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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