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Table 3 Example matrix for change objectives aiming at establishing a healthy diet (behavior)

From: Use of intervention mapping to adapt a health behavior change intervention for endometrial cancer survivors: the shape-up following cancer treatment program

Performance objectives

Change objectives

BCTs

Theory

Practical application

S/SB/B

PO 1. Have a regular eating pattern

OE 1.1. Identify their current eating pattern

Feedback on behavior

CT

From a list of 7 different eating patterns, the person picks the one that applies to them and reads feedback based on their choices

B

KN 1.1. Recognize the benefits of regular eating and breakfast

Information about health consequences

SCT

Verbal and written explanation that regular eating can regulate hunger and that breakfast can improve cardio metabolic risk

SB

SE 1.1. Express confidence in their ability to start following a regular eating pattern and eating breakfast regularly

Habit formation

SCT

Be prompted to start eating at the same time each day

SB

SE 1.2. Express confidence in eating regularly

Problem solving and social support (unspecified)

SCT

Identify barriers to eating regularly during the previous week

S

Generate strategies (as a group) to overcome barriers and increase facilitators to regular eating

S

GO 1.1. Be prompted to increase the difficulty of their goals slowly until behavior is performed

Graded tasks

SCT

Be prompted to make behavioral changes in the following order

• Changes towards PO 1

• Changes towards PO 2

• Changes towards PO 3

SB

GO 1.2. Set a regular eating goal

Behavioral goal setting

SCT

Set a SMART regular eating goal based on GO 4.1.

S

  1. Determinant-specific change objectives target each performance objective (PO). The determinants were outcome expectations (OE), knowledge (KN), self-efficacy (SE), and goals (GO). The BCTs and practical applications are present only in the sessions (S); both in the sessions and the booklet (SB); or only in the booklet (B). BCTs: Behavior Change Techniques, CT: Control Theory, SCT: Social Cognitive Theory