Skip to main content

Table 1 HOPE intervention modules

From: Behavioral health coaching for rural veterans with diabetes and depression: a patient randomized effectiveness implementation trial

Session 1 Introduction to HOPE
   • Introduction to HOPE and how it can help
   • Rapport Building
   • Introduction to behavioral activation
   • Setting behavioral activation goal
Session 2 Setting goals and making action plans
   • Introduction to principles of goal setting and action planning
   • Introduction/choice of skills areas
Sessions 3–6 (Skill sessions chosen by participants) Increasing pleasant activities
   • Connections between activities and mood
   • Benefits of increasing pleasant and meaningful activities
   • Setting goal and action plan to increase pleasant activities
Using thoughts to improve wellness
   • Connections between thoughts and mood
   • Recognizing and reducing unhelpful thinking
   • Setting goal and action plan to use thoughts to improve mood
Eating wisely
   • Information about healthy eating
   • Setting goals and action plans to improve diet:
     ◦ Limiting portions
     ◦ Controlling carbohydrates
     ◦ Increasing fruit/vegetable consumptions
     ◦ Reducing unhealthy fat intake
Being physically active
   • Benefits of physical activity
   • Setting goals and action plans to increase activity
Managing your medications
   • Importance of taking medications as prescribed
   • Setting goals and action plans to increase activity related to:
◦ Knowing medications
     ◦ Choosing the right diabetes medication
     ◦ Keeping a schedule for taking medications
     ◦ Medications for mood
Learning how to relax
   • Relationships between stress, anxiety and worry
   • Setting goals and action plans to increase activity related to:
     ◦ Deep breathing to reduce stress and tensions
     ◦ Imagery to reduce stress and tension
Sessions 7–9 (follow-up) Adjusting action plans and overcoming obstacles
     • Checking on progress and resolving barriers to goal attainment