Psychological needs underlying autonomous motivation | Intervention content | Peer support strategies |
---|---|---|
Autonomy | ▪ Personalized feedback on current dietary practices and physical activity patterns | ✓ Promotora reinforces education & knowledge, including importance of diet, physical activity, and self-monitoring |
Feeling volitional, feeling choice and responsibility for one's behavior | ||
â–ª Identification of personal and family values, motivators | Promotora assists with personal goal setting using principles of Motivational Interviewing | |
â–ª Individualized goal setting | ||
Perceived Competence | Self-monitoring | ✓ Promotora reviews goal setting and help participants practice setting SMART‡ goals |
Feeling that one can accomplish selected behaviors and reach goals | ||
▪ Activities to practice problem solving | ✓ Dietary and physical activity diaries | |
â–ª Hands-on-learning and activities to practice newly learned skills, such as menu planning and reading labels | Promotora facilitates group discussion of barriers and problem solving skills | |
▪ Homework activities to reinforce skills learned in class | ✓ Promotora provides ongoing emotional support and encouragement | |
Relatedness to Others | ▪ Encourages family discussion of shared values and health related goals | Discuss strategies to identify and reach out to one’s support network |
The need to feel understood, cared for and valued by significant others | ||
Incorporates traditional foods and cultural practices identified through participatory development process | Teach and practice stress management skills | |
Buddy system for support and accountability | ||
â–ª Peer Leader provides ongoing emotional support and encouragement | Group support for problem solving and physical activity | |
✓ Promotora led monthly support groups |