Addressing Health Literacy and Numeracy to Prevent Childhood Obesity

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 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)

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