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Table 1 Behaviour change techniques (BCTs), components and delivery personnel by intervention phase

From: Intervention fidelity in the definitive cluster randomised controlled trial of the Healthy Lifestyles Programme (HeLP) trial: findings from the process evaluation

Phase

Behaviour Change techniques (BCTs)

Component (Frequency and Duration)

Delivery personnel

Phase 1

Creating a supportive context

Spring term of school Year 5 (9-10 year olds)

Jan-March

• Provide information on behaviour-health link

• Provide information on health behaviour link

• Modelling/demonstrating behaviour

• Prompt identification as a role model

• Provide information on behaviour-health link

• Skill building

Whole school assembly (1x20 mins)

Newsletter article

Literacy lesson (to create HeLP rap) (1x1 hour)

Activity workshops (2x1.5 hours)b

Parent assembly (1x1 hour) involving child performancesa

HeLP Coordinators

HeLP Coordinators

Class teacher

Professional sportsmen/dancers

Class teachers/HeLP Coordinator/Drama group

Phase 2

Intensive Healthy Lifestyles Week – one week

Summer term of school Year 5 (9-10 year olds)

April-June

• Provide information on health behaviour link

• Problem solving/barrier identification

• Modelling/demonstrating behaviour

• Prompt identification as a role model

• Communication skills training

• Teach to use prompts/cues

Education lessons (5x1 hour) (morning)

Drama (5x2 hours) (afternoon)b

(forum theatre; role play; food tasting, discussions, games, etc).

Class teacher

Drama group

Phase 3

Personal Goal Setting with Parental Support

Summer term of school Year 5 (9-10 year olds)

June-July

• Self-monitoring

• Goal setting (behaviour)

• Problem solving/barrier identification

• Plan social support

• Provide information on where and when to perform a behaviour

• Agree behavioural contract

• Prompt identification as a role model

Self-reflection questionnaire (1x40 mins)

Goal setting sheet to go home to parents to complete with child (1x10 mins)c

1:1 goal setting interview (1x10 mins) (goals sent home to parents)

Forum theatre assembly (1x1 hour)a

HeLP Coordinator

HeLP Coordinator/Parents

HeLP Coordinator

HeLP Coordinator/Drama group

Phase 4

Reinforcement Activities

Autumn term of school Year 6 (10-11 year olds)

Sept-Dec

• Provide information on health behaviour link

• Modelling/demonstrating behaviour

• Prompt identification as a role model

• Provide social approval

• Prompt self-monitoring

• Prompt intention formation

• Follow up prompts

• Prompt review of behavioural goals

• Prompt barrier identification and resolution

• Coping plans

Education lesson (1x1 hour)

Drama workshop (1x1 hour). Followed by a class delivered assembly about the project to rest of school (1x20 mins)

1-to-1 goal supporting interview to discuss facilitators/barriers and to plan new coping strategies (1x10 mins) (renewed goals sent home to parents)

Class teacher

HeLP Coordinator/Drama group

HeLP Coordinator

  1. a Formal parental engagement event
  2. b Invitation for parents to observe
  3. c Required parental involvement to complete task