APPENDIX A
Specific ConversationTopics Included within each Weight-Related Behavior
The following conversation topics were NOT included in any of the weight-related behavior areas:
-Conversations focusing only on other children in the family
-Rapport-building conversations not directly related to specific weight-related behaviors
-Conversations about weight or BMI outcomes (e.g., tracking weight, height) in general
-Conversations about general child health
-Conversations about improving the general quality of meals or food (i.e., “eating better”) without reference to a specific weight-related behavior
-Conversations about preparing for (e.g. cooking) or cleaning up after meals without reference to a specific target area such as increasing family meal frequency
-Conversations about “meal planning” without reference to a specific target area such as restaurant frequency
-Conversations about switching from saturated to unsaturated fats unless related to a specific target area such as energy intake/limiting unhealthy foods
-Conversations about whole wheat unless related to a specific target area such as energy intake/limiting unhealthy foods
-Conversations about picky eating that do not relate to a specific weight-related behavior
-Conversations about reading food labels that do not relate to a specific weight-related behavior
-Conversations about vitamins that do not relate to a specific weight-related behavior
-Conversations about organic foodsthat do not relate to a specific weight-related behavior
-Conversations about whole rather than processed foodsunless related to a specific target area such as energy intake/limiting unhealthy foods or fruit and vegetable intake
-Conversations about low sodium options (e.g., chicken broth with reduced sodium)unless related to a specific target area such as energy intake/limiting unhealthy foods
-Conversations around improving the quality of family meal time (e.g., improved conversation) unless related to increasing the frequency or length of family meals
The following decisions about conversation topics were made in each weight-related behavior area:
- Increasing fruits and vegetables
-Include adding fruits or vegetables to family meals or breakfast
-Include choosing fruits or vegetables at restaurants
-Include increasing portion sizes of fruits and vegetables (e.g. MyPlate)
-Include increasing diversity of fruits and/or vegetables eaten
-Include switching the type of fruit/vegetables eaten (e.g. switching from canned to fresh vegetables)
-Include discussions of meal preparation, shopping, or clean up only if the conversation revolves around getting the child to eat more fruits and vegetables
-Include discussions about picky eating only if the conversation revolves around getting the child to eat more fruits and vegetables
-Include discussions about food labelling only if the conversation revolves around getting the child to eat more fruits and vegetables.
-Include replacing juice with whole fruits or vegetables.
-Exclude conversations about filling up on fruits or vegetables as a strategy to decrease portion sizes of other unhealthy foods (e.g., eat a salad before dinner); record this in decreasing energy intake.
- Decreasing energy intake (reducing high fat/sugar foodsor portion sizes)
-Include decreasing fat/sugar foods at family meals or breakfast
-Include choosing less fat/sugar foods at restaurants
-Include limiting snacking
-Include switching from high fat snacks to low fat snacks
-Include decreasing portion sizes of foods (e.g. MyPlate),
-Include reducing snacking in front of the TV unless the purpose is to reduce TV time
-Include switching from high fat to low fat milk or reducing milk consumption
-Exclude reducing flavored milk consumption or switching from flavored to unflavored milk, record this in reducing sugary beverages
-Include discussions of meal preparation, shopping, or clean up only if the conversation revolves around getting the child to eat less fat/sugar foods
-Include discussions of whole wheat products only if the conversation revolves around getting the child to eat whole wheat foods that are alsolower fat/sugar/calorie foods
-Include discussions about picky eating only if the conversation revolves around getting the child to eat fewer high fat/sugar foods.
-Include discussions about food labelling only if the conversation revolves around getting the child to eat fewer high fat/sugar foods.
-Include conversations about filling up on fruits or vegetables as a strategy to decrease portion sizes of other unhealthy foods (e.g., eat a salad before dinner).
-Include conversations about child sneaking food
-Include conversations around pace of meal if they targeting reduced energy intake
- Decreasing sugary beverages
-Include decreasing sugary beverages at family meals or breakfast
-Include choosing fewersugary beveragesat restaurants
-Include reducing flavored milk consumption or switching from flavored to unflavored milk
-Do not include switching from high fat to low fat milk or reducing milk consumption
-Include discussions about picky eating only if the conversation revolves around getting the child to drink fewer sugary beverages.
-Include discussions about picky eating only if the conversation revolves around getting the child to drink fewer sugar-sweetened beverages.
-Include conversations about decreasing juice consumption or replacing juice with water
-Exclude conversations about drinking fewer zero-calorie beverages (e.g., diet soda)
- Increasing physical activity
-Include conversations about increasing physical activity play equipment
-Include conversations about increasing active video games
-Include conversations about supporting child’s activity (e.g. enrolling in a sport)
-Include conversations about involving family in physical activity
-Include conversations about incorporating activity into daily routine
-Include conversations about replacing sedentary activities with more active activities
- Decreasing media use
-Include conversations about turning off TV/screens during family meals
-Include conversations about turning off TV/screens in the background
-Include conversations about reducing time on hand-held devices or other small screens
-Exclude conversations about decreasing snacking in front of the TV/screens unless TV/screentime is also being reduced
-Exclude conversations about increasing active video game time
- Increasing frequency of family meals
-Include conversations about increasing eating breakfast together as a family,
-Exclude conversations about shopping for, preparing for (e.g. cooking), cleaning up after family meals, unless the conversation revolves around increasing the frequency of family meals
-Exclude conversations about general “meal planning” unless the conversations revolves around increasing the frequency of family meals
-Excludeconversations about improving dietary quality of family meals (e.g. eating more fruits/vegetables)
-Include discussions about picky eating only if the conversation revolves around helping the family eat more meals together
-Include discussions around increasing the amount of time spent at family meals (e.g. increasing from 10 minute family meals to 20 minute family meals)
- Increasing frequency of breakfast
-Exclude conversations about improving dietary quality of breakfast meals (e.g. eating more fruits/vegetables)
-Include discussions about picky eating only if the conversation revolves around getting the child to eat breakfast more frequently.
- Decreasing frequency of restaurant meals
-Exclude conversations about improving dietary quality of restaurant meals
-Include discussions about picky eating only if the conversation revolves around getting the child to eat at restaurants less often.