Exhibit 2_OhBaby Kit Examples.pdf

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Attached to
DCY-C-2627-0044Q OHBaby Kits
Solicitation number
SRC0000034635
Issued by
Ohio

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This document is a report on parents' and providers' impressions of various materials in an early childhood intervention and support kit. The study evaluated multiple resources including an "Act Early" warning signs brochure, child development wheel, health record notebook, FeverScan thermometer, emergency numbers magnet, nutrition card, immunization schedule, safe sleep flyer, breastfeeding resource, a magazine called BabySteps/Beginnings, and a "You're a Dad" resource.

Key findings reveal mixed reactions to the materials. While parents appreciated resources like the emergency numbers magnet and Act Early brochure, they suggested improvements for several components. The breastfeeding resource was seen as promotional but lacking practical advice, the "You're a Dad" material was perceived as overly simplistic, and the safe sleep information felt repetitive. Parents and providers recommended more detailed, nuanced information about topics like breastfeeding challenges, fathers' roles, vitamin recommendations, and developmental milestones. The study highlights the importance of creating comprehensive, engaging materials that address the diverse needs of parents and caregivers across different stages of child development.

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“ACT EARLY”: IMPRESSIONS OF MATERIALS

DISCUSSING EARLY INTERVENTION

“ACT EARLY”: IMPRESSIONS OF MATERIALS DISCUSSING DEVELOPMENT MILESTONES

Parents’ opinions about the Act Early warning signs brochure and the child’s development wheel were highly positive. Providers and parents often mentioned these materials as (one of) the most important or their “favorite” ones.

The few suggestions for improving act early materials included:

• Emphasizing that kids hit milestones at different ages.

• Informing parents about the intervention process in case a child isn’t hitting development goals.

“That one was my favorite one, the Act Early (brochure). I hadn't seen anything listed like this previously in my prior pregnancy with my first son. And I think it's just really important to know these warning signs or just things to look for to make sure that they're developing the way that they should be and when.”

IMPRESSIONS OF THE HEALTH RECORD NOTEBOOK

Parents and providers felt the health record notebook was useful, both for orienting families to their appointments and providing a place to write down important information.

Parents who loved this resource consider themselves notetakers, but many parents mentioned they don’t like to write things down or the book could be easily misplaced.

Suggestions given by parents and providers for increasing utilization of this resource included:

• Providing some way for parents to record and access the information digitally.

• Focusing the health record on particular well-child visits when parents are more likely to need/use it.

“I really like the notebook thing, because it helps you keep track of everything. I'm a first-time mom, so I don't know exactly what to expect in every visit. So that's a plus for me.”

“Obviously, that's super good to have to take every time to the pediatrician. Because everybody thinks oh well it's in the computer. Nobody's on the same computer system. The fact that it's on a system somewhere doesn't do anybody any good. Whereas if you can walk in with a hard copy that's way more helpful.”

IMPRESSIONS OF THE FEVERSCAN THERMOMETER

While parents greatly appreciated the inclusion of a thermometer in the kit, they found it to be inaccurate.

Providers agreed, saying effort should be put into providing parents with digital thermometers.

“I was super excited when I saw the little thermometer that you stick on your forehead. My little guy actually had a fever yesterday and I thought this is really handy. I could stick this in my purse and carry it with me, but it didn't work.”

“I would never recommend for a newborn or an infant that a parent uses this. It's inaccurate.”

IMPRESSIONS OF THE EMERGENCY NUMBERS MAGNET

Parents had very positive reactions to the emergency numbers magnet; multiple had already placed this on their fridge by the time of the focus group. This resource was deemed one of the most useful by the parents interviewed.

“The second we got that in the mail we filled all that out and stuck it to the side of the fridge immediately.”

“I also really like the magnet with the emergency numbers. I will admit now my 4-year-old got into something and we needed that poison control number because we weren't sure how many she ate or if she was going to be OK and so that came in handy.”

IMPRESSIONS OF THE NUTRITION CARD

Parents appreciated the inclusion of the nutrition advice, but they questioned if it was up to date. They also think the kit’s nutrition resources could provide more information about allergies and starting solid foods.

Suggestions to make this resource more useful to parents included:

• Providing warning signs of food allergies, and information on how to get their child tested.

• Verifying recommendations about starting solid foods and rice cereal.

• Having a magnet form of this resource for the fridge.

“I did notice the copyright was 2015. Because I feel like with, one of mine, they started eating earlier because they were ready and it was right for them to do that. So if I was a new mom and I was looking at this and it's like, oh, I have to wait, he would've been real hungry for two months.”

“I like that it's included in there especially for a lot of first-time moms, it is very informational for things that you might not have known.”

IMPRESSIONS OF THE IMMUNIZATION SCHEDULE

Parents did not have comments about the immunization schedule, other than it being a helpful resource to have.

Providers felt the schedule could be clarified to better reflect when vaccines are typically given. Providers also feel more promotion of the importance of vaccines might be needed.

