. 2021 May 8;21:96. doi: 10.1186/s12902-021-00760-3

Table 1.

The Mental Health IN DiabeteS Optimal Health Program (MINDS OHP)

Session title	Objectives	Content
1. Introduction to OHP model	1. Define optimal health 2. Consider how our behaviour influences health 3. Self-assessment 4. Introduce Health Plans 1–3	Considers six domains; mental, emotional, social, occupational, physical and spiritual health. Provide opportunity to explore and understand current self-management behaviour and satisfaction with day-to-day functioning. Personal and family beliefs about diabetes
2 & 3. “I-Can-Do” Model	1. Complete own “I-Can-Do” Model, 2. Identify own strengths, vulnerabilities 3. Understand Health Plan 1	Sessions 2 and 3 introduce ‘I Can Do’ model, which encompasses health plans exploring the participant’s strengths and vulnerabilities, and anticipates effects of crises and developing strategies to overcome these Balancing hope with reality – coping with diabetes complications. Exploring how anxiety affects diabetes and vice versa.
1. Identify stressors, including those linked to diabetes 2. Explore early warning signs 3. Stress management strategies: Health Plan 2
4. Medication and lifestyle	1. Identify +/− aspects of medication, medication monitoring 2. Understand value of metabolic monitoring and healthy lifestyle	Lifestyle and physical health management, impact of healthy diet and exercise. Effective use/self-management of medication, any side-effects. Adjusting to diabetes treatments including medication, insulin delivery methods, diet and lifestyle changes.
5. Collaborative partners (CP) and strategies	1. Understand importance of CPs 2. Identify/plan roles of people/supports as CPs 3. Make Health Plan 3 and Eco Map	Develop an ‘Eco Map’ detailing key partnerships and supports in the participant’s network and community (e.g. GP, other healthcare supports, family). Identify gaps in support/care and make plans to overcome any barriers to engaging peer and community support for living with diabetes.
6. Change enhancement	1. Understand the Wellbeing Timeline 2. Explore ‘Sub-optimal Health’ and episodes of illness 3. Revisit Health Wheel, meaning of change	Change enhancement by tracking health fluctuations across time and establishing new proactive avenues for change. Revisit Health Wheel: Visioning and Goal setting. Exploring how problem-solving can support diabetes self-management.
7. Visioning and goal setting	1. Identify change and its meaning 2. Explore key steps in problem solving and principles of goal setting	Discusses goal setting via creative problem solving and planning in diabetes, guided by own priorities. Also allows reflection of what is useful in any future crises.
8. Maintaining wellbeing	1. Understand Health Plans 1–3, Health Journal 2. Introduce/plan booster session	Reviews well-being maintenance and sustainability by acknowledging any progress made towards goal, exploring concept of using rewards to improve progress.
Booster How is my health now?	1. Revision, catch up, consolidation of progress 2. Review Health Plans 1–3 3. Celebrate achievements	Review Health Plans 1–3, understand how Health Plans maintain OH. Celebrate achievements, reflect on experience.

Session title

Objectives

Content

Introduction to OHP model

1. Define optimal health

2. Consider how our behaviour influences health

3. Self-assessment

4. Introduce Health Plans 1–3

Considers six domains; mental, emotional, social, occupational, physical and spiritual health. Provide opportunity to explore and understand current self-management behaviour and satisfaction with day-to-day functioning.

Personal and family beliefs about diabetes

2 & 3.

“I-Can-Do” Model

1. Complete own “I-Can-Do” Model,

2. Identify own strengths, vulnerabilities

3. Understand Health Plan 1

Sessions 2 and 3 introduce ‘I Can Do’ model, which encompasses health plans exploring the participant’s strengths and vulnerabilities, and anticipates effects of crises and developing strategies to overcome these

Balancing hope with reality – coping with diabetes complications.

Exploring how anxiety affects diabetes and vice versa.

1. Identify stressors, including those linked to diabetes

2. Explore early warning signs

3. Stress management strategies: Health Plan 2

Medication and lifestyle

1. Identify +/− aspects of medication, medication monitoring

2. Understand value of metabolic monitoring and healthy lifestyle

Lifestyle and physical health management, impact of healthy diet and exercise. Effective use/self-management of medication, any side-effects.

Adjusting to diabetes treatments including medication, insulin delivery methods, diet and lifestyle changes.

Collaborative partners (CP) and strategies

1. Understand importance of CPs

2. Identify/plan roles of people/supports as CPs

3. Make Health Plan 3 and Eco Map

Develop an ‘Eco Map’ detailing key partnerships and supports in the participant’s network and community (e.g. GP, other healthcare supports, family).

Identify gaps in support/care and make plans to overcome any barriers to engaging peer and community support for living with diabetes.

Change enhancement

1. Understand the Wellbeing Timeline

2. Explore ‘Sub-optimal Health’ and episodes of illness

3. Revisit Health Wheel, meaning of change

Change enhancement by tracking health fluctuations across time and establishing new proactive avenues for change.

Revisit Health Wheel: Visioning and Goal setting. Exploring how problem-solving can support diabetes self-management.

Visioning and goal setting

1. Identify change and its meaning

2. Explore key steps in problem solving and principles of goal setting

Discusses goal setting via creative problem solving and planning in diabetes, guided by own priorities. Also allows reflection of what is useful in any future crises.

Maintaining wellbeing

1. Understand Health Plans 1–3, Health Journal

2. Introduce/plan booster session

Reviews well-being maintenance and sustainability by acknowledging any progress made towards goal, exploring concept of using rewards to improve progress.

Booster

How is my health now?

1. Revision, catch up, consolidation of progress

2. Review Health Plans 1–3

3. Celebrate achievements

Review Health Plans 1–3, understand how Health Plans maintain OH.

Celebrate achievements, reflect on experience.