{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T18:02:28Z","timestamp":1788544948337,"version":"build-2803163510"},"reference-count":103,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,6,1]]},"abstract":"<jats:p>Children who become overweight by age 2 years have significantly greater risks of long-term health problems, and children in low-income communities, where rates of low adult literacy are highest, are at increased risk of developing obesity. The objective of the Greenlight Intervention Study is to assess the effectiveness of a low-literacy, primary-care intervention on the reduction of early childhood obesity. At 4 primary-care pediatric residency training sites across the US, 865 infant-parent dyads were enrolled at the 2-month well-child checkup and are being followed through the 24-month well-child checkup. Two sites were randomly assigned to the intervention, and the other sites were assigned to an attention-control arm, implementing the American Academy of Pediatrics' The Injury Prevention Program. The intervention consists of an interactive educational toolkit, including low-literacy materials designed for use during well-child visits, and a clinician-centered curriculum for providing low-literacy guidance on obesity prevention. The study is powered to detect a 10% difference in the number of children overweight (BMI &amp;gt; 85%) at 24 months. Other outcome measures include observed physician\u2013parent communication, as well as parent-reported information on child dietary intake, physical activity, and injury-prevention behaviors. The study is designed to inform evidence-based standards for early childhood obesity prevention, and more generally to inform optimal approaches for low-literacy messages and health literacy training in primary preventive care. This article describes the conceptual model, study design, intervention content, and baseline characteristics of the study population.<\/jats:p>","DOI":"10.1542\/peds.2013-3867","type":"journal-article","created":{"date-parts":[[2014,5,13]],"date-time":"2014-05-13T02:09:30Z","timestamp":1399946970000},"page":"e1724-e1737","source":"Crossref","is-referenced-by-count":71,"title":["\u201cGreenlight Study\u201d: A Controlled Trial of Low-Literacy, Early Childhood Obesity Prevention"],"prefix":"10.1542","volume":"133","author":[{"given":"Lee M.","family":"Sanders","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Center for Policy, Outcomes and Prevention, Stanford University, Stanford, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliana M.","family":"Perrin","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. 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