Table 4 Examples of STAR MAMA content—messages in the form of narratives and texted tips

DPP-relevant topic/STAR MAMA message

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Importance of getting postpartum check-ups and obtaining medical services after delivery (i.e., blood sugar check up, HbA1c, etc.)

Q, E

Q

Q, E, F

Role of family planning and spacing children

E, F

E, F

Understanding your diet and options to substitute sugary foods and drinks, high fat foods with healthier options

E

E, F

N, F

E, Q

E, T

E, F

N, F

E

Q, E, F

Understanding different nutrients like carbohydrates and sugars and their impact on your body and weight

E

E, F

E, N

E, F, T

How to maintain a healthy diet (i.e., even if you have to eat out at times, how to buy groceries, seek family support)

N

E

E

F, Q

N

Importance of continuing daily multivitamin intake even after pregnancy

E

E, F

Support and resources for finding community programs that offer affordable food choices

E, F

E, F

Understanding food labels (serving sizes, sugar and fat content, etc.)

E, F

E, F

Importance of exercise and staying healthy after your pregnancy to prevent diabetes

E, Q

N

Q

Q

Q

Q, E, F

Q

Q, F

Q, F, N

Q, F

Resources for weight loss and exercise (i.e., text audio link for music, video, etc.)

T

N

T, E, F

T

T

X

Tips and stories about low-cost methods to lose weight, exercise while at home or close to your community

T

N

E

N

Support on body image, emotional eating and health coach call back for an exercise and nutrition plan

F, N

Q, F

N

E, F

Validation that it is normal to feel down sometimes and that both self care, reaching out to your family, and health coach support options really help

Q, F, N

E, Q

E, F

E, F

N, F

Accessing emotional or practical help for baby care

E, N

N

E, Q

Q, F

Validation of experiencing family pressures after delivery and support for baby feeding and care

E

Q, F

Child-based topics

Importance of exclusive breastfeeding for the first 6 months of child’s life + breastfeeding/bottle-feeding update

E, Q, F

E, Q, F

Q, F

E, Q, F

E, Q, F

E, N, F

E, Q, F

Q, F

Q, F

Q, F

Q, F, E

Q, F

Q, F

Q, F

Q, F

Q, F

Q, F

Q, F, E

Q, F

Q, F

Where and who to seek support from during breastfeeding (i.e., Lactation nurse)

N, F

E, F

Important ways to safely bottle feed your baby and role of vitamin supplements

N

E

E

E

E, F

Support for understanding baby cues (including hunger cues)

N

E, F

E, F

Managing a fussy baby, regulating baby’s sleep environment

N

E

Information on how to access online resources when your baby is sick

E, F

Q, E, T

Understanding why and when your baby needs immunizations and check-ups

E, Q

Q, F

Health coach for understanding what a baby growth chart means

E, F