Table 2.

Mothers and Babies Plus Text Messaging (MB-TXT) examples classified by Mothers and Babies (MB) 1-on-1 session topics.

Topic and HVa #			Skill reinforcement		Homework reminder		Self-monitoring
Course introduction
	1	Everybody has stress. It affects how you feel and how you interact with your baby. Do something today to manage stress. It can be as small as counting to 10		PPb: Watch and make notes about the 15 min video on being your child’s first teacher [38]		How stressed do you feel when you think about becoming or being a mom? Reply 9 to 1 (with 9 being the most stressed and 1 the least stressed)
	2	Inner reality: your thoughts. Outer reality: what you do, who you relate to, what is around you. Stop and notice your realities		PP: Remember to keep track of how you are feeling by circling your mood rating on worksheet 2.2 at the end of the day		Reply and let us know what your mood is today on a scale of 1-9 (with 9 being the best day ever, 5 being average, and 1 worst day ever)
Pleasant activities
	3	It’s hard to do something pleasant when you are stressed or feeling sad. One pleasant activity can lead to more. Pick one thing you will do to destress		PP: What do you enjoy doing by yourself, with others, and with your baby? Think about it or write it down on worksheet 3.2		Are you working on creating your list of pleasant activities you like to do? Reply Y or N
	4	Pleasant activities can be low to no cost, brief, and things that are part of our daily routines		PP: Do not forget to do 1 pleasant activity this week. Fit it into your week by planning a day/time to do it using worksheet 4.3		Were you able to schedule or complete a pleasant activity? Reply Y/N (If Y, also text us what you did!)
	5	Babies learn by playing. Doing pleasant activities with you enhances their development. Notice how and what other babies in your community like to play		PP: Remember to keep track of how you are feeling (Quick Mood Scale) and how many pleasant activities you do each day on worksheet 5.3		Reply and let us know your mood for today on a scale of 1 to 9 (with 9 being the best)
Thoughts
	6	People have helpful and harmful thoughts and both types affect how we feel. Make an effort to think helpful thoughts or imagine positive images		PP: What helpful or harmful thoughts have you had this week about being pregnant or becoming a mom? Write them down on worksheet 6.6		Text us a positive thought you have about becoming or being a mom
	7	Talking back to harmful thoughts is one way to reduce them. Today, change one of your harmful thoughts into a more helpful thought		PP: Keep track of your mood (Quick Mood Scale). Count how many helpful/harmful thoughts you have this week. Decrease harmful thoughts with a new skill on worksheet 7.4		Have you noticed any harmful thoughts you have? Reply Y/N (In addition, tell us if you used a strategy to reduce it.)
	8	Your thoughts can affect your future and your baby’s future. It is helpful to have thoughts about your future so you can act in ways to achieve your goals		PP: This week think about what you want your baby’s ideal future to look like. What can you begin to do now to prepare for it? Put your ideas on worksheet 8.3		Reply and let us know your mood for today on a scale of 1-9 (with 9 being the best)
Contact with others
	9	Being with others can affect how you feel. Many people feel sad or depressed when they do not have positive contacts or have negative contacts with others		PP: On worksheet 9.4 rate how you are feeling and the number of positive and negative contacts you have each day. Try to do this every day of this week		Tell us about one positive contact you had this week. Text us who you were with and what you did together?
	10	Support from others is important for all of us. Positive contacts help you when life gets hard. Different people can provide support for different things		PP: Knowing who you can count on to support your baby is this week’s personal project. Write down who those people are on worksheet 10.3		Think about who supported you this week if you were having a difficult day. Text us what kind of support they gave you
	11	It is important to have your needs met and express what you need. Positive, clear, and direct requests are the best way to communicate. Practice being assertive		PP: This week try to ask for something from anyone—even your home visitor! What way of asking will help get your needs met—passive, aggressive, and assertive?		Reply and let us know your mood for today on a scale of 1 to 9 (with 9 being the best)
Planning for the future
	12	Creating a healthy reality for you and your baby must do with your activities, your thoughts, and your contact with others		Congratulations on finishing the MB! On a scale of 1 to 9, how helpful were texts in reminding you about main ideas and personal projects (9 is most helpful)?		Congratulations on finishing the MB! On a scale of 1 to 9, how helpful were texts in reminding you about main ideas and personal projects (9 is most helpful)?

^aHV: home visiting.

^bPP: personal project.