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Table 6 Summary of key results feeding forward to final intervention design

From: ‘Making the most of together time’: development of a Health Visitor–led intervention to support children’s early language and communication development at the 2–2½-year-old review

Target behaviours for the intervention

Use a chosen responsive interaction behaviour for 10–15 min every day from the following list:

 • Get down to your child’s level

 • Follow your child’s lead and interests

 • Pause and wait for your child to show you what they are interested in

 • Listen, watch and respond to their communication—this can be words, points, sounds or movements

 • Describe what your child is doing or looking at—imagine what they are thinking and feeling and say that

 • Show them you are having fun, and use an interesting voice

 • If they do communicate, copy what they say or mean to say, and add a word

 • Try to use fewer questions, and instead describe what is happening.

 • When you do ask questions try to keep them open—where, who, when and why rather than Yes/No questions

Appropriate intervention contexts

In daily routines chosen by parents/caregivers

 • Bath time

 • Getting out and about in the pram to the shops or park

 • Breakfast, lunch or tea time

 • Nappy change time

 • Playing with toys

 • Sharing books

 • At the library or toddler group

 • Bedtimes

 • Any other ‘together time’

Barriers and enablers to the targeted behaviour change

Listed in Table 7

Intervention functions

Primary functions—Training, Enablement, Modelling, Persuasion

Additional function—Environmental restructuringa

Intervention delivery level/ policy categories

Primary category—Service delivery

Secondary category—Communications/marketing

Additional category—Fiscal and environmental/social planninga

Factors for equitable, acceptable, practicable intervention delivery

Tailoring

Language and principles of shared decision-making

Modelling

Alliance and trust between practitioners and parent/caregivers

Inclusive

Motivating resources and approach

Aligned to current services

  1. a Of specific relevance to families where there is a need to tackle barriers with respect to physical and social opportunities