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Table 2 Example treatment fidelity checklist: session 9

From: Treatment fidelity in the Camden Weight Loss (CAMWEL) intervention assessed from recordings of advisor-participant consultations

Item

Topic

1. Reviewing overall progress

 1

Previously set goals or intentions are reviewed

 2

Feedback on performance is given

 3

General encouragement is given

2. Reviewing previous topic and handouts

 4

Positive Thinking handout is reviewed

 

The following questions are taken into consideration when reviewing the Positive Thinking handout

 5

 • What negative thoughts did you catch yourself thinking?

 6

 • When was this (in what situation)?

 7

 • Were you able to stop them?

 8

 • Did you talk back with positive thoughts?

 9

 • How did positive thinking help with eating a healthy diet?

 10

 • What about changes to your activity habits?

 11

 • Did you manage to go for a 30-min walk every day?

 12

Any barriers are uncovered

 

Usefulness of the other handouts is reviewed:

 13

 • CAMWEL walks handout

 14

 • Steps/Walks Chart handout

 15

 • Rate Your Plate handout

3. Reviewing pedometer counts and physical activity

 16

Pedometer counts are recorded

 17

Participants are asked if they wore the pedometers every day

 18

(a) If the participant did not wear the pedometer every day, they are asked what got in the way OR

(b) If the participant did wear the pedometer every day, they are praised

 19

Efforts made by the participant are appreciated

 20

Advisor is positive and non-judgmental; good things are noticed

4. Taking weight and waist measurements

 21

Waist circumference is measured

 22

Weight is measured

5. Reviewing weight change

 23

(a) If participant has lost weight they are congratulated OR

(b) If the participant has not lost weight they are helped to develop a plan to address their particular problem

6. Presenting new topic – Avoiding The Slippery Slope of Changing Habits for Life

 24

‘Slips’ are defined in a manner that is relevant to the participant

 25

Advisor discusses what to do after a ‘slip’ to get the participant back on their feet again

 26

Advisor helps to identify some things or situations when the participant ‘slips’ from healthy eating and being active

7. Setting goals, making action plans and assigning home activities

 27

Participant is encouraged to continue to get back on track

 

The following leaflets are given:

 28

 • Camden Change4Health Walks

 29

 • Recipe book (British Heart Foundation ‘Healthy Meals, Healthy Hearts’ or ‘Food Should be Fun… And Healthy’)

 30

Participant is reminded to continue to wear their pedometer and record their steps

8. Confirming date of next appointment

 31

The appointment for the next session is confirmed