DESCRIPTION (provided by applicant): Primary Care Based Feeding and Screen Time Education to Prevent Obesity in Latino Infants Latino children experience higher rates of obesity than non-Hispanic white children, a disparity that emerges in infancy. Among Latino children, those with Spanish-speaking parents are at highest risk for obesity. Research has shown that optimal feeding strategies in early life and avoidance of screen time may lower the risk of childhood obesity, which in turn, reduces the risk of obesity and its comorbidities through adulthood. However, few interventions have sought to promote optimal infant feeding and screen time practices among Spanish-speaking Latino parents. In addition, most interventions in the literature that address infant obesity prevention have been conducted through home visits or special trips to the intervention site by parents, approaches that may not be sustainable in low-resource settings due to cost and the burden on participants. Given that infants are expected to have 7 well-child visits in the first year of life, primary care is an ideal setting in which to ofer parental education on infant feeding and screen time recommendations. The overall objective of this proposal is to design, pilot test, and refine a Spanish-language, culturally appropriate, primary care-based intervention to prevent obesity in Latino infants born to Spanish-speaking mothers. Our overarching hypothesis is that focused education on infant feeding and screen time avoidance will lead to use of optimal infant feeding and screen time practices among Spanish-speaking Latino mothers and result in less weight gain in the first year of life. In preparation for submitting an R01 application to test this hypothesis, we propose research with the following specific aims to be conducted at the San Francisco General Hospital (SFGH) outpatient pediatric clinic: Aim 1: Use the Information-Motivation-Behavioral Skills model to design 5 group educational modules that promote optimal infant feeding and screen time practices among Spanish-speaking Latino mothers; Aim 2: Use a pilot randomized-controlled trial (RCT) to test a yearlong intervention in which the 5 modules (Aim 1) are provided to Spanish-speaking Latino mothers just after well-child visits at ages 2 weeks, and 2, 4, 6, and 12 months (primary outcomes will include use of responsive feeding practices, infant dietary intake, and infant active and passive television viewing time; secondary outcomes will be infant anthropometrics); Aim 3: Use qualitative methods to assess how individual components of the intervention from Aim 2 affected feeding and screen time practices. By the conclusion of this award, we will have a scalable and potentially reproducible intervention for infant feeding and screen time practices, one that is linguistically and culturally appropriate for Spanish-speaking Latino parents and aims to reduce weight gain in the first year of life while promoting h...