Table 1 HOME Plus study intervention content by session with behavioral change clusters and techniques [41] used
From: Promoting healthful family meals to prevent obesity: HOME Plus, a randomized controlled trial
| Session Name | Topics | Behavior Change Technique Clusters Used | Behavior Change Technique Cluster Components Implemented |
|---|---|---|---|
| Within all sessions | • Check-in/opening discussion | Feedback and monitoring |
Others monitoring with awareness Feedback on behavior Self-monitoring of behavior Self-monitoring of outcome of behavior |
| Goals and planning |
Goal setting (behavior) Problem solving/coping planning Goal setting (outcome) Action planning (including implementation of intentions) Review behavior goal(s) Discrepancy between current behavior and goal standard Review outcome goal(s) Commitment | ||
| Social support | Social support (general) | ||
| • Taster’s Choice (Taste-testing) | Associations | Exposure | |
| Repetition and Substitution |
Behavioral rehearsal/practice Habit formation | ||
| Comparison of Behavior | Modeling of behavior | ||
| Social support | Social support (general) | ||
| • Taster’s Choice (Taste-Testing) Homework | Reward and Threat | Incentive | |
| • Cooking | Shaping knowledge | Instruction on how to perform a behavior | |
| Repetition and Substitution |
Behavioral rehearsal/practice Habit formation | ||
| • Family Meal | Social Support | Social support (general) | |
| Comparison of Behavior | Modeling of behavior | ||
| Shaping knowledge | Instruction on how to perform a behavior | ||
| Repetition and Substitution | Behavioral rehearsal/practice | ||
| 1-Let’s get started |
• Best family meal ever • Wash, chop, slice and safety…kitchen basics | Natural Consequences |
Health consequences Self-assessment of affective consequences |
| Goals and planning |
Goal setting (behavior) Problem solving/coping planning Goal setting (outcome) Action planning (including implementation of intentions) Review behavior goal(s) Discrepancy between current behavior and goal standard Review outcome goal(s) Commitment | ||
| Social Support | Social support (general) | ||
| Shaping knowledge | Instruction on how to perform a behavior | ||
| Repetition and Substitution | Behavioral rehearsal/practice | ||
| 2-Ready, Set, Goal |
• Goal setting…breaking it into bite-size pieces • Let’s give them something to talk about–conversation starters • Recipe revolution–common abbreviations | Goals and planning |
Goal setting (behavior) Problem solving/coping planning Goal setting (outcome) Action planning (including implementation of intentions) Review behavior goal(s) Discrepancy between current behavior and goal standard Review outcome goal(s) Commitment |
| Shaping knowledge | Instruction on how to perform a behavior | ||
| Repetition and Substitution | Behavioral rehearsal/practice | ||
| 3-Thinking outside the box |
• Switch it up: meal planning makeovers • Go! Slow! Whoa! • Successful recipes = accurate measures | Antecedents | Restructuring the physical environment |
| Repetition and Substitution |
Behavioral rehearsal/practice Behavior substitution | ||
| Social Support | Social support (general) | ||
| Shaping knowledge | Instruction on how to perform a behavior | ||
| 4- What’s for dinner 2night? |
• Cook today, eat tomorrow–or freeze for another day • READ it before you EAT it • A dash of this, a pinch of that–measuring ingredients | Social Support | Social support (general) |
| Comparison of outcomes | Pros and cons | ||
| Repetition and Substitution |
Behavioral rehearsal/practice Habit formation | ||
| Shaping knowledge | Instruction on how to perform a behavior | ||
| 5-Too much? Not enough? |
• Portion distortion– helpings, portions and servings • Are you hungry? Full? Listening to your body’s cues • Get creative-colorful, fresh and nutritious salads | Feedback and Monitoring |
Self-monitoring of behavior Self-monitoring of outcome of behavior |
| Repetition and Substitution | Habit formation | ||
| Shaping knowledge | Instruction on how to perform a behavior | ||
| 6-Keep it under wraps |
• Fast, fun and full of acceptance–ideas for picky eaters • Making sense of advertising • Wrap it up-Quick and easy meals | Shaping knowledge | Instruction on how to perform a behavior |
| Comparison of Behavior | Modeling of behavior | ||
| Natural consequences | Self-assessment of affective consequences | ||
| 7-Balance, balance, keep the balance |
• Healthy snacks-beyond apples and oranges • The race is on…choosing healthy snacks • Peel! Chop! Fruits! | Repetition and Substitution |
Behavioral rehearsal/practice Behavior substitution Habit formation Habit reversal |
| Natural Consequences | Health Consequences | ||
| Antecedents | Restructuring the physical environment | ||
| Associations | Prompts/cues | ||
| Shaping knowledge | Instruction on how to perform a behavior | ||
| 8-Less sugar and fat–a sweet deal |
• Sip smarter–the bottom line on sugary drinks • Which snack or beverage? Check the facts! • Peel! Chop! Vegetables! | Repetition and Substitution |
Behavioral rehearsal/practice Behavior substitution Habit formation Habit reversal |
| Natural Consequences | Health Consequences | ||
| Antecedents | Restructuring the physical environment | ||
| Associations | Prompts/cues | ||
| Shaping knowledge | Instruction on how to perform a behavior | ||
| 9-AGREENable meals and snacks |
• Why your choices matter • Celebrate seasons–picking produce that’s fresh & less expensive | Repetition and Substitution |
Behavioral rehearsal/practice Behavior substitution Habit formation Habit reversal |
| Natural Consequences | Health Consequences | ||
| Antecedents | Restructuring the physical environment | ||
| Associations | Prompts/cues | ||
| Shaping knowledge | Instruction on how to perform a behavior | ||
| Comparison of Behavior | Modeling of behavior | ||
| 10-The future is bright…planning ahead |
• The Celebrity Chef is…you! • Kids can do it…families can do it | Repetition and Substitution | Habit formation |
| Self-belief |
Verbal persuasion to boost self-efficacy Focus on past success | ||
| Identity |
Self-affirmation Identity associated with behavior change | ||
| Goals and planning |
Goal setting (behavior) Problem solving/coping planning Goal setting (outcome) Action planning (including implementation of intentions) Review behavior goal(s) Discrepancy between current behavior and goal standard Review outcome goal(s) Commitment |