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Table 1 4-Health Educational Program Sessions

From: Childhood obesity prevention in rural settings: background, rationale, and study design of ‘4-Health,’ a parent-only intervention

Topic

Participant Objectives

Activities

Program Introduction & Focus Areas

· Learn about the program focus areas and their related behaviors: Food and Nutrition, Physical Activity, Body Image, and Active Parenting

· Program focus areas and motivation activity

· Active Parenting introduction and Worksheet

· Introduction to website and participant/preteen home cooking assignments

Parenting Styles & Food and Nutrition Basics

· Explore different parenting styles and how they support preteen health

· Learn about nutrition basics (MyPlate and nutrient-rich foods)

· Create SMART Plans for each program focus area

· Parenting Styles introduction and activity

· Basics of nutrition presentation

· SMART Plan introduction and goal setting activity

· Take-home food and nutrition environment assessment

Stages of Child Development & Physical Activity Basics

· Compare the stages of child development and how to effectively parent the preteen stage

· Learn about physical activity basics for preteens

· Adapt and continue with SMART Planning

· Stages of child development information and activity

· Basics of physical activity presentation

· SMART Planning follow-up, additions, and adaptations

· Take-home physical activity environment assessment

Family Communication & Mealtime

· Learn about effective family communication and the FRIDGE curriculum

· Consider current family mealtime practices and discuss how best to enhance them

· Adapt and continue with SMART Planning

· Family communication and FRIDGE curriculum information and discussion

· Dinnertime activity

· SMART Planning follow-up, additions, and adaptations

· Take-home grocery store scavenger hunt

Beyond the Basics of Food and Nutrition

· Learn about and discuss further food and nutrition topics

· Consider how portion choices have changed over time and how we make decisions about serving size

· Adapt and continue with SMART Planning

· Beyond the basics of nutrition information and breakout discussions

· Portion distortion presentation and activity

· SMART Planning follow up, additions, and adaptations

· Take-home internet recipe activity

Body Image – The Basics & Beyond

· Learn about body image and discuss situations that affect preteens

· Understand the impact of media messages on preteens and how to proactively address the messages

· Adapt and continue with SMART Planning

· Minimize media impact activity

· Body image information and discussion

· SMART Planning follow up, additions, and adaptations

· Take-home body image environment assessment

Beyond the Basics of Physical Activity

· Learn about and discuss further physical activity topics

· Consider motivations and barriers to physical activity in their family

· Adapt and continue with SMART Planning

· Motivations and barriers activity and worksheet

· 100-Calorie health information and activity

· SMART Planning follow up, additions, and adaptations

· Take-home family physical activity worksheets

Moving into the Teen Years & Food and Nutrition Skill-Builders

· Learn tips and techniques to help preteens make a healthy transition into teen years

· Apply the concepts of satiety and energy density to family food choices

· Learn how to help preteens use the nutrition food label

· Adapt and continue with SMART Planning

· Moving into the teen years information and discussion

· Satiety and energy density information and activity

· Nutrition Tool: Label reading activity

· SMART Planning follow up, additions, and adaptations

· Take-home label reading and hunger and satiety activities

Parents as Community Change Agents & Physical Activity and Body Image Skill-Builders

· Examine communities and what parents could do to promote healthy changes

· Use scenarios and discussion to determine how best to address body image issues with preteens

· Participate in a circuit course activity

· Adapt and continue with SMART Planning

· Community change activity

· Body image how-to’s activity

· Circuit training exercise and take-home activity

· SMART Planning follow up, additions, and adaptations

· Take-home preteen community change worksheet

Moving Forward with Healthy Habits

· Reflect on the progress made throughout the program

· Learn strategies to keep up with behavior changes made throughout the program

· Plan for continuation of SMART Planning

· Healthy preteens reflection activity

· Moving forward with healthy habits presentation

· Keeping up with SMART Planning information and activity

· Final program evaluation