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Week 2—healthy eating
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Visual aids used in the standard programme that had deliberately not been included in the adapted programme were used by facilitators
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Researchers rehearsed the week 2 session plan with the facilitators and reminded them not to use the visual aids from the standard programme
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Too much material to deliver within 90 min
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The number of activities in the session was reduced to ensure the key nutrition messages were delivered
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Some of the nutrition messages were not clearly delivered and participants appeared to be confused on occasions
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Content was streamlined to ensure more focus on the core nutrition and healthy living messages. Additional notes on key nutritional concepts were included in the facilitator’s manual
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Week 4—physical activity
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Delivery of this session did not require 90 min
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Facilitators were encouraged to reiterate nutrition messages in this session
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Week 5—give it a go
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Challenging to deliver with only one facilitator, especially with larger group sizes
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Extra facilitator provided for this session. A plan for setting up the materials in advance of the session was developed. Participant worksheets were simplified to enable more families to work through them with less facilitator input
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The ‘make a healthy snack’ activity was too messy
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The number of healthy snack making options was reduced from four to two, retaining the least messy options
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The recipe planning activity did not work well
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Recipe planning was removed from the session and the group provided with recipes to take home to try
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Week 6—review and celebrate
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Facilitators felt uncomfortable awarding particular participants the ‘star achiever’ certificate
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All children received a completion certificate and the ‘star achiever’ certificate was removed
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All sessions
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Weekly goal setting and review elements were sometimes missed or rushed and not covered adequately. Participants often arrived late, interrupting the flow of the session
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Week 2 was streamlined to allow more time for review and setting of goals. The importance of goal setting and review as a key behaviour change technique was explained to the facilitators and further highlighted in the manual
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