Table 1 ‘GET HEALTHY!’ Summary of program structure and content
Program setting: Lifestyle Clinic in tertiary research institute | ||
|---|---|---|
Program structure: 12-week small group program consisting of three face-to-face contact hours per week (1x one hour nutrition session per week plus 2x one hour physical activity sessions held on non-consecutive days). Physical activity sessions were delivered by a practicing Accredited Exercise Physiologist. Nutrition sessions were delivered by Accredited Practicing Dietitians. All instructors had previous experience working with people with intellectual disability | ||
Program Content | ||
Physical Activity | Healthy Eating | |
10% didactic information Topics covered: 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 40% aerobic exercise 30% strength-based exercise 20% balance-based exercise | 90% didactic content Topics covered: The five food groups; Discretionary foods and healthy snacks; Healthy drinks; Portion size and mindful eating; Eating out choices 10% practical food related outings/preparation | |
CALO-RE Behavior-change techniques useda | ||
1. Information provision (general) | ✓ | ✓ |
2. Information provision (to the individual) | ✓ | ✓ |
3. Information provision (others’ approval) | ✓ | |
4. Information provision (others’ behavior) | ✓ | ✓ |
5. Goal setting (behavior) | ✓ | ✓ |
6. Goal Setting (outcome) | ✓ | |
7. Action Planning | ✓ | ✓ |
8. Identifying barriers/Problem resolution | ✓ | |
9. Setting graded tasks | ✓ | ✓ |
10. Review of behavioral goals | ✓ | |
11. Review of outcome goals | ✓ | ✓ |
12. Effort or progress contingent rewards | ✓ | ✓ |
13. Successful behavior contingent rewards | ✓ | ✓ |
14. Shaping | ||
15. Generalization of target behavior | ||
16. Self-monitoring of behaviour | ||
17. Self-monitoring of behavioral outcome | ||
18. Focus on past success | ✓ | ✓ |
19. Provide feedback on performance | ✓ | ✓ |
20. Informing when and where to perform the behavior | ✓ | ✓ |
21. Instruction on how to perform the behavior | ✓ | ✓ |
22. Demonstrate behavior | ✓ | ✓ |
23. Training to use prompts | ||
24. Environmental restructuring | ✓ | |
25. Agreement of behavioral contract | ✓ | ✓ |
26. Prompt practice | ✓ | |
27. Use of follow-up prompts | ||
28. Facilitate social comparison | ✓ | |
29. Plan social support | ||
30. Prompt identification as role model | ✓ | ✓ |
31. Prompt anticipated regret | ||
32. Fear arousal | ✓ | |
33. Prompt self talk | ✓ | |
34. Prompt use of imagery | ✓ | |
35. Relapse prevention | ||
36. Stress management | ||
37. Motivational interviewing | ✓ | |
38. Time management | ||
39. Communication skills training | ✓ | |
40. Stimulate anticipation of future rewards | ✓ | |