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Table 2 Step 2 of systematic braiding; outline of the braided SFH-SC curriculum

From: Systematic braiding of Smoke-Free Home SafeCare to address child maltreatment risk and secondhand smoke exposure: findings from a pilot study

Week/session

SafeCare Health module

Provider content and activities

Smoke-free home Provider content and materials

1

Formally assess parents’ baseline skills in one scenario from each type: emergency (ER), doctor’s appointment (DA), and care at home (CH). Discuss how to take a child’s temperature

Following SafeCare assessment, Provider to offer a brief overview of secondhand smoke and inform parent that they will receive useful resources during next session

2

Explain the Health Recording Chart and Sick and Injured Child Chart-Parent (SICC-P). Provider models the SICC-P steps with an ER scenario. Parent practices the SICC-P steps. Provider offers feedback. Repeat EMPF (explain, model, practice, feedback) with 2 new ER scenarios until parent achieves mastery

Provider to introduce STBO kit no. 1. Provider to deliver and review the materials in Kit no. 1 and ask parent to review them before the next session

3

Provider review the SICC-P and formally assess parents’ knowledge of ER scenarios from last session. Provider explains and models the SICC-P steps with a DA scenario. Parent practices the SICC-P steps with a DA scenario with Provider giving feedback. Repeat EMPF with 2 new DA scenarios until parent achieves mastery

Provider to review kit no. 1 with the parent if they did not review it on their own. Provider to ask parent how important it is to create a smoke-free home and work with parent to generate list of reasons to create a smoke-free home

4

Provider to review the SICC-P and formally assess parents’ knowledge of DA scenarios from last session. Explain and model the SICC-P steps with a CH scenario. Have the parent practice the SICC-P steps with a CH scenario with Provider giving feedback. Repeat EMPF with 2 new CH scenarios until parent achieves mastery

Provider to follow scripts from the confidence and stages of change checklist. Complete coaching protocol with goal setting related to relevant step in the five steps to a smoke-free home process, including training mothers as a change agent

5

Provider to review the SICC-P and formally assess parents’ knowledge of CH scenarios from last session. Repeat practice until mastery is achieved. Introduce prevention topic and utilize EMFP as needed for each prevention scenario. Repeat EMFP for Nutrition, Physical Activity, Immunization, and Preventing Abusive Head Trauma and Safe Sleep (infants) sections

Provider to ask about parent about progress toward achieving goal (e.g., family talk, setting a date). Provide to support parent in moving to next step (e.g., practice family talk, remove ashtrays, post signs, help set up safe smoking space outside). Provider to offer overview of challenges and solutions booklet and deliver kit no. 2; a photo novella that role models a family establishing a smoke-free home, and e-cigarette insert that encourages inclusion of vaping in the rule

6

Provider to formally assess parent on each scenario type (ER, DA, CH) and repeat EMFP until mastery achieved and provide feedback on parent progress since baseline

Provider to deliver kit no. 3 and provide a brief overview of the resources inside: newsletter, window cling, stickers, third hand smoke insert, etc