Table 2.

SystemCHANGE^™ -HIV Pilot Study Intervention^a

TOPIC	CONTENT
Session 1: Systems Thinking, Self-Monitoring & Goal Setting
Introduction to SystemCHANGE: HIV	Introduce participants; Background to intervention Schedule/Content Ground Rules
Systems Thinking	Introducing Systems as a way to think about habits
Determining process owners	Involving people in your process; Who impacts your system? Distinguishing between buddies and process owners;
Goal Setting: Describing what you want to accomplish
Self-Monitoring	Introduction on self-monitoring: What and Why
Session 2: Lifestyle Routines, Systems Improvement Strategies and Social Support
Introduce Team Member
Review Systems Thinking and Discuss first team meeting	Key points for system thinking; Team meeting reports-surprises?
Lifestyle Routines	Cyclical nature of routines
Environmental changes	List of possible environmental changes
Social Support	Where, why and unusual places to find
Session 3: Physical Activity and Self Experiments
Physical Activity Recommendations	Physical activity recommendations Weather related activity Community Resources
Demonstrate use of exercise log	Physical Activity log: exertion levels, sensations, emotions, safe exercise
PDSA Cycles	Plan-Do-Study-Act (PDSA) format for testing small changes
Session 4: Patterns of Exercise, Types of Fitness and Testing Small Experiments
Patterns of Exercise	Graph exercise from own data in exercise diary
Types of Fitness	Health benefits of fitness Types of fitness HIV-related concerns
Storyboards	Benefits of publicizing change “journey” in home Structure and steps in making a storyboard
Session 5: Sleep
Sleep Benefits	List reasons why sleep is important
Environmental Sleep Barriers	Discuss actigraph patterns List barriers that make sleep is hard
Recommendations, Sleep Hygiene	Standard recommendations Sleep hygiene strategies Sleep rhythms
Session 6: Mental Wellness Behaviors
Mental Wellness Behaviors	Components of Mental Wellness Mental Wellness and HIV
Consequences of Poor Mental Wellness
Session 7: Personal Time
Personal Time Introduction	Overview of importance; Findings from pilot study
Strategies	Finding and effectively using personal time
Balancing Personal Time with Isolation	What is the difference between effectively using personal time and isolating?
Session 8: Spirituality and Altruism as Tools to Change the Environment
Review Personal Time	Review main points on persona time
Spirituality	Share focus group findings How can spirituality be used to change environment? How does can it support changes and hinder changes
Altruism	Perspectives on benefits of altruism Discuss ways to “give back”
Session 9: Relapse Prevention and Continual Improvement
Homework Review	Share storyboard
Reinforcement of Systems Thinking	Discuss how they are using Systems Improvement Strategies
Leaning form information about patterns of exercise- recognizing a lapse in behavior	Review graphs of Physical Activity, sleep, personal time
Life processes and all health behaviors	Healthy living is lifelong commitment
Session 10: Overview and Celebration
Celebration

^aWeekly homework review and session evaluation and feedback were removed for brevity