Table 1.
‘GET HEALTHY!’ Summary of program structure and content
| Program setting: Lifestyle Clinic in tertiary research institute | ||
|---|---|---|
| Program structure: 12-week small group program consisting of three face-to-face contact hours per week (1x one hour nutrition session per week plus 2x one hour physical activity sessions held on non-consecutive days). Physical activity sessions were delivered by a practicing Accredited Exercise Physiologist. Nutrition sessions were delivered by Accredited Practicing Dietitians. All instructors had previous experience working with people with intellectual disability | ||
| Program Content | ||
| Physical Activity | Healthy Eating | |
|
10% didactic information Topics covered: What it means to be healthy; Consequences of obesity; Physical activity and screen time guidelines; Appropriate goal setting; Planning for maintenance and self-management; Barriers to Physical activity and how to address them 40% aerobic exercise 30% strength-based exercise 20% balance-based exercise |
90% didactic content Topics covered: The five food groups; Discretionary foods and healthy snacks; Healthy drinks; Portion size and mindful eating; Eating out choices 10% practical food related outings/preparation |
|
| CALO-RE Behavior-change techniques useda | ||
| 1. Information provision (general) | ✓ | ✓ |
| 2. Information provision (to the individual) | ✓ | ✓ |
| 3. Information provision (others’ approval) | ✓ | |
| 4. Information provision (others’ behavior) | ✓ | ✓ |
| 5. Goal setting (behavior) | ✓ | ✓ |
| 6. Goal Setting (outcome) | ✓ | |
| 7. Action Planning | ✓ | ✓ |
| 8. Identifying barriers/Problem resolution | ✓ | |
| 9. Setting graded tasks | ✓ | ✓ |
| 10. Review of behavioral goals | ✓ | |
| 11. Review of outcome goals | ✓ | ✓ |
| 12. Effort or progress contingent rewards | ✓ | ✓ |
| 13. Successful behavior contingent rewards | ✓ | ✓ |
| 14. Shaping | ||
| 15. Generalization of target behavior | ||
| 16. Self-monitoring of behaviour | ||
| 17. Self-monitoring of behavioral outcome | ||
| 18. Focus on past success | ✓ | ✓ |
| 19. Provide feedback on performance | ✓ | ✓ |
| 20. Informing when and where to perform the behavior | ✓ | ✓ |
| 21. Instruction on how to perform the behavior | ✓ | ✓ |
| 22. Demonstrate behavior | ✓ | ✓ |
| 23. Training to use prompts | ||
| 24. Environmental restructuring | ✓ | |
| 25. Agreement of behavioral contract | ✓ | ✓ |
| 26. Prompt practice | ✓ | |
| 27. Use of follow-up prompts | ||
| 28. Facilitate social comparison | ✓ | |
| 29. Plan social support | ||
| 30. Prompt identification as role model | ✓ | ✓ |
| 31. Prompt anticipated regret | ||
| 32. Fear arousal | ✓ | |
| 33. Prompt self talk | ✓ | |
| 34. Prompt use of imagery | ✓ | |
| 35. Relapse prevention | ||
| 36. Stress management | ||
| 37. Motivational interviewing | ✓ | |
| 38. Time management | ||
| 39. Communication skills training | ✓ | |
| 40. Stimulate anticipation of future rewards | ✓ | |
aCALO-RE Taxonomy of Behavior Change. (PDF Download Available). Available from: https://www.researchgate.net/publication/274512164_CALO-RE_Taxonomy_of_Behavior_Change_Techniques [accessed Mar 29 2018]