Table 2.
Classifications of CONTENT modifications to the original FCU in developing the FCU4Health program.
| What is modified? | By whom were modifications made? | Level of delivery | Nature of the modification | |
|---|---|---|---|---|
| FCU | FCU4Health | |||
| Screening—child behaviors and family risk factors for ineffective parenting | Screening—child body mass index (BMI) | Program developers Researchers (required by funding agency) | System level | Substituting |
| 3 contacts (initial interview; ecological family assessment; feedback session) | 2 contacts (combined initial interview and family health routines assessment; feedback session) | Program developers | System level | Shortening/condensing |
| Ecological assessment surveys—focused on ecological influences on children's adaptations and behavior and on parent's ability to manage the family | Family health routines surveys –added health routines and behaviors module (e.g., dietary practices, mealtime and sleep routines, physical/ sedentary activity, health related quality of life) | Program developers Researchers Coalition of stakeholders | System level | Adding elements |
| Family Interaction Tasks—focus on risk reduction of factors related to problem behaviors (e.g., monitoring, limit setting) 5 tasks, 5 min each | Family Interaction Tasks—focus on promoting healthy goals/behaviors and setting limits on unhealthy behaviors 3 tasks, 3-4 min each | Program developers Coalition of stakeholders | System level | Substituting Tailoring/tweaking/ refining |
| N/A | Anthropometric evaluation (BMI, body composition) of child and other family members, who are encouraged to provide this data | Program developers Researchers (required by funding agency) Coalition of stakeholders | System level | Adding elements |
| Referrals to community services and supports | Referrals to community services and supports Programs and services for diet, nutrition, physical activity and services to address social determinants of health | N/A Program developers Coalition of stakeholders | System level System and clinic/unit levels (tailored at the individual patient level) | N/A Tailoring/tweaking/ refining |
| No explicit focus on nutrition or health behaviors related to obesity and excess weight gain | Nutrition and child health behavior education and goals/expectations | Program developers Coalition of stakeholders | System level (tailored at the individual patient level) | Adding elements |