Table 1 Raising Well At Home intervention
Name | Raising Well-Health at Home |
|---|---|
Rationale | Interventions that meet families where they are, are offered over time in a variety of ways, and recognize families’ competing priorities can better serve families with Medicaid |
Provider | Peer coaches |
Mode | Home visits (N = 3): scheduled to meet the needs of the family Behavioral check ins: by phone or text, frequency determined by peer coach and/or participant |
Intervention design | Home visits based on social cognitive behavior change theory including the following: (a) observation of the parent, child, and/or home environment to assure relevance (e.g., availability of healthy food at home or in community); (b) participatory parent-child activities to reinforce behavior change (e.g., parental modeling of positive eating patterns); (c) pragmatic changes for a supportive physical home environment (e.g., remove TV from bedrooms); (d) feedback on progress through self-assessment (e.g., goal setting); and (e) reinforcement of family strengths |
Home visit content | Visit 1—reducing sugar-sweetened beverage intake, and beverage access: self-assessment of beverage intake; measure sugar in high calorie beverages; compare sugar and calories in different beverages; discuss and identify healthier drink options; set goals and identify strategies; improve beverage environment Visit 2—improving portion control, healthy snacking, and food environment: read food labels to identify healthy portions; self-assess nutritional quality of foods; discuss and identify healthy portions; set goals and identify strategies for healthy portions and modifying home food environment to support healthy choices Visit 3—increasing walking; reduce screen time-sedentary behaviors: self-assess current walking patterns and screen time-sedentary behaviors; do activity with the family; set up activity tracker; discuss and identify how to be active; set goals and strategies for achieving |
Tailoring | The structure of the visit is flexible so non-health-related social needs can be prioritized. Since the visit is taking place in the participant’s home, and the peer coach is familiar with the community, the content is tailored to build on the family’s home and neighborhood environment |