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Table 1 HOPE intervention session structure and module content

From: Behavioral health coaching for rural-living older adults with diabetes and depression: an open pilot of the HOPE Study

Session# Week Session Content Session Goals
Core Sessions
Session 1 1 Getting to Know HOPE and Your Coach  
·General introduction to the HOPE Program ·To build rapport between participant/coach
·Outline of program structure and module content ·To encourage open discussion
·Definition of roles/expectations of participant and coach are defined ·To customize a program to participants’ needs
Session 2 2 Setting Goals and Making Action Plans  
· Introduction to the concept of goal setting and action planning · For participant to have a foundational understanding of goal setting/action planning
· 3 rules to follow in developing a high-quality goal · To make first attempt at setting a high -quality goal
· Action Plan Checklist  
Elective Sessions
   Module A: Managing Your Medications  
· Knowing Your Medications · For participant to better understand medication outcomes (benefits vs. side-effects)
· Choosing the Right Medication for You · To build skill: improve communication with PCP/healthcare team
   · Keeping a Schedule for Taking Your Medications · To set/adjust a medication-adherence goal
Module B: Using Thoughts to Improve Wellness  
· Recognizing How Thoughts Affect Mood and Behaviors · For participant to understand the impact thoughts have on feelings and actions
· Using Coping Statements to Improve Wellness · To build skill: coping, alternative thinking
· Increasing Positive Thinking/Decreasing Negative Thinking · To set/adjust a goal for practicing thought- monitoring strategies
Module C: Eating a Healthy Diet  
· Controlling Carbohydrate Intake · To improve participant’s knowledge of nutrition and dietary recommendations
· Increasing Fruit And Vegetable Intake · To build skill: balanced food-group servings, portion control, healthy food substitutions
· Reducing Unhealthy Fat Intake  
· Limiting Portion Sizes · To set/adjust a healthy diet goal
Sessions 3-8 3-8 Module D: Increasing Pleasant Activities  
· Recognizing How Behaviors Affect Thoughts and Moods · For participant to understand the impact actions can have on thoughts and feelings
· Identifying Meaningful Activities · To build skill: resuming or beginning new activities of interest
  · Engaging In Pleasant Activities and Being Active · To set/adjust a behavioral activation goal
Module E: Getting Fit  
· Improving Endurance Through Cardiovascular Exercise · To educate participant about recommended exercise guidelines
· Improving Flexibility Through Stretching  
· Improving Strength and Muscle Tone Through Strength Training · To set/adjust a fitness goal, considering participant’s physical limitations
  Module F: Learning How to Relax  
· Understanding What Stress, Worry, and Anxiety Are · To identify stressors that impact health
· How to Use Deep Breathing to Reduce Stress and Tension · To build skill: practicing deep breathing and/or imagery exercises
· How to Use Imagery to Reduce Stress and Tension · To set/adjust a goal for incorporating relaxation techniques into participant’s daily routine
Follow-Up Sessions
Session 9 10 Adjusting Your Action Plans and Overcoming Obstacles  
· Review all previous goals and assess goal progress · For participant to reflect on accomplishments realized through the HOPE Program
· Discussion of remaining barriers/obstacles to goal success and identification of strategies for overcoming them · To build skill: overcoming barriers/obstacles
· To make final adjustments to Action Plans
Session 10 12 Managing Your Resources and Final Discussions  
   · Final discussions: · For participant to reflect on diabetes-care skills acquired in HOPE
   · Diabetes ABCs · To prepare participant to continue goal development on his/her own, following HOPE
   · Resources/support system · For participant to be satisfied with program outcomes and committed to achieving long-term health goals
   · Monitoring Action Plans/tracking goal progress  
   · Closing remarks