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Table 2 Description of hypothetical mechanisms of change by the intervention

From: A Healthy School Start Plus for prevention of childhood overweight and obesity in disadvantaged areas through parental support in the school setting - study protocol for a parallel group cluster randomised trial

Intervention components

Behaviour change techniques useda

Hypothetical mediators based on SCT

Parental practices targeted by intervention componentsb

Health information

4.1 Instruction on how to perform a behaviour

13.1 Identification of self as role model

Parental behavioural capability

Increase:

Accessibility/facilitation/

healthy environment for healthy foods and physical activity

Monitoring of behaviours

Role modeling

Involvement

Encouragement in healthy behaviours

Restriction of unhealthy foods and sedentary behaviours

Co-participation in physical activity

Decrease:

Restriction of food and physical activity

Pressure to eat or to perform physical activity

Food for emotional regulation

MI with parents

38 relational and content-based BCTs [42] of which 16 overlap with Michie et al. [40] and 22 are original to MI

In addition:

2.2 Feedback on behaviour

8.3 Habit formation

8.6 Generalisation of a target behaviour

11.2 Regulate negative emotions

Parental self-efficacy

Parental behavioural capability

Parental outcome expectations and expectancies

Parental role modelling – observational learning

Parent’s motivation

Class room lectures and home assignments

8.1 Behavioural rehearsal/practice

13.1 Identification of self as role model (through home assignments)

Child’s motivation

Parental self-efficacy

Parental behavioural capability

Parent’s test for T2D

1.4 Action planning

2.2 Feedback on behaviour

2.6 Biofeedback

5.1 Health consequences

Parent’s motivation

  1. aas decribed by Michie et al. [40] and Hardcastle et al. [42]
  2. bas decribed by Masse et al. [65] Musher-Eizenman et al. [64]