Determinant | Theoretical method | Practical strategy | Tools |
---|---|---|---|
Knowledge | Tailored feedback | Provide verbal tailored feedback on national recommendations, benefits and possibilities | Stage matched feedback during counseling. Information in print materials and in diary. |
Awareness | Personalized risk Self-monitoring | Provide verbal personal and normative feedback Facilitate and stimulate written monitoring of own behavior | Stage matched feedback during counseling. Risk communication chart. Balance@Work toolkit consisting of: a. Waist circumference measuring tape with a coloring scheme that indicates a healthy waist circumference. b. Pedometer. c. Diary containing information and logs to keep track of nutrition, physical activity and steps per day. d. Print materials on physical activity and nutrition. |
Attitude | Decisional balance Re-evaluation of beliefs | Discuss the decisional balance Provide positive feedback on changes in attitude and discuss irrational thoughts | Stage matched feedback during counseling. Agenda setting chart in diary. Scales assessing importance, confidence and willingness to change. Decision matrix in diary. |
Perceived behavioral control | Reinforcement Goal setting | Increase confidence by providing positive feedback and discuss difficult situations Invite to formulate implementation intentions | Stage matched feedback during counseling. Evaluation of realistic short and long term goals, reason for goals, barriers and solutions in diary. |
Habit | Active learning Goal setting Rewarding | Formulate action and coping plans Invite to formulate implementation intentions Invite to formulate rewards | Stage matched feedback during counseling. Evaluation of realistic short and long term goals, reason for goals, barriers and solutions, and rewards for reached goals in diary. |
Skills | Active learning Reinforcement | Encourage to formulate implementation intentions and train relapse prevention skills Provide positive feedback on skills | Stage matched feedback during counseling. Evaluation of current skills and needed skills. |
Subjective norm | Mobilizing social support Skills building to reduce social pressure | Invite to formulate who can provide support Encourage to train relapse prevention skills | Stage matched feedback during counseling. Evaluation of who can provide social support in diary. |
Availability | Environmental changes | Encourage to formulate environmental changes that facilitate a healthy work environment | Information in print materials. Environment scan consisting of: a checklist which provides insight in opportunities to create a healthier work environment. Examples of items are: are bike sheds and change facilities present? is the cafeteria adapted to stimulate healthy nutrition? is a rewarding system present? Feasibility and barriers for changing the environment can be scored together with the employer, as well as a start and evaluation date. |
Management commitment and support | Mobilizing management support Rewarding | Encourage management participation Provide incentives | Â |
Social support | Mobilizing social support from collegues | Encourage participation of collegues | Â |
Company policy and costs | Mobilizing management to provide policy that encourages a healthy work environment | Encourage management and the workers' representative council to facilitate changes | Â |