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Table 1 Lifestyle goals of ELIPS intervention and examples from practice

From: Changing the obesogenic environment of severe mentally ill residential patients: ELIPS, a cluster randomised study design

Goal Subgoal and example
1. Minimally two physical activities per week, one of them being intensive
  1.1 increase in daily physical activity on individual level
  E.g. counselling conversations during a walk outside rather than sitting in the office; patients walk/cycle to shop for own groceries; patients walk/cycle to work rather than taking the bus.
  1.2 increase in daily physical activity on group level (low intensity)
  E.g. organise group walks one or twice a week.
  1.3 participation in more intensive physical group activity (organised, medium intensity)
  E.g. organise a weekly football activity, organise a WII-sports activity, visit a fitness centre once a week, go for a swim once per two weeks.
2. Minimally three improvements in food supply
  2.1 decrease in intake of saturated fat and trans fatty acids
  E.g. replace high-fat cheese by low-fat cheese; limit consumption of sweetened dairy products; limit cake consumption (luxury cookies only on Sundays).
  2.2 increase in intake of fibres
  E.g. replace white bread by whole wheat bread; replace white rice/pasta by whole rice/pasta; serve fruit and vegetables during activities.
  2.3 decrease in energy intake
  E.g. replace products by light versions; replace butter by (diet) margarine; replace almond paste cake by gingerbread.
  2.4 decrease in intake of salt
  E.g. buy fresh vegetables instead of canned vegetables; replace crisps by vegetables (cucumber); offer snacks in small portions, and/or only in the weekends.
3. Minimal one food focused activity per week
  E.g. create a daily fruit moment; make a shopping list together; buy healthy groceries together; cook a healthy meal together; play a food quiz; make smoothies; learn to decipher the list of ingredients.
4. Adjustment of the obesogenic environment on organisational level
  E.g. limit access to food cupboards, adjust food supply in canteen (selling fried snacks only twice per week); provide a gym; set up contracts with fitness centres; purchase a WII sports; prepare breakfast every morning; put nutrition and physical activity standard on the team meeting's agenda.