The Greenlight Toolkit
At each well-child visit, the physician shares a developmentally appropriate “core booklet,” with the parent and has the option to further reinforce messages with 1 of 6 topic supplements (breastfeeding, formula feeding, infant sleep, television and screen time, family physical activity, and family nutrition). Parents are encouraged to share these booklets with all adult caregivers in the child’s home.
Each core booklet is tailored to the child’s developmental stage and corresponds to one of the seven routine well-child visits between 2 months and 18 months. To promote shared goal setting at each visit, the back page of each core booklet provides space to allow for tailored goal-setting, as well as a check-box list to help guide families to make specific goals. Each core booklet introduces or reinforces 3 parent behaviors thought to be most strongly associated with preventing obesity during early childhood, based on developmental-stage appropriateness, complementary messages at previous and subsequent visits, and the best available evidence in the peer-review literature. Each of these behaviors is highlighted on the cover of each core booklet within a green “traffic light” circle.
At 4 of the 6 well-child visits during study participation, the parent-child dyad receives a “tangible tool,” which is intended to promote intervention fidelity and to reinforce core messages. At the 2-month and 9-month WCC, the tangible tool reinforces a message to limit intake of sweet drinks: at 2 months, an infant onesie that reads “I’m Sweet Enough. Please, No Juice!”; at 9 months, a BPA-free sippy cup with markings to help identify maximum daily juice intake and instructions for juice dilution. At the 12-month and 15-month WCC, the tangible tool reinforces messages about portion size: at 12 months, 2 developmentally appropriate plastic snack bowls; at 15/18 months, a placemat illustrating a sample dinner plate with appropriate serving sizes for protein, starch, and fruits and vegetables.
Core Booklets and Tangible Tools
2 Month Well Child Check:
4 Month Well Child Check:
6 Month Well Child Check:
9 Month Well Child Check:
12 Month Well Child Check:
15/18 Month Well Child Check:
24 Month Well Child Check:
Supplemental Booklets
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Spanish Core Booklets
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Spanish Supplemental Booklets
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