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Table 4 Description of the intervention components to support each behavioural change technique

From: Designing the Healthy Eating and Active Lifestyles for Diabetes (HEAL-D) self-management and support programme for UK African and Caribbean communities: a culturally tailored, complex intervention under-pinned by behaviour change theory

BCT

Intervention component

Social support (unspecified)

Social connectedness will be fostered within the group by the discursive nature of the sessions and through shared engagement in activities and structured exercise sessions

Social comparison

The ‘homework’ activities will give participants opportunity to try the lifestyle targets and come back to discuss with the group and with educators. Participants will be encouraged to share their successes to encourage comparison within the group. In addition, role models will be featured in the case study video

Credible sources

Videos will be used as part of the intervention which include advice and tips from community leaders, healthcare practitioners and patients from the community that have successfully changed their habits

Information about health consequences

The educational curriculum will cover health consequences and benefits of various key lifestyle behaviours

A video will explain the mechanisms of type 2 diabetes

Feedback on outcomes, self-monitoring of behaviour

Programme will start with personal measurements and blood results, and updated outcome measures will be given at the end of the programme. They will be encouraged to monitor their waist measurements through the course by completing their programme booklets.

Self-monitoring of behaviour, action planning

Participants will be given pedometers to measure their steps and will be taught to develop action plans and measure their progress against them.

Instruction on how to perform the behaviour

The curriculum will communicate health guidance clearly using culturally relevant examples.

Demonstration

Practical games, the weekly discussion tasks, a cooking session and structured exercise sessions will provide guided demonstration. An exercise DVD will be provided for participants to follow at home.

Graded tasks

Physical activity sessions and targets will be graded for ability to boost chances of success hence confidence and self-efficacy.

Goal setting (behaviour)

Participants will be guided through setting their own goals for the lifestyle targets that are important for them

Problem solving

The ‘homework’ activities will be discussed at the beginning of each session, challenges will be identified and the group will problem solve collectively. Problem solving will also form part of the education sessions about lifestyle habits.

Action planning

Participants will be guided through how to develop and adjust action plans for each of the target behaviours and for their personal objectives, to help keep them motivated.