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Table 5 Overview of the peer support group-based intervention content to encourage dietary change to a Mediterranean Diet

From: Development of a peer support intervention to encourage dietary behaviour change towards a Mediterranean diet in adults at high cardiovascular risk

Session Delivered Session topic Session objectives Core elements Resources delivered by peer supporters
1 FIRST SESSION CHANGING TO A MEDITERRANEAN DIET Increase awareness and knowledge of the type and proportions of foods in the MD
Enable participants to set personal SMART MD goals and to monitor their progress
MD overview
SMART goals Monitoring progress
*Mediterranean diet pyramid poster
2 WEEK 2 HEALTH BENEFITS OF A MEDITERRANEAN DIET Identify individual motivators for changing diet towards MD
Learn about the health benefits of the MD and discuss practical strategies to promote dietary change
MD and Health
Personal Motivation
SMART goals Monitoring progress
“Mediterranean diet health benefits” Video
Recipe books, shopping lists and meal plan for the season (1)
3 WEEK 4 CHANGING FAT INTAKE Increase knowledge and awareness of the types and proportions of beneficial fats in MD and increase self-efficacy to change fat intake Changing fat intake: Replacing SFA with MUFA
Sources of MUFA
Oils and nuts to taste
4 WEEK 6 SHOPPING FOR A MEDITERRANEAN DIET Improve knowledge of MD foods and promote self-efficacy to shop for MD on a budget Shopping for a MD on a budget “Healthy Eating on a budget” Video
5 WEEK 8 ENJOY FRUIT AND VEGETABLES Increase knowledge and awareness of FV as components of MD and promote self-efficacy to increase FV intake Sources and portions of FV and legumes “Fruit and Vegetables” Video
Fruit and Vegetable portion size guide
6 MONTH 3 EATING A SEASONAL MEDITERRANEAN DIET Increase awareness of seasonal MD recipes and review personal MD goals in relation to seasonal recipes MD for the change in season Recipe books, shopping lists and meal plan for the season (2)
Seasonal dish to taste
7 MONTH 4 EATING MORE WHOLEGRAIN Increase knowledge and awareness of wholegrain intake as a component of MD and promote self-efficacy to increase wholegrain intake Sources and portions of wholegrain Wholegrain food cards/quiz
Wholegrain portion size guide
8 MONTH 6 EATING A SEASONAL MEDITERRANEAN DIET Increase awareness of seasonal MD recipes and review personal MD goals in relation to seasonal recipes MD for the change in season Recipe books, shopping lists and meal plan for the season (3)
Seasonal dish to taste
9 MONTH 8 CONTINUING TO EAT THE MEDITERRANEAN WAY Review progress in achieving MD SMART goals and promote on-going maintenance of MD Promote maintenance of dietary changes Relapse prevention --
10 MONTH 10 EATING A SEASONAL MEDITERRANEAN DIET Increase awareness of seasonal MD recipes and review personal MD goals in relation to seasonal recipes MD for the change in season Recipe books, shopping lists and meal plan for the season (4)
Seasonal dish to taste
11 MONTH 12 HOW HAVE WE DONE? Review progress in achieving MD SMART goals and promote on-going maintenance of MD in the future MD review
Review of progress
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  1. *This resource is used in each group session; MD Mediterranean Diet, SFA Saturated fatty acid, MUFA Monounsaturated fatty acid, EVOO Extra Virgin Olive Oil, RSO Rapeseed Oil, FV fruit and vegetables