Table 1.
Incorporation of theoretical frameworks (SCT and SEM) into intervention
| Theoretical component | Intervention component |
|---|---|
| SCT | |
| Situation—Individual’s perception of the environment | Intrapersonal: Correct misperceptions, promote healthful norms through LHA workshops |
| Behavioral capability—Ability to carry out new behavior | Intrapersonal: Promote mastery learning through skills training through LHA workshops and tailored MI counseling; decisional balance negotiated with LHAs. |
| Expectations—outcomes anticipated | Interpersonal: Model positive outcomes through participant discussion of barriers to healthy energy balance and group problem-solving. |
| Value Expectancies—internal value placed on behavioral performance | Intrapersonal: Present outcomes in discussions/workshops. |
| Self-control—personal regulation of goal-directed behavior | Intrapersonal: Self-monitoring, goal setting, problem solving, self-reward: church workshops and tailored MI. Faith-based group reinforce behavior and messages. |
| Observational learning—watching the actions and outcomes of others’ behavior | Interpersonal/social network: Group discussions and witnessing |
| Reinforcements—Responses to behavior that influence the likelihood of recurrence | Intrapersonal and interpersonal: LHA: church workshops, tailored MI, witnessing |
| Self-efficacy—The person’s confidence in performing a particular behavior | Intrapersonal: LHA church workshops and tailored MI. Storytelling. |
| Emotional coping responses—Strategies to deal with emotional stimuli | Intrapersonal: LHA workshops and tailored MI counseling, Witnessing, storytelling |
| Reciprocal determinism—Dynamic interaction of person, behavior, environment where behavior is performed. | Environmental, skills, and personal change: LHA church workshops and tailored MI. |
| SEM | |
| Intrapersonal | See above |
| Interpersonal | See above |
| Community | Development of community cookbook; distribution of community resource guide. |
| Organization | Location in churches and community centers |
MI motivational interviewing; LHA lay health advisor; SCT social cognitive theory; SEM socioecological model.