Table 1.
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 |