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Table 1 Adaptations between SHHC 1.0 and SHHC-2.0

From: Process evaluation findings from Strong Hearts, Healthy Communities 2.0: a cardiovascular disease prevention intervention for rural women

SHHC-2.0 Adaptation

Reason for Adaptation from SHHC 1.0

1. Addition of a scale

Participants enjoyed using Fitbit, so another technology component was added

2. Reorganization of nutrition activities

Participants requested that nutrition education be moved earlier in the curricula

3. More aerobic exercise DVDs

Participants wanted more options for lower intensity aerobic activities

4. Replication of strength training exercises

Participants requested more consistency in strength training exercises

5. Only two sessions per week

Monthly civic engagement meetings were incorporated into session content

6. Fewer snacks/participant bring snack

Program leaders faced financial and logistical challenges to providing snacks

7. Switch from an activity log to a health journal

Program leaders did not want to enter activity log data, and some participants did not find the activity logs useful

8. Some content from the leader guide was added to the participant guide

Program leaders expressed that some of the content in the leader guide would be useful to participants

9. Daily food plan with calorie goal added

SHHC-1.0 did not improve nutrition outcomes

10. More frequent goal setting reminders

Program leaders requested more time for goal setting

11. Added homework

Used to encourage participants to engage in aerobic and strength training activities outside of class

12. New content related to social support

Used to improve interpersonal environment for cardiovascular disease prevention

  1. Note. Table adapted from Seguin et al. 2020. SHHC- Strong Hearts, Healthy Communities