In the behavioral intervention group, parents and children are taught to increase the child's calcium intake by receiving nutritional information targeting high calcium food in a stepwise progression across meals. Each week the group focuses on a different meal and a specific calcium target goal. Parents are taught several general principles about how to maximize their child's calcium. They receive graphs specific to their child's progress and information tailored to fit their child's needs and their family's lifestyle. Besides nutritional information and specific dietary feedback, parents are also provided behavioral management skills to help motivate and encourage their children to choose and consume high calcium foods. Parents learn skills such as use of rewards, differential attention, and how to establish rules and consequences. Children meet in a group setting separately from the parents and are also taught techniques for increasing their calcium intake. They learn about high calcium foods and how to identify them by reading food labels. The children also participate in fun, educational activities that teach them how to choose foods that are high in calcium and good for building strong bones. At each group session, a meal is served providing the kids a chance to practice choosing foods to achieve their weekly calcium goals. They are rewarded for meeting the calcium goal set for the target meal. Throughout the kid's group, child behavior management techniques of praising and ignoring are used. The children also receive sticker charts each week to track whether they are meeting their daily calcium goals. They receive a trophy if they meet their daily calcium goal five out of seven days. | 