“In this era it would be nice to have a little bit more information [about] immunizations and how important they are. Because there are many more people nowadays that don't believe immunizations are important.”

“The immunization card is a little misleading.”

IMPRESSIONS OF THE SAFE SLEEP FLYER

Parents did not find the safe sleep information to be very helpful. They said this information is told to them so many times over the course of their pregnancy that they already know it well. Framing this information differently may be necessary to ensure it doesn’t feel overly repetitive.

Possible ways to improve this resource include:

• Acknowledging the research on bed-sharing, because some parents do see it as safe option.

• Emphasizing how babies cannot regulate their temperature, and how to keep them at safe temperatures.

• Emphasizing the importance of caretaker sleep, and discussing safe ways for both babies and parents to nap.

“I did think the safe sleep was overkill. It was just drilled into your head constantly, [during] pregnancy and at the hospital as well.”

“I just didn't see a reason for the sleep one. Because we get it from beginning to end so we already know everything.”

IMPRESSIONS OF THE BREASTFEEDING RESOURCE

Parents and providers felt the breastfeeding resource was good at promoting breastfeeding, but could go further in terms of providing practical breastfeeding advice and information about using formula.

Parents and providers made the following suggestions for improving or adding to the kit’s breastfeeding resources:

• Include information about potential issues mothers face when breastfeeding, and signs that something isn’t right.

• Inform parents about the potential solutions to their breastfeeding problems.

• Discuss formula and how to prepare it.

• More accurately reflect vitamin recommendations for breastfeeding moms.

• Include evidence of maternal benefits of breastfeeding.

• Include the signs of mastitis, so mothers know when they have it, as well as how to relieve their symptoms.

“I felt it wasn't completely holistic…I would have looked at this with my first [child]. But what I also needed, was to know, well, how do you know if it's not working? What are the signs that your baby's not being feed enough? Or that there's something wrong?”

“It seems to be good at promoting breastfeeding, but I feel like it's not very information in terms of sharing how often should baby be nursing or kind of like when baby's away from mom, how much should baby be eating? How often? That kind of thing. And then like what are the rules around storing milk? I was a little bit surprised it wasn't in there.”

IMPRESSIONS OF BABYSTEPS/BEGINNINGS MAGAZINE

Parents were split in how useful they found the kit’s magazine to be: some who read it said the information was valuable, especially if they had less experience with pregnancy or caring for an infant.

Some parents simply didn’t want to read a magazine or felt like they wouldn’t learn any new information.

“I don't read magazines. And being a mom of three, I have a high-risk pregnancy technically with this one. So, babies, pregnancy, I kind of feel I've got it all figured out, so that's why I didn't read it.”

“I liked it. I feel being thrust into motherhood later in life and really not knowing what to expect. all my friends had their babies 10-plus years ago, so, I would've definitely read this while I was pregnant.

The baby side, and while you're pregnant, the pregnancy side as well. Because I was just taking in everything I possibly could because I just didn't know anything I felt when I got pregnant. So this would've been really helpful for me to have gotten from my doctor maybe early on in my pregnancy.”

“The way it's set up with month by month for, baby steps, different things that you can do and feeding…it has some good tips in it.”

IMPRESSIONS OF “YOU’RE A DAD” MATERIAL

Providers and parents appreciated that the kit didn’t leave dads out. However, mothers and fathers interviewed felt the “You’re a Dad” resource seemed too simplistic compared to the materials in the kit for moms.

Providers and parents gave the following suggestions to improve the kit’s materials to be more informative and engaging for fathers.

• Include statistics about the importance of fathers in children’s lives, to drive home the point that dads need to be involved.

• Define parenting styles, and promote authoritative “loving, but firm” methods of connecting with children.

• Frame dad-centric materials as “extra tips for Dad”; mothers worry that other materials in the kit seem exclusive to moms.

• Provide more specific tips on how to support moms during delivery and postpartum, as well as with feeding and other childcare activities.

“I felt it gave the mom so much information that was detailed and helpful. And then the dad one was just like, ‘Care about your kids. Help your wife.’ And that just seems trite in comparison to all of the other details of what the kids are supposed to do, and what's happening to me as the mom with the baby.”

“I do like that it's added into the whole situation because some dads feel left out and I feel like it just brings them closer to us when they have [something] for themselves.”

IMPRESSIONS OF MATERIALS ABOUT READING

Providers felt the kit’s materials about reading were essential. Parents liked that a book was included but felt strongly that the book should be switched out for one that tells a children’s story.

Parents and providers shared other suggestions for how the kit could help parents read with and to their children:

• Provide directions for accessing the Imagination Library so they always have books on hand.

• Include a book that wasn’t paper, so it would last longer if their children play with it.

• Organize the bookmark’s tips according to developmental stages, including clear ages with each suggestion.

“When I actually read the book, I was kind of like, no, I wish would have just been a regular baby book. I'm like, 'Oh, I'm not going to read that.' It's more like a book for me.”

“The tangible book is probably the most important part of it because you know guidance on reading and how important this is and that were physically giving you a book is super important.”

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