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Table 1 Components of the life goals program

From: Protocol: Adaptive Implementation of Effective Programs Trial (ADEPT): cluster randomized SMART trial comparing a standard versus enhanced implementation strategy to improve outcomes of a mood disorders program

Component Description/core concepts across all self-management sessions
Self-management sessions A minimum of six individual sessions lasting ~50 min each or four group sessions lasting ~90 min each focused on active discussions around personal goals, mental health symptoms, stigma, and health behaviors
Values Explore personal values and their relationship to health change behavior; also explore types of stigma and ways to overcome stigma
Collaborative care Identify ways to strengthen relationships and participation in healthcare, explore the importance of coming prepared to medical visits, and identify ways to ensure true collaboration is occurring to support optimal health outcomes.
Self-monitoring Discuss the importance of measurement-based care and develop a meaningful self-monitoring plan for identified mental or physical health condition (i.e., PHQ-9, GAD-7, sleep log, food tracking)
Symptom profile Create a personal symptom profile for a specific mental health condition with a focus on identifying early warning signs and ways to use this knowledge to bolster self-management skills
Triggers Identify positive and negative, preventable and inevitable triggers and ways to better prepare for and manage these triggers
Cost/benefit analysis of responses Explore previous responses to psychiatric symptoms and link responses to personal values and behavior change goals
Life goals Create SMART goals, problem-solve barriers, and ensure personal goals are in line with identified values
Care management At least monthly (for 6 months) individualized follow-up contacts to support lessons learned; contacts work to problem-solve barriers to health-behavior goals and provide additional support for mental health issues interfering with goal attainment
Provider decision support Knowledge and availability of best practice treatments for mental and physical health conditions either in-house or via consult