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Table 1 Intervention phases, function, BCTs and the component and agent of delivery

From: Qualitative findings from an exploratory trial of the Healthy Lifestyles Programme (HeLP) and their implications for the process evaluation in the definitive trial

Intervention phase

Function

Behaviour change techniques

Component (Frequency and duration) and agent of delivery

Phase 1

Establish relationships with schools, children and families

Provide information on behaviour-health link

Whole school assembly (1x20 mins)

HeLP Coordinators

Creating a supportive context

    
 

Raise awareness and increase knowledge

Provide information on health behaviour link

Newsletter article

HeLP Coordinators

   

Literacy lesson (to create HeLP rap.poem) (1x1 hour)

Class teacher

Spring term (yr 5)

Promote positive attitudes and norms towards healthy eating and physical activity

Modelling/demonstrating behaviour

  
   

Activity workshops (2x1.5 hours)

Professional sportsmen/dancers

  

Prompt identification as a role model

  

Jan-March

    
 

Increase self-efficacy for behaviour change

 

Parent assembly (1x1 hour) involving child performances

Class teachers/HeLP Coordinator/Drama group

  

Provide information on behaviour-health link

  
  

Skill building

  

Phase 2

Strengthen relationships with schools, children and families

Provide information on health behaviour link

Education lessons (5x1 hour) (morning)

Class teacher

Intensive healthy lifestyles week – one week

    

Problem solving/barrier identification Modelling/demonstrating behaviour

  

Drama (5x2 hours) (afternoon)

Drama group

 

Increase knowledge

   
 

Increase self-awareness

   

Summer term (yr 5)

  

(forum theatre; role play; food tasting, discussions, games etc.).

 
 

Increase self-efficacy

   

April-June

Develop communication and problem solving skills

Prompt identification as a role model

  
 

Increase social support (school, peer and family)

Communication skills training

  
  

Teach to use prompts and cues

  

Phase 3

Increase awareness of own behaviour

Self-monitoring

Self-reflection questionnaire (1x40 mins)

HeLP Coordinator/Class teacher

Personal goal setting with parental support- goals set during week following drama

 

Goal setting (behaviour) Problem solving/barrier identification

Goal setting sheet to go home to parents to complete with child (1x10 mins)

HeLP Coordinator/Parents

 

Increase self-efficacy for change

   
 

Develop planning skills

Plan social support

  
 

Increase parental support

Provide information on where and when to perform a behaviour

1:1 goal setting interview (1x10 mins) (goals sent home to parents)

 

Summer term (yr 5)

   

HeLP Coordinator

June-July

 

Agree behavioural contract

Forum theatre assembly (1x1 hour)

HeLP Coordinator/Drama group

  

Prompt identification as a role model

  

Phase 4

Increase self-awareness and prioritise healthy goals.

Provide information on health behaviour link

Education lesson (1x1 hour)

Class teacher

Reinforcement activities

    
 

Consolidate social support.

   
    

Drama group/HeLP Coordinator

   

Drama workshop (1x1 hour). Followed by a class delivered assembly about the project to rest of school (1x20 mins).

 
  

Modelling/demonstrating behaviour

  
  

Prompt identification as a role model

  

Autumn term (yr 6)

Develop monitoring and coping skills

   
 

Increase parental support

   
  

Provide social approval

  
   

1-to-1 goal supporting interview to discuss facilitators/barriers and to plan new coping strategies (1x10 mins).

HeLP Coordinator

  

Prompt self-monitoring

  
  

Prompt intention formation

  

Sept-Dec

 

Follow up prompts

  
  

Prompt review of behavioural goals

(renewed goals sent home to parents)

 
  

Prompt barrier identification and resolution

  
  

Coping plans

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