Table 2 Intervention content and activities related to three psychological needs^†

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

▪ Identification of personal and family values, motivators

Promotora assists with personal goal setting using principles of Motivational Interviewing

▪ 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

▪ 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

▪ Peer Leader provides ongoing emotional support and encouragement

Group support for problem solving and physical activity

✓ Promotora led monthly support groups