Wk Major Theme ***Group Session Objectives (Expert-led CHA’s) Tailored Intervention with each family (led by CHA’s) Church-level support (Pastors)
1 Welcome to CHHIL Kick-off! (Making a Commitment) (a) Overview of CHHIL program; (a) Build Individual commitment; (b) Record/reinforce reasons for joining; (a) Kickoff event at least 1 week prior to program start; &
(b) Benefits of a healthy lifestyle; © Review benefits; reinforce self-monitoring of food intake; & (b) Pastor to present program overview.
(c) Introduction to the Food Pyramid; (d) Assess your own PA habits; (d) Endorse visit to YMCA for family PA.  
(e) Introduce self-monitoring;    
(f) Set family goal to engage in PA; (g) Building groupp commitment; &    
(h) Setting SMART goals.    
2 New eating style, environment it’s all around you! (a) Meaning and important of environment; (a) Introduce home self-monitoring of weight; (a) Pastor endorsement of weekly session objectives during weekly sermon.
(b) Planning healthy meals and snacks; (b) Assess success in decreasing calories;
(c) Recognize patterns in family environment; (c) Problem solving, endorsing habit changes; &
(d) Set goals regarding home environment; & (d) Endorse visits to YMCA for family PA.
(e) Using positive reinforcement with your children.  
3 Size Up your servings! Seeing is believing (a) Review the concept of moderation; (a) Practice self-monitoring skills (i.e. measuring foods, estimating food portion size); (a) Pastor endorsement of healthy eating and improving PA during weekly sermon; &
(b) Recognize feeling of hunger and satiety; (b) Problem solving; (b) Church activities may include cooking demos and taste tests.
(c) Important of estimating serving seizes; (c) Endorsing habit changes; &  
(d) Set family goals to estimate portion seizes at meals; (d) Endorse visits to YMCA for family PA activity for at least one hour.  
(e) Introduce three ways to eat less; (f) Identify CV exercise and its benefits;    
(g) Take your pulse and calculating target heart rates;    
(h) Set family goals to engage in aerobic exercise; &    
(I) Family rules.    
4 Go, Grow, Glow! Empty Calories (a) Identify major nutrient in each food group; (a) Emphasize important of regular meals and eating slowly; (a) Pastor endorsement of healthy eating and improving PA during weekly sermon; &
(b) Recognize fat and sugar content in snacks and soda; (b) Review self-report and cooking/eating activities in past week; (b) Church activities may include cooking demos and taste tests.
(c) Identify low fat substitutes for high fat foods; (c)Identify exercise that improves flexibility;  
(d) Recognize importance of warm-ups and cool downs; (d)Review family goals and mapping your day for eating and PA; &  
(e) Set family goal to decrease empty calories; (e) Endorse visits to YMCA for family PA activity for at least one hour  
(f)Teach reading food calorie labels; &    
(g) Use of rewards and incentives with children.    
5 Mix up Recipes. Tip the Calorie Balance (a) Modify receipt to contain lower-fat ingredients; (a) Begin self-repots of food intake and PA; (a) Pastor endorsement of weekly session objectives during weekly sermon; &
(b) Plan a balanced meal; (b) Reinforce positive behaviors; (b) One policy change in the church (e.g., setting guidelines about the types of food to be served at church function and/or changing snacks served to children in church).
(c) Set family goals to plan and prepare a balanced meal; (c) Assist in problem solving as needed (i.e, addressing personal likes and dislikes about PA).  
(d) Prepare a common recipe using a low fat ingredients; (d) Endorse visits to YMCA for family PA activity for at least one hour  
(e) Keep a watch on eating healthy outside;    
(f) Self-monitoring;    
(g) Recognize major muscle groups in the body;    
(h) Recognize importance of muscle strength;    
(I) Set family goal to muscle strengthening activities;    
(j) Self-esteem.    
6 Taking Charge of what’s around you (a) Assist participants to find time to include PA short bouts (10-15minutes) and healthy lifestyle activities; (a) Review self-reports of food intake and PA; (a) Pastor endorsement of weekly session objectives during weekly sermon; &
(b)Teach basic principles of exercising safely; & (b) Reinforce positive behaviors; (b) Pastor to promote project through announcements on display boards, newsletters, church bulletin (etc.)
(c) Encourage everyone in the family to meet their goals successfully. (c) Develop action plans;  
  (d) Maintain food and fitness diaries; &  
  (e) Endorse visits to YMCA for family PA activity for at least one hour.  
     
7 Stop and Shop Healthy Shopping (a) Planning a healthy shopping list; (b) Reading and comparing labels; (a) Review self-reports; (a) Pastor endorsement of weekly session objectives during weekly sermon; &
(c) Set family goals to plan and prepare balanced meals; (b) Provide a reduced calorie, structured meal plan that is tailored for family; (b) Ongoing activity, policy, promotion (as described above).
(d) Practice shopping at the Coop; (e)Take stock of progress and consolidate gains; (c) Plan field trips to PA such as roller skating at the park;&  
(f) Set family goals to continue weekly PA; & (d) Endorse visits to YMCA for family PA activity for at least one hour.  
(g )Teach the fundaments of energy balance and goals to lose weight.    
8 Party on! Introduction to monthly follow-up sessions (a) Resisting social pressure and eating out; (a) Review self-reports; (a) Pastor endorsement of weekly session objectives during weekly sermon; &
(b) Environmental cutes that encourage eating; (b) Identify cues in individual’s environment and develop action plan (b) Ongoing activity, policy, promotion (as described above)
(c) How to select and adhere to healthy choices when eating away from home; (c) Mapping your day for eating and PA  
(d) Review progress and consolidate gains;    
(e) Set long-term goals to make healthy changes and permanent part of lifestyle    
(f) Overview of monthly follow up sessions.    
Table 1: Conceptual Faith-based CHHIL Program Curriculum (adapted and modified from DPP and TLD). *2 hr sessions every week for 8 weeks (one hour for group session and remaining hr for group PA ***separate sessions will be conducted for parents & children simultaneously. DPP=Diabetes prevention program; TLD=Traffic Light Diet; PA=Physical Activity; CV=Cardiovascular. Diet and PA, along with frequent weighing were part of the DPP and TLD projects and will be strongly encouraged in this project.