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Table 1 Intervention phases, change targets, behaviour change techniques and the method and agent of delivery

From: The Healthy Lifestyles Programme (HeLP), a novel school-based intervention to prevent obesity in school children: study protocol for a randomised controlled trial

Intervention phase

Change targets

Behaviour change techniques

Method (frequency and duration) and agent of delivery

Phase 1

Establish relationships with schools, children and families

Provide information on behaviour-health link

Whole school assembly (1)

HeLP coordinators

Creating a supportive context

Raise awareness and increase knowledge

Provide information on health-behaviour link

(20 minutes)

HeLP coordinators

Spring term (Year 5)

Promote positive attitudes and norms towards healthy eating and physical activity

Modelling/demonstrating behaviour

Newsletter articles (3)

Class teacher


Increase self-efficacy for behaviour change

Prompt identification as a role model

(Over the spring term)

Professional sportsmen/dancers


Provide information on behaviour-health link

Literacy lesson (to create HeLP rap/poem) (1)

Class teachers/HeLP coordinator/Drama group


Skill building

Activity workshops (2) (parents observe)


(1.5 hours)


Parents’ evening (1) involving child performances (1 hour)


Phase 2

Strengthen relationships with schools, children and families

Provide information on health behaviour link

aPSHE lessons (5) (morning)

Class teacher

Intensive Healthy Lifestyles Week - one week

Increase knowledge

Problem solving/barrier identification Modelling/demonstrating behaviour

(1 hour)

Drama group

Summer term

Increase self-awareness

Prompt identification as a role model

bDrama (5)


(Year 5)

Increase self-efficacy

Communication skills training




Develop communication and problem solving skills

Teach to use prompts and cues

(forum theatre; role play; food tasting, discussions, games, etcetera) (2 hours)


Increase social support (school, peer and family)


Phase 3

Increase awareness of own behaviour


Self-reflection questionnaire (1) (40 minutes)

HeLP Coordinator/Class teacher

Personal Goal Setting with Parental Support- goals set during week following drama

Increase self-efficacy for change

Goal setting (behaviour)

Goal setting sheet to go home to parents to complete with child (1) (10 minutes)

HeLP Coordinator/Parents

Summer term

Develop planning skills

Problem solving/barrier identification

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

HeLP coordinator

(Year 5)

Increase parental support

Plan social support

(10 minutes)

HeLP coordinator/Drama group



Provide information on where and when to perform a behaviour

Parent’s evening (1) (child involvement - Forum Theatre) (1 hour)


Agree behavioural contract


Prompt identification as a role model


Phase 4

Increase self-awareness and prioritise healthy goals.

Provide information on health behaviour link

Newsletter articles (1)

HeLP coordinator

Reinforcement Activities

Consolidate social support.

Prompt self-monitoring

(over the Autumn term)

Drama group

Autumn term

Develop monitoring and coping skills

Prompt intention formation

Whole school assembly (1)

Drama group

(Year 6)

Increase parental support

Follow up prompts

(20 mins)

Class teacher



Prompt practice

Drama workshop (1) (1 hour)

Children to all other year groups in the school


Prompt review of behavioural goals

*PSHE lesson (1) (1 hour)

HeLP coordinator


Prompt barrier identification and resolution

Class to deliver assembly about the project to rest of school (1) (20 mins)


Coping plans

(parents invited to attend)


1 to 1 goal supporting interview to discuss facilitators/barriers and to plan new coping strategies (1)


(10 minutes)


(renewed goals sent home to parents)

  1. aPSHE, Personal, Social and Health Education.
  2. bThe drama framework includes four characters, each represented by one of the actors, whose attributes relate to the three key behaviours. Children choose which of the characters they most resemble and then work with that actor to help the character learn to change the behaviour.