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Table 1 CARE RA peer coach intervention mapping to Social Cognitive Theory

From: Protocol for the pilot randomized trial of the CArdiovascular Risk assEssment for Rheumatoid Arthritis (CARE RA) intervention: a peer coach behavioral intervention

Theoretical construct

Targeted barrier

Intervention activity

Corresponding session

Self-Efficacy

Feeling isolated

Supportive Coaching

Session 1, 2, 3

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Lack of understanding of CVD risk

Education (PALS)

Lack of understanding of the effects of RA systemically

Education

Lack of understanding of the value of having a PCP

Education

Outcome Expectation

Unrealistic expectations about the goals for RA disease control

Education

Sessions 2, 3, 4

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Unrealistic expectations about their CVD risk

Education

Unrealistic expectations that because they ask for a cholesterol test, that the doctor will order it

Action planning

Fear of need to take another medication

MoI

Socio-Cultural Factors

No resources to learn from about CVD

Supportive coaching

Session 2, 3, 4, 5

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No guidance of how to engage in healthy behaviors (e.g., healthy diet, regular exercise, take medications)

Coaching

Disruptive social support (e.g., family preference for unhealthy diet, preference for junk food than healthy food)

Coaching

  1. MoI motivational interviewing, CVD cardiovascular disease, PCP primary care provider, PALS Patient Activated Learning System