The goal of this study is to evaluate the impact of a primary care based intervention to promote optimal feeding, screen time and sleep practices among low-income Latino infants and toddlers. Infants and caregivers will receive brief health education and coaching sessions from health educators at primary care visits in the first two years of life as well as two text messages per week with health information and tips. Half of the participants will receive the Futuros Fuertes 2.0 intervention that includes health coaching and education on infant feeding, screen time and sleep (intervention group). The other half will receive health coaching and education on safety, home management of childhood illnesses, and promotion of language development (control group). We will look at the impact of the Futuros Fuertes 2.0 intervention on child BMI and various health behaviors.
Parent/caregiver self identifies as Latino
Parent/caregiver speaks Spanish or English
Parent/caregiver intends to receive primary care for infant at participating clinic
Infant gestational age of 37 weeks or greater
None
Parallel
Control
BehavioralThe control intervention includes brief health education and coaching sessions just after well child visits in the first two years of life (total of 7 sessions), 2 text messages per week for the primary caregiver and up to two additional family members, and environmental prompts that support healthy behaviors. The control intervention focuses on home safety, home management of common childhood illnesses, and promotion of language development.
Futuros Fuertes 2.0
BehavioralThe Futuros Fuertes 2.0 intervention includes brief health education and coaching sessions just after well child visits in the first two years of life (total of 7 sessions), 2 text messages per week for the primary caregiver and up to two additional family members, and environmental prompts that support healthy behaviors. The Futuros Fuertes 2.0 intervention focuses on optimal infant feeding, screen time, and sleep practices.
BMI Z-score
BMI Z-score based on WHO growth curves
Breastfeeding
Duration of breastfeeding in first year of life
Screen time
Daily screen time
Sleep duration
Daily sleep duration
Fruit and vegetable intake
Daily fruit and vegetable intake
Screen time
Daily screen time
Sleep duration
Daily sleep duration
Sugar-sweetened beverages and 100% fruit juice
Weekly ounces of sugar-sweetened beverages and 100% fruit juice
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University of California, San Francisco
Lead sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator
