Study arms and randomization
stress reduction
Families are randomized into one of three intervention Arms: (1) EMI; (2) EMI + Virtual HV with a CHW + Video Feedback; and (3) EMI + Hybrid HV with a CHW + Video Feedback. All Arms receive 16 weeks (4 months) of EMI stress reduction and family meal tip messages via smartphones. Arms 2 and 3 additionally receive eight home visits by CHWs focused on family meal quantity and quality, a meal preparation activity, and video feedback on their family meal behaviors/patterns every-other-week for 16 weeks. Arm 2 receives all of these components virtually and Arm 3 receives these components half in person and half virtual (hybrid). In between weeks, families in Arms 2 and 3 complete a Try-it-Yourself activity to apply the new skills/behaviors they have been taught. All Arms receive an 8-week (2 months) maintenance phase allowing for progressively less support so they can increase self-efficacy and sustainability of behavior change.Once participants complete their baseline data collection visit, they are randomized into one of three study Arms (