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Table 1 Overview of the ALAPAGE programa

From: Study protocol for a pragmatic cluster randomized controlled trial to improve dietary diversity and physical fitness among older people who live at home (the “ALAPAGE study”)

Content of the ALAPAGE program

Supervisor(s)

S0: inclusion/introductive session

 Presentation of the supervisors, participants, and workshop program; quiz on diet and physical activity; example of completion of a weekly notebook for physical activity self-reporting and provision of oneb.

Dietician + APA professional

Inter-session: physical activity self-monitoring at home

S1: introduction to diet diversity

  24-hour diet recall; discussion on participants’ beliefs on diet; game ‘11 food families’ (cards); analyses of one’s own diet using the ALAPAGE grid of dietary diversity; distribution of pedometers.

Dietician

Inter-session: physical activity self-monitoring at home

S2: physical activity

  Feedback on inter-sessions; warming; Senior Fitness Test battery and static balance test; learning of exercises that can be introduced in daily life activities (dual-tasking) and of a 10-minute routine exercise; selection of one physical quality to improve.

APA professional

Inter-session: physical activity everyday tasks and self-monitoring at home

S3: improving diet diversity by choosing foods with good nutritional quality

  Feedback on inter-sessions; game on nutritional profiles; information on diseases prevention and local resources regarding diseases management; improving one’s own diet diversity and setting a personalized objective.

Dietician

Inter-session: physical activity everyday tasks and self-monitoring at home

S4: introduction to sustainable diet

  Feedback on personalized objectives and the inter-session; photo language about sustainable diet; preparation of the post-session program of activities between participants; revision of the personalized objective.

Dietician

Inter-session: physical activity everyday tasks and self-monitoring at home

S5: diversifying pleasures to eat better at a ‘good’ price

  24-hour diet recall; feedback on personalized objectives; activity ‘Pleasures and budget’ using same foodstuffs from different brand; preparation of the post-session program; analyses of one’s own diet using the ALAPAGE grid of dietary diversity; revision of the personalized objective.

Dietician

Inter-session: physical activity everyday tasks and self-monitoring at home

S6: physical activity

  Feedback on inter-sessions; static balance test and comparison with results from S2; warming; 45 min physical activity training; preparation of the post-session program.

APA professional

Post-session program of activities between participants (e.g., walking).

  1. APA adapted physical activity, S0-S6 diet and physical activity sessions of the ALAPAGE program
  2. aEach session lasted 2 h30
  3. bA weekly notebook for physical activity self-reporting is also provided to participants in each following session from S1 to S5