Horodynski 2011.

Trial name or title	The healthy toddlers trial
Methods	RCT
Participants	Approximately 600 children aged 12‐26 months recruited from community programmes, immunisation clinics and food pantries
Interventions	Intervention: “HT addresses core nutrition concepts but moves well beyond basic nutrition to address maternal self‐efficacy during feeding, appropriate feeding styles, and practices, including skill development to increase success in making these behavioural changes.” “The HT intervention consists of eight in‐home visits by a specially trained paraprofessional instructor plus four weekly telephone follow‐up reinforcement contacts. Particularly for high‐risk families with young children, providing services within the context of the family’s home environment appears to be a useful and effective strategy to provide parents with information, emotional support, access to other services and direct education [19]. The home‐visitation model also engages families who lack transportation or child care, a challenge frequently reported by families with low incomes. Paraprofessional instructors are peer educators who can relate to the target audience. Research shows that people learn best from their peers (people like themselves). Eight home visit sessions have been found to produce behavioral change [20]. At each visit, the paraprofessional spends approximately 1 hour with the mother and toddler dyad. The HT lessons use a variety of techniques and materials to enhance each mother’s learning experience and help reinforce knowledge. Each lesson includes opportunities for discussion, hands‐on activities, and an opportunity for mothers to practice skills covered in the lesson. The eight lessons include a lesson plan, handouts, and recipes. Mothers receive a notebook binder at the beginning of Lesson 1.” Control: “The control group families receive the usual services provided by Building strong families (BSF) or Expanded Food and Nutrition Education Program (EFNEP) in respective states. These families are newly enrolled into BSF or EFNEP as part of the HT study and have not received home visitation previously. The control lessons are similarly delivered as the HT lessons, such that, a paraprofessional instructor provides eight lessons during an in‐home visit, which last approximately 60 minutes. However, the control lessons focus on parenting (BSF) or nutrition (EFNEP) and do not include extensive content on feeding toddlers. Paraprofessionals who provide the lessons for the control group families are different to prevent cross contamination between the two groups.”
Outcomes	Child fruit and vegetable intake will be assessed via 3‐day dietary record of child’s intake
Starting date	Unknown
Contact information	Mildred Horodynski: millie@msu.edu
Notes