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Table 1 Standard Family Spirit and Precision Family Spirit lesson schedules, pregnancy to 6 months postpartum

From: Towards precision home visiting: results at six months postpartum from a randomized pilot implementation trial to assess the feasibility of a precision approach to Family Spirit

  Standard Family Spirit (Family Spirit “As Usual”) Precision Family Spirit
Prenatal Period
Timepoint (weeks gestation)   Core First-time mother Substance misuse Early childhood obesity Sexual/ reproductive health
 28 weeks Contributing to a Healthy Pregnancy Contributing to a Healthy Pregnancy     
 29 weeks Working Towards a Better You    Effects of Drug Use on a Developing Baby   
 30 weeks Changes a Woman Goes Througha Working Towards a Better You     
 31 weeks A Look at Drug Use in Our Communityb     What You Eat = Your Baby’s Futurec  
 32 weeks Effects of Drug Use on a Developing Baby Bedtime Safety     
 33 weeks Understanding Gestational Diabetesa      
 34 weeks Baby Proofing and Safety Inside and Outside the Homeb How to Feed     
Bedtime Safety
 35 weeks How to Feed   How to Diaper    
How to Dress
How to Bathe
 36 weeks How to Diaper Breastfeeding Basics     
How to Dress
 37 weeks Breastfeeding Basics (Before You Begin / Tips)   Preparing for Safe Travel    
How to Bathe Before and During Labor
 38 weeks Before and During Labor After Your Baby is Born     
Time to Push
 39 weeks Preparing for Safe Travel and Outings      
Understanding Paternitya
  Standard Family Spirit (Family Spirit “As Usual”) Precision Family Spirit
Postpartum Period
Timepoint (weeks postpartum)   Core First-time mother Substance misuse Early childhood obesity Sexual/ reproductive health
 1 week      Feeding Supportc  
 2 weeks After Your Baby is Born How to Comfort Your Crying Child     
How to Comfort Your Crying Child
 3 weeks Understanding Reproduction   What to do if Your Baby is Sick    
How to Protect
 4 weeks Effects of Drug Use on Our Families and Loved Onesb Parenting Techniques Part Ad     
 5 weeks Your Family Planning Options      Understanding Reproduction
 6 weeks Planning Ahead How to Protect     
 7 weeks What to Do if Your Baby is Sick      Your Family Planning Options
What are Immunizations and Why Do We Need Them?a
 8 weeks More About Immunizationsa Planning Ahead     
 9 weeks Parenting Techniques     Rethink that Drinkc  
 10 weeks Protecting Your Sexual Healthb Playtime Fun     
Protecting Children from Abuse and Neglect
 11 weeks Learning More about STIsb      
 12 weeks Protecting Children from Abuse and Neglect Parenting Techniques Part Bd     
Playtime Fun and Learning
 14 weeks Introduction to Oral Health Care Introduction to Oral Health Care     
Oral Health Care: Getting a Healthy Starta
 16 weeks Introducing Solid Foods to Your Baby Introducing Solid Foods to Your Baby     
 18 weeks Communication and Building Healthy Relationships Communication and Building Healthy Relationships     
 20 weeks Skills for Healthy Living Part A Skills for Healthy Living Part A     
 22 weeks My Health and My Family’s Healtha     Infant Physical Activity and Safe Play Spacec  
 24 weeks Skills for Healthy Living Part B Skills for Healthy Living Part B     
  1. a These lessons are prescribed in Standard Family Spirit but not included in Precision Family Spirit
  2. b These lessons are prescribed in Standard Family Spirit before 6 months postpartum, but they are prescribed to Precision Family Spirit after the six-month postpartum timepoint
  3. c These lessons are prescribed in Precision Family Spirit but not included in Standard Family Spirit. They were developed as part of a new module for the Family Spirit home visiting program
  4. d Parenting Techniques is one lesson that may be taught over two visits. For the purposes of this study and reporting of results, it is counted as one lesson