Table 2.

Brief introduction of the components of the Iran Healthy Start program.

Program components	Implementation items
Customized Literacy, Education, Activity, Play	Illustrated handbook containing customized Literacy, Education, Activity, Play based on the Iranian preschool education bylaws, current nutrition, and physical activity guidelines for preschoolers, physical area, or environment in most preschools in Iran, Iranian common plays and lyrics or songs among preschool children, Iranian common playing tools and materials, Iranian culture (menu, common foods, and eating culture), known foods preferred by Iranian children of this age, and commonly available foods and their cost.
Iran Healthy Start implementation guide	Translated handbook for directors and educators
Training and monitoring	On-site training workshop and a supplementary booster session. The implementation is monitored by weekly visits and daily logs and sending videos and photos while children do the activities
Building partnership	Attracting the participation of the following: Ministry of Health by reporting results of the pilot study and proposing the national governmental program Iran broadcasting (radio and television) to introduce the program and report the outcomes Provincial Education Department for incorporating the designed material into the preschool education bylaws
Parent engagement	A 107-page book provided for parents, containing 5 main chapters to be discussed in each gathering session of parents and IHS team nutritionist (routinely every month)
Communication and knowledge exchange	Website, social media tools, and reports of the study findings for the stakeholders