Table 2.

Outline of 15 sessions to be delivered to Healthy Beginnings participants by community health workers

	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”