Background
Methods/design
Overview and hypotheses
Study setting and participants
Recruitment and randomization
Intervention
Curriculum
Session no. | Theme | Learning objectives: |
---|---|---|
1 | Develop Rapport, Baseline Measurement; Explain 5-2-1-0 and Track Behaviors | 1. Create rapport between family and navigator |
2. Family will be able to explain the study process and purpose | ||
3. Collect Baseline Data (Baseline measures) | ||
4. Explain 5-2-1-0 concepts | ||
5. Describe reasons for children’s growth patterns | ||
6. Describe your own family health behaviors | ||
7. Demonstrate how to keep track of behaviors and set goals | ||
2 | Nutrition: Focusing on family meals | 8. Explain the structure for visits |
9. Explain 5-2-1-0 : focus on 5 | ||
10. Describe 2 strategies for improving fruit and vegetable consumption | ||
11. Demonstrate rule setting around eating and food choices | ||
12. List a specific family challenge | ||
13. Describe how to keep track of behaviors and set goals | ||
3 | Physical Activity: Introduction | 14. Explain “5-2-1-0”: 1 hour or more of physical activity every day |
15. Explain “5-2-1-0”: 2 hours or less recreational screen time per day | ||
4 | Being in charge and making changes | 16. Describe a parent’s role during meal times |
17. Explain concept of food neophobia | ||
18. Describe use of differential attention (praising/ignoring) | ||
5 | Being a good judge of home health | 19. Explain “5-2-1-0”: zero sugary drinks every day |
20. Explain why a home health assessment is valuable | ||
21. Compare PN and parent home health assessment results | ||
6 | Being focused on choices | 22. Explain how to read food labels |
23. Describe whole grains, fiber | ||
24. Compare nutritional value of selected foods | ||
25. Explain what lean protein means and what foods contain them | ||
26. Describe low-fat dairy products and how to include in your meal planning | ||
7 | Grocery Store Outing | 27. Demonstrate reading food labels |
28. Demonstrate comparison shopping and calculate unit pricing | ||
29. Describe ways to buy fruits and vegetables on a limited budget | ||
8 | Cooking Demonstration | 30. Describe the method of preparing a new food or recipe(s) |
31. List beneficial factors from new recipe(s) | ||
32. Compare this recipes nutritional value to a similar but less nutritious form | ||
33. Demonstrate kitchen skills required to prepare the recipe(s) | ||
34. Plan a meal considering food preferences | ||
9 | Identifying barriers and Staying Motivated | 35. Demonstrate exercising while delivering other objectives (walk during session) |
36. Describe the common barriers to regular exercise | ||
37. Describe the process of building motivation for physical activity | ||
10 | Creating a healthy home and effective directions | 38. Describe how to set a home for success, eliminating food with little nutritious value, putting foods out of site |
39. Explain how to give effective directions to your child | ||
11 | Family Support: Promoting healthy body image and discipline | 40. Explain how we talk promotes and affects a healthy body image |
41. Describe the use of time out and other discipline techniques | ||
12 | Nutrition: Fruits, Vegetables and Portion Control | 42. Describe the importance of promoting fruits and vegetables with every meal |
43. Explain the value of snacks and nutritional goals | ||
44. Explain how to prepare healthy affordable meals | ||
45. Demonstrate ability to prepare healthy affordable meals | ||
13 | Physical Activity: Overcoming Burnout or Motivating Self or PA | 46. Explain what burnout means and how it can be avoided |
47. Explain the importance of dealing with changing schedules | ||
48. Describe ways to maintain focus but be flexible | ||
14 | Family Support: Finding support and putting it all together | 49. List ways to include other family and friends |
50. Demonstrate ability to blend all learned skills | ||
15 | Family Support: Planning Ahead and Problem Solving | 51. Describe the home change experience |
52. Explain efforts for home change | ||
53. Describe methods to plan ahead for challenges | ||
54. Describe problem solving skills and their use | ||
16 | Final Measures | 55. Celebrate Success, Allow for Review and Reflection |
Patient navigator training
Outcome measures
Child measures
Environmental measures
Clinical provider measure
Patient navigator measure
Family measure
Intervention fidelity
Enrollment and retention efforts
Sample size and power
Statistical analysis
Primary analysis
Secondary analysis
Discussion
Environmental observation | Yes | No |
---|---|---|
TV on | ||
Music on | ||
More than one person talking at a time | ||
Cluttered rooms, making it difficult to walk around or meet for home visit | ||
More than family present in the home | ||
Non-compliance to parent directions (ignored or refused by child) | ||
Disrespectful language | ||
Inappropriate behavior between 2 people | ||
Answering the phone (texting) during visit |