Table 3.

Summary of actual or proposed adaptions and rationale

Adaption	Rationale	Area
Program material supplemented with local information/resources	• Tailor to needs of local population (culturally and linguistically diverse groups) • Provide information on local services/facilities	All areas
Use Maternal and Child Health nurses or parenting workers to deliver the Program (instead of dietitians as per the trial)	• More cost effective • Limited capacity of dietitians • Good fit with existing role of MCH nurses and parenting workers	1,2,3,5
Recruit parents outside of first time parent groups	• To increase recruitment to the Program and reach	1,3,4,5
Reducing the number of sessions from 6 to 3 or 4.	• To reduce burden on facilitators and make the Program more viable to run • To fit with existing first time parent groups and individual Maternal and Child Health nurse consultations	2, 5
Plan to offer age specific group sessions open to anyone	• Reduce administrative burden of recruiting and following up multiple groups over time • Open up the Program to more parents potentially improving reach	1, 2
Amalgamate some groups for sessions beyond 12 months of age	• To address lower retention rates amongst parents with older babies • To make groups viable, limited capacity of facilitators	4
Key program messages were integrated into an existing program format	• Successful existing program already underway	5

Area 1,2,3,5: metropolitan Melbourne, Area 4 regional Victoria