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Table 1 The structure and contents of the health education lessons guided by the Health Action Process Approach [25]

From: Kids Out; evaluation of a brief multimodal cluster randomized intervention integrated in health education lessons to increase physical activity and reduce sedentary behavior among eighth graders

Procedure

Contents

Elements of HAPA

ORIENTATION PHASE

Lesson 1: Orientation

- Teacher presents the intervention and informs about the SoftGIS questionnaire

- Students complete the SoftGIS questionnaire via internet (https://maptionnaire.com)

- Homework 1 for the next lesson: FeetEnergy-homework leaflet and instructions

- attitudes

MOTIVATIONAL PHASE: INTENTION BUILDING

Homework 1 - Me & PA

- FeetEnergy-homework leaflet, part 1: Self-assessment of time spent in a) active commuting to school, b) moderate-intensity physical activity (PA) and c) sedentary behavior (SB) and self-conclusion about meeting the recommendations for health.

- attitudes

Lesson 2: Me, peers & PA

- Teacher shows three feedback views based on the school-specific SoftGIS responses and leads discussion on the views:

View 1: active commuting to school

Map of the city of Tampere with a dot indicating the school proportion of students by gender and the average minutes of walking or cycling to school within four distance circles from home (less than 1 km, 1-3 km, 3-5 km, more than 5 km)

View 2: leisure time PA

The quantity of moderate-intensity LTPA on average and by sex

View 3: screen time

The proportion of students meeting the recommendation of screen-time (≤ 2 h) by sex

- attitudes, outcome expectancies, pre-action self-efficacy, intention

 

- Homework for the next lesson: Link to FeetEnergy-video and instructions

- action planning, action self-efficacy

VOLITIONAL PHASE: ACTION PLANNING

Homework 2 - Recognizing one’s possibilities

- Watching FeetEnergy-video, which introduces PA recommendations and gives tips for increasing PA and decreasing SB

- FeetEnergy-homework leaflet, part 2: Making a list of self-selected ways to increase PA and to reduce SB and choosing at least one way for an immediate action plan

- action planning, action self-efficacy

Lesson 3: Goal setting and action planning

- Watching the FeetEnergy-video in the classroom

- Discussing in small groups or pairs about the self-selected ways for immediate action plan.

- Making the actions visible by writing them on the FeetEnergy-classroom poster

- Homework for the next lesson: Writing follow-up comments about the realization of the actions to the space provided in the poster (brief summary in the beginning of lesson 4)

- action self-efficacy