backward |
Modeling physical activity Age-appropriate activities: hide and seek, tag, etc. |
Parents play active games with child: hide and seek, tag, etc. | Running, climbing, and playing in group activities | ||
5 Activity/Discussion | Concerns of mother | Breastfeeding advantages Breastfeeding as a cultural value Safe bottle feeding alternative |
Support and information for concerns of mother Practice breastfeeding (or bottle feeding, if not breastfeeding) |
Support and information for concerns of mother Avoid use of water, juice, or solid foods for baby |
Support and information for concerns of mother Calm and tender feeding |
Misuse of feeding Solid foods will not help babies sleep No bottle in bed |
Feeding technique May practice mixing cereal |
Avoiding allergic reactions | Bite-size finger foods Avoiding foods that can cause choking |
Demonstration of sugar content and nutrient differences of sugar-sweetened beverages | The food pyramid Pyramid portion sizes for toddlers |
Non-sedentary activities children enjoys Recommendations for physical activity and TV viewing |
Family playtime activities | Tips for toys and toy safety | “Fast Food Without the Guilt” Chart |
6 Behavior | Setting expectations | Mother chooses feeding method | Plans for rest, fluids, and healthy food for mother | Plans for rest, fluids, and healthy food for mother | Responding to baby’s feeding cues Hold baby during feedings, no propped bottle |
Respond to baby’s feeding cues | Patient and calm feeding | Patience while baby learns to accept new foods | Include child at family meals | Parents purchase healthy foods for child | Model healthy eating behaviors Provide a variety of healthy foods Choose healthy portion size for child |
Encourage physical activity Limit TV viewing |
Model physical activity Play as a family Create family meals |
Parent recognizes healthy snack options and behaviors Parent works as partner with daycare staff to assure healthy snacking and safe play activities |
Parents monitor outdoor play safety Encourage physical activity Make healthy choice in restaurants |
7 Supporting materials | General breastfeeding information | Preparing to breastfeed | Breast care help resources | Colic help resources | Signs baby is hungry or full | Safe exercise Signs baby is ready for solid foods | Signs baby is full | Baby-proofing house Foods to avoid |
Safety issues while encouraging movement | Background information on 100% fruit juice | Handouts: “My Pyramid for Preschoolers,” “Knowing Portions for Toddlers,” “Feeding Tips,” and “Safe Snacks” | Handout: “How to Encourage Physical Activity and Suggested Play Activities for Toddlers 18–21 months old” | Handout: “How to Encourage Physical Activity and Suggested Play Activities for Toddlers 21–24 months old” | Handout: “How to Encourage Physical Activity and Suggested Play Activities for Toddlers 24–30 months old” | Handout: “How to Encourage Physical Activity and Suggested Play Activities for Toddlers 30–36 months old” |