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Table 2 Lifestyle self-management tools used in Shape up for Life

From: Self-management for obesity and cardio-metabolic fitness: Description and evaluation of the lifestyle modification program of a randomised controlled trial

Activity title Delivery method Description Anticipated outcomes
Action Planning, Problem solving Leader facilitates sharing of information Behaviour-specific short goal setting, addressing lifestyle barriers Learn to set reasonable, behaviour-specific goals (shared or individual), and monitor personal goals/progress
Managing food and activity triggers Group brainstorm, problem solving Identify habits relating to diet and physical activity, selecting common issues to address. Learn coping strategies for personal dietary issues (eg. snacking), and for increasing opportunities for physical activity
Managing family, social and cultural pressures Group brainstorm, problem solving Identify habits associated with social situations and cultural/family habits, selecting common issues to address Learn coping strategies for habitual overeating and drinking, and for increasing opportunities for physical activity
Progressive muscle relaxation Leader reads and directs scripted activity Guided practice of relaxation of major muscle groups Raise body/muscle awareness to assist in movement patterns (eg. for exercise), and general tension release
Better breathing Leader provides lecturette & reads script for activity Guided practice of breathing fully and more effectively Learn to breathe diaphragmatically, to assist in physical activity, and for relieving shortness of breath, and general tension
Fatigue management Leader provides lecturette, group brainstorm Identify causes of, and solutions for, managing fatigue Learn coping strategies to address low energy, to improve motivation; in general and for physical activity
Self talk (positive thinking) Leader provides lecturette, group brainstorm Identify personal negative thoughts, and how to change into positive, constructive thought patterns Learn to use helpful thoughts for motivation, improve self-efficacy to reach goals
Depression management Leader provides lecturette, group brainstorm Identify causes of, and suggestions for managing difficult times in life Learn coping strategies to assist in managing for motivation, improve self-efficacy to achieve and maintain lifestyle changes
Mind management and distraction Leader provides lecturette & reads script for activity Guided practice of cognitive short-term distraction techniques Learn to use distracting thoughts to assist in managing behavioural issues, self-control, (eg. for eating and physical activity) and stress
Making informed treatment decisions Leader provides lecturette, group brainstorm Discussion about health treatments (eg. weight loss products and programs) highlighting possible benefits, risks and efficacy Raise overall awareness of issues relating to health-related treatments, highlighting need to make informed decisions about lifestyle choices
Guided imagery Leader reads script for activity Guided practice of cognitive relaxation sequence Learn to use relaxing thoughts to assist in relaxation, relieve stress and tension
Obesity prevention Leader provides lecturette, group brainstorm Discussion of hosts, carriers and environments contributing to obesity, suggestions for change Raise overall awareness of the modifiable social, environmental and individual influences on lifestyle