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Table 6 Training Components and Content

From: Taking Action Together: A YMCA-based protocol to prevent Type-2 Diabetes in high-BMI inner-city African American children

Program Component Training time Content
1. Introductions, team-building, project overview1 1 hr during initial and yearly training (+3 hr additional during year-long program) Introduce personnel roles. Describe the research project and program. Build team atmosphere. Introduce Body Positive and Health at Every Size concepts.
2. Healthy lifestyle challenges in an obesogenic environment2 1 hr (+0 hr) Introduce nutrition, physical activity and self-esteem goals. Discuss challenges African American families experience in inner-city Oakland in efforts to live a healthy lifestyle.
3. Managing challenging behaviors in children2 1 hr (+8 hr) Introduce positive behavioral management approaches and describe how to effectively develop social skills and problem-solving abilities in children.
4. Social cognitive theory (SCT) in practice2 1 hr (+2 hr) Understanding and using self-observation, peer modeling, feedback, verbal encouragement, mastery through trials of increasing difficulty.
5. Nutrition2
General
Lesson-by-lesson
1 hr (+2 hr)
0 hr (+40 hr)
Describe components of healthy diet, considerations of African American culture, income, food availability and transportation; demonstrate use of SCT3, importance of fun.
6. Physical activity2
General
Lesson-by-lesson
1 hr (+2 hr)
0 hr (+10 hr)
Discuss barriers, use of Health at Every Size concept and SCT to increase activity self-efficacy, motivational strategies, cultural preferences and considerations.
7. Self-esteem2
General
Lesson-by-lesson
1 hr (+2 hr)
0 hr (+10 hr)
Describe contributors to and effect of positive self-esteem, cultural differences in expression. Discuss strategies to develop self-esteem using Body Positive approach, preventing harm.
8. Motivating families2 1 hr (+1 hr) Influence of parenting style, family food and activity practices, and community environment on development of healthy behaviors; motivational strategies; cultural considerations.
  1. 1 Separate sessions for Control and Intervention site staff.
  2. 2 Intervention site staff only.