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Table 3 Determinants, methods and practical applications of the traininga

From: Development of a training programme for home health care workers to promote preventive activities focused on a healthy lifestyle: an intervention mapping approach

Determinants Theory-based methods Practical applications
Awareness Self-reflection Introductory inspirational talk/group discussion/written assignment/feedback on home assignment
Persuasive communication Overall aim of the training programme is stated: ensuring client autonomy by enhancing lifestyle and focusing on physical activity and fruit and vegetable intake
Exploration of which preventive activities workers already engage in with regard to physical activity and fruit and vegetable intake
Positive reinforcement Feedback on home assignment and experiences of starting a dialogue with the client about lifestyle
Knowledge Information delivery (passive learning) Lecture/written assignment/written information/game of statements
Information processing (active learning) Early detection of risk behaviour in the client
Guidelines for physical activity and fruit and vegetable intake in older adults
How to manage client barriers
Presentation of theory of communication skills, Stages Of Change and written information in the training
Knowledge of several disorders and recommended nutrition and physical activity for these
Information on facilities and possibilities for clients to enhance lifestyle so that the HHC worker can advise them
Self-efficacy Feedback/Instruction Written assignment/group discussion/lecture/practical assignment
Modelling Exploration of the preventive activities the HHC workers have provided and their experiences during training sessions and work meetings
Reflection on how the HHC workers deal with complex issues and how colleagues cope with this HHC workers will develop a plan of actions they will undertake in the client setting
Goal-setting  
Attitude Information delivery (passive learning) Lecture/game of statements
Information processing (active learning) The importance of prevention focused on physical activity and intake of fruit and vegetables is explained
Feedback Feedback on the efforts the HHC workers have made and compliments on successes during training sessions and work meetings
Skills Modelling Learn from colleagues by observing them practising communication skills
Guided practice Practising communication skills with colleagues using the information given in the lecture
Social influence Support from work organization Group discussion/practical assignment/policy/protocol
Exchange experiences in providing prevention during work meetings
Modelling HHC worker and colleagues explore which preventive activities they already provide in the area of physical activity and fruit and vegetable intake
Integrate the process of engaging in preventive actions in the HHC organization
  1. aWorkers were fully involved in the development of the content of the training programme and the teaching strategies used