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. 2013 Feb 13;2(1):e11. doi: 10.2196/resprot.2331

Table 1.

Protocol of the Web-based self-management exercise and diet intervention program.

Stage of change Interventional goal Principal strategies
(process of change, self-efficacy, decisional balance)
Content theme in the educational component Functions used for delivering interventions
Precontemplation Increase awareness of the need to change exercise and dietary behavior Consciousness-raising
Dramatic relief
Environmental reevaluation
Increase the pros
Effect of exercise and a balanced diet on health
Specific reasons for not considering exercise or use of a balanced diet
Risks associated with a sedentary lifestyle and an unbalanced diet
Weekly Web-based tailored education (5-10 minutes daily).
Contemplation Motivate and increase confidence in the ability to change; build motivation for change Self reevaluation
Increase the pros/decrease the cons
Build self-efficacy
Specific benefits of exercise and use of a balanced diet; barriers toward such achievements
Solutions to overcome the specific barriers to exercise and use of a balanced diet
Contemplation of improved health following exercise and use of a balanced diet
Weekly Web-based tailored education (5-10 minutes daily)
Preparation Develop and negotiate a plan for exercise and use of a balanced diet Self-liberation
Remember the pros
Increase self-efficacy
Recalling the effects of exercise and a balanced diet on health
Individualized exercise and dietary prescription and creation of specific aims of exercise
Keeping and monitoring of a daily exercise and dietary diary
Planning gradual progress in terms of exercise
Exercise planning in line with ACS
Weekly Web-based tailored education (5-10 minutes daily)
Use of an exercise and diet diary
Weekly planning exercise and diet
Action Reaffirm the commitment to exercise and to use of a balanced diet Reinforcement management
Assisting with relationships
Counter-conditioning
Stimulus control
Managing of temptation
Evaluation of current exercise and dietary pattern
Self-reward for regular exercise and use of a balanced diet
Recall of the specific aims or reasons for performing regular exercise and using a balanced diet
Substitution of exercise for sedentary behavior and a balanced diet for one that was unbalanced
Social and/or family support to help maintain exercise and dietary programs
Avoidance of stimuli and other triggers provoking inactivity or use of an unbalanced diet
Individualized exercise and dietary prescription detailing the specific aims of exercise
Keeping and monitoring of a daily exercise and dietary log
Planning gradual progress toward more exercise
Exercise planning in line with ACS
Weekly Web-based tailored education (5-10 minutes daily)
Use of an exercise and diet diary
Weekly planning of exercise and diet
Daily or weekly feedback on progress toward goal attainment
Comparison of the current status and the goal levels of exercise and diet
Maintenance Develop strategies to prevent relapse