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This study aimed to investigate engagement, satisfaction, retention and behavioural outcomes of linguistically diverse participants from a mainstream early childhood obesity prevention trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Healthy Beginnings is a nurse\u2010led intervention based in Sydney, supporting families with optimal infant feeding and active play via telephone. This secondary analysis assessed participant engagement in the nurse telephone calls (call completions), satisfaction and behavioural outcomes (6\u2010 and 12\u2010month survey data) and retention (survey completions), in the first year of life according to participants\u2019 language spoken at home (English or other language).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1155 mothers, 533 (46%) spoke a language other than English at home. Significantly fewer mothers speaking a language other than English completed the 6\u2010month survey (79%) compared to those speaking English (84%), yet mothers speaking a language other than English who completed the program were more satisfied with the program overall. Significantly fewer mothers speaking a language other than English completed the final four nurse calls (of six) (56%\u201065%) compared to those speaking English (70%\u201080%). Adjusted odds ratios showed selected behavioural outcomes were significantly more positive for participants speaking English at home.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Healthy Beginnings trial participants who spoke a language other than English at home had less favourable engagement, retention and behavioural outcomes compared to those who spoke English.<\/jats:p><jats:p>So what?<\/jats:p><jats:p>Early obesity prevention interventions should consider cultural adaptations to improve engagement and effectiveness among culturally and linguistically diverse families.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpja.521","type":"journal-article","created":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T17:39:20Z","timestamp":1625938760000},"page":"350-360","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Engagement, satisfaction, retention and behavioural outcomes of linguistically diverse mothers and infants participating in an Australian early obesity prevention trial"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1462-3087","authenticated-orcid":false,"given":"Sarah","family":"Marshall","sequence":"first","affiliation":[{"name":"Sydney School of Public Health The University of Sydney  Sydney NSW Australia"},{"name":"The National Health and Medical Research Council Centre for Research Excellence in the Early Prevention of Obesity in Childhood (EPOCH CRE)  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9488-8121","authenticated-orcid":false,"given":"Huilan","family":"Xu","sequence":"additional","affiliation":[{"name":"Health Promotion Unit, Population Health Research and Evaluation Hub Sydney Local Health District  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7228-8993","authenticated-orcid":false,"given":"Sarah","family":"Taki","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health The University of Sydney  Sydney NSW Australia"},{"name":"The National Health and Medical Research Council Centre for Research Excellence in the Early Prevention of Obesity in Childhood (EPOCH CRE)  Sydney Australia"},{"name":"Health Promotion Unit, Population Health Research and Evaluation Hub Sydney Local Health District  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9447-3439","authenticated-orcid":false,"given":"Yvonne","family":"Laird","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health The University of Sydney  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1244-3947","authenticated-orcid":false,"given":"Penelope","family":"Love","sequence":"additional","affiliation":[{"name":"The National Health and Medical Research Council Centre for Research Excellence in the Early Prevention of Obesity in Childhood (EPOCH CRE)  Sydney Australia"},{"name":"Institute for Physical Activity and Nutrition School of Exercise and Nutrition Sciences Deakin University  Geelong VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1381-4022","authenticated-orcid":false,"given":"Li Ming","family":"Wen","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health The University of Sydney  Sydney NSW Australia"},{"name":"The National Health and Medical Research Council Centre for Research Excellence in the Early Prevention of Obesity in Childhood (EPOCH CRE)  Sydney Australia"},{"name":"Health Promotion Unit, Population Health Research and Evaluation Hub Sydney Local Health District  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2156-8581","authenticated-orcid":false,"given":"Chris","family":"Rissel","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health The University of Sydney  Sydney NSW Australia"},{"name":"The National Health and Medical Research Council Centre for Research Excellence in the Early Prevention of Obesity in Childhood (EPOCH CRE)  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,21]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Australian Bureau of Statistics.Migration Australia[Internet];2020[cited 25 Sep 2020]. 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