Addressing Health Literacy and Numeracy to Prevent Childhood Obesity

Inclusion Criteria:

- Specific Inclusion Criteria at the parent-child dyad level will include:

- Consent from a primary caregiver (i.e., parent or legal guardian)

- Caregiver's ability to speak English or Spanish

- Infant presenting for a 2 month well-child visit (child is 6 ≥ 12 weeks old)

- Caregiver agrees to participate in the study, and agrees to bring their child to
all well-child care visits until their 2 year well-child care visit.

- Specific Inclusion Criteria at the Pediatric Resident level will include:

- Participation in the medical center's pediatric resident training program

- Providing regular care (> 3 sessions per month) in the pediatric resident primary
care clinic; AND

- Consent to participate in the study

Specific Exclusion Criteria at the Pediatric Resident level will include:

- Providing no regular care in the pediatric resident primary care clinic (e.g.,
transitional-year resident, Medicine/Pediatrics resident); OR

- Known plans to leave the training program during the ensuing 6 months

Exclusion Criteria:

- Specific Exclusion Criteria at the parent-child dyad level will include:

- Child born prior to 32 weeks' gestational age or with a birth weight < 1500 grams

- Child with weight/length < 3rd percentile at 2 months of age

- Child with a diagnosis of failure to thrive or with weight that has dropped ≥ 2
percentile curves since the previous well child visit

- Child with known medical problems that may affect their ability to thrive or
requires a special diet (e.g. metabolic disease, uncorrected congenital heart
disease, renal disease, lung disease)

- Caregiver with significant mental or neurologic illness likely to impair their
ability to participate

- Caregiver age < 18 years

- Caregiver with known plans to move out of the immediate area during the study
period

- Caregiver with poor visual acuity (i.e. vision worse than 20/50 with Rosenbaum
Pocket Screener as assessed at the time of recruitment)