Session 1: Systems Thinking, Self-Monitoring & Goal Setting
Introduction to SystemCHANGE: HIV Introduce participants;
Background to intervention
Schedule/Content Ground Rules
Systems Thinking Introducing Systems as a way to think about habits
Determining process owners Involving people in your process;
Who impacts your system?
Distinguishing between buddies and process owners;
Goal Setting: Describing what you want to accomplish  
Self-Monitoring Introduction on self-monitoring: What and Why
Session 2: Lifestyle Routines, Systems Improvement Strategies and Social Support
Introduce Team Member  
Review Systems Thinking and Discuss first team meeting Key points for system thinking;
Team meeting reports-surprises?
Lifestyle Routines Cyclical nature of routines
Environmental changes List of possible environmental changes
Social Support Where, why and unusual places to find
Session3: Physical Activity and Self Experiments
Physical Activity Recommendations Physical activity recommendations
Weather related activity
Community Resources
Demonstrate use of exercise log Physical Activity log: exertion levels, sensations, emotions, safe exercise
PDSA Cycles Plan-Do-Study-Act (PDSA) format for testing small changes
Session 4: Patterns of Exercise, Types of Fitness and Testing Small Experiments
Patterns of Exercise Graph exercise from own data in exercise diary
Types of Fitness Health benefits of fitness
Types of fitness
HIV-related concerns
Storyboards Benefits of publicizing change “journey” in home
Structure and steps in making a storyboard
Session 5: Sleep
Sleep Benefits List reasons why sleep is important
Environmental Sleep Barriers Discuss actigraph patterns
List barriers that make sleep is hard
Recommendations, Sleep Hygiene Standard recommendations
Sleep hygiene strategies
Sleep rhythms
Session 6: Mental Wellness Behaviors
Mental Wellness Behaviors Components of Mental Wellness
Mental Wellness and HIV
Consequences of Poor Mental Wellness
Session 7: Personal Time
Personal Time Introduction Overview of importance; Findings from pilot study
Strategies Finding and effectively using personal time
Balancing Personal Time with Isolation What is the difference between effectively using personal time and isolating?
Session 8: Spirituality and Altruism as Tools to Change the Environment
Review Personal Time Review main points on persona time
Spirituality Share focus group findings
How can spirituality be used to change environment?
How does can it support changes and hinder changes
Altruism Perspectives on benefits of altruism
Discuss ways to “give back”
Session 9: Relapse Prevention and Continual Improvement
Homework Review Share storyboard
Reinforcement of Systems Thinking Discuss how they are using Systems Improvement Strategies
Leaning form information about patterns of exercise- recognizing a lapse in behavior Review graphs of Physical Activity, sleep, personal time
Life processes and all health behaviors Healthy living is lifelong commitment
Session 10: Overview and Celebration
a Weekly homework review and session evaluation and feedback were removed for brevity
Table 2: SystemCHANGE™ -HIV Pilot Study Intervention a
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