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Table 1 ‘Get healthy!’ curriculum content

From: ‘Get Healthy!’ A physical activity and nutrition program for older adults with intellectual disability: pilot study protocol

Component

Time commitment

Topics

Resources requireda

Nutrition

12-week program consisting of the following:

One face-to-face 60 min session per week

Plus additional follow-up phone calls/prompts during food intake monitoring periods.

Phone calls will be made either directly to the participant or to their carer depending on the person’s level of independence.

The style of presentation will be tailored to the abilities of participants. The nutrition education component will be presented to all participants and will cover the following topics:

• The five food groups

• Discretionary foods and healthy snacks

• Healthy drinks

• Portion size and mindful eating

• Eating out choices

• Shopping/eating out tour

Equipment:

• Scale

• Stadiometre

• Cameras for each participant

• 24-h proxy food recall form

• Folder for each participant to keep their handouts

• White board

• Computer and projector

Handouts:

• Instructions to complete 3-day digital photography food record

• 12-week challenge checklist

• ID-adapted Australian dietary guidelines

• Nutritional goals and barriers

• Weight and BMI

• Information about discretionary foods, fruits and vegetables.

• Information about the grain, meat and dairy food groups

• Healthy snack choices

• Are you drinking enough water?

• Drink ideas

• Healthy plate model, hunger scale and mindful eating

• Healthier eating/takeaway options

• What to think about when eating out

• Healthy Eating Graduate certificate

Physical activity

12-week program consisting of the following:

Two 60-min face-to face sessions per week on non-consecutive days.

Breakdown of components within each session:

- 10% didactic information

- 40% aerobic exercise

- 30% strength-based exercise

- 20% balance-based exercise

The physical activity education component will cover the following topics:

• What it means to be healthy

• Consequences of obesity

• Physical activity and screen time guidelines

• Appropriate goal setting

• Planning for maintenance and self-management

• Barriers to Physical activity and how to address them

The physical activity practical component will be comprised of a combination of aerobic and strength- and balance-based exercise.

Types of exercises and exercise intensity to be tailored to abilities and interests of each participant but may include activities such as: cycling on a stationary bike, walking, supported row, horizontal squat, stair climbing, tandem, body weight exercises such as wall push-ups, light dumbbell work.

Equipment:

- GTX3+ accelerometres for each participant

- Blood pressure Sphygmomanometre and stethoscope

- Scale

- Stadiometre

- Measuring tape

- Stationary bikes (including a Monark resistance-based ergometre)

- Heart rate monitors

- Stop watch

- Trundle wheel

- Medicine balls

- Parallel bars

- Stairs

- Boxing equipment

- Chairs

- Exercise mats

- Cones

- Dumbbells

- Horizontal squat machine

- Supported row machine

- Rower

Handouts:

- ‘Goal setting’

- ‘Counting our steps’

  1. aHandouts listed here are for participants with mild to moderate intellectual disability. They may be modified further depending on the needs of individual participants. Carers participating in Program A will be offered the same information in handouts tailored to their level of health literacy