Table 1.

The Child Centred Health Dialogue model (created by authors LH and MD)

The Child Centred Health Dialogue model
The CCHD- model consists of two parts, a universal part directed to all 4-year-olds and their families visiting the CHS and a targeted part to families where the 4-year-old is identified with overweight or obesity. The universal part consists of a structured health dialogue between the nurse, the parents and the 4-year-old using eight illustrations. The first four illustrations focus on fruit and vegetable consumption, intake of sweetened beverages and total energy intake. The remaining illustrations focus on other important behaviors associated with children’s health and body weight, such as physical activity, tooth brushing and sleep. The CHS nurse introduces each illustration to the child first, followed by an open dialogue with the child and the parents, their reflections and questions. After each illustration they summarize the conversation together and recap the health issues important for the individual family (Rikshandboken för barnhälsovård, 2019) The purpose of the CCHD- model is to strengthen empowerment, promote participation and health literacy with a structure based on the following items: approach, dialogue, tools and process.
Approach	Dialogue	Tools	Process
Salutogenesis Empowerment Alliance/Partnership Relationship Neutrality Non-judgemental Trust	The child and the parents’ questions Open questions Contextually Dialogue and participation Reframing	Neutral educational illustrations Iso-BMI chart	Identifying protective factors and family resources Promoting and strengthening HL Small changes in lifestyle with solution-focused approach Long-term goals