Figure 1.

The improvement work was designed according to a “collaborative learning model” for child health care nurses (The Institute for Healthcare Improvement, Kilo 1998; [25]). Nurses recruited families during the 8 month intervention period. The SiCET was answered at base-line, in some cases 8 months after inclusion in the study and at follow up, 12 months after inclusion. Nurses worked actively with the parents between learning sessions and had extra support from one of the authors (NC) during the active periods. A follow-up meeting was held 6 months after learning session 4.