Table 1 HOPE intervention modules

Session 1

Introduction to HOPE

   • Introduction to HOPE and how it can help

   • Rapport Building

   • Introduction to behavioral activation

   • Setting behavioral activation goal

Session 2

Setting goals and making action plans

   • Introduction to principles of goal setting and action planning

   • Introduction/choice of skills areas

Sessions 3–6 (Skill sessions chosen by participants)

Increasing pleasant activities

   • Connections between activities and mood

   • Benefits of increasing pleasant and meaningful activities

   • Setting goal and action plan to increase pleasant activities

Using thoughts to improve wellness

   • Connections between thoughts and mood

   • Recognizing and reducing unhelpful thinking

   • Setting goal and action plan to use thoughts to improve mood

Eating wisely

   • Information about healthy eating

   • Setting goals and action plans to improve diet:

     ◦ Limiting portions

     ◦ Controlling carbohydrates

     ◦ Increasing fruit/vegetable consumptions

     ◦ Reducing unhealthy fat intake

Being physically active

   • Benefits of physical activity

   • Setting goals and action plans to increase activity

Managing your medications

   • Importance of taking medications as prescribed

   • Setting goals and action plans to increase activity related to:

◦ Knowing medications

     ◦ Choosing the right diabetes medication

     ◦ Keeping a schedule for taking medications

     ◦ Medications for mood

Learning how to relax

   • Relationships between stress, anxiety and worry

   • Setting goals and action plans to increase activity related to:

     ◦ Deep breathing to reduce stress and tensions

     ◦ Imagery to reduce stress and tension

Sessions 7–9 (follow-up)

Adjusting action plans and overcoming obstacles

   • Checking on progress and resolving barriers to goal attainment