Table 2.

ROC+ and CBT topics during the 5-month intervention period.

Session	ROC+	CBT
1	Introduction	Introduction
2	Hunger, calories, and tracking h	Tracking food intake
3	Ignoring fullness and physical activity h	Dieting and overeating Physical activity
4	Ignoring hunger and stimulus control h	Cues and triggers of overeating
5	Eating for entertainment Increasing fruits and vegetables and healthy substitutions h	Reinforcement and consequences of overeating
6	Eating due to stress and sadness h	Thinking styles
7	Eating too fast, mindless eating, high-risk situations h	Examining and restructuring thoughts
8	Motivation and review h	Understanding cues and chains of behaviors
9	Cravings and Exposures	Strategies for eating wisely and reducing food intake
10	Eating because it’s there How context affects cravings Goal setting e	Identifying high-risk foods and situations
11	Eating due to anticipation Prediction error & revising predictions Restaurants and dining out successfully e	Understanding the link between emotions and overeating
12	Habituation and extinction Urge surfing e	Problem solving to prevent overeating
13	Acceptance and tolerance of cravings e	Thoughts and beliefs related to self-esteem
14	Eating due to social cues Behavioral chains e	Improving body image
15	Eating due to habit Habit learning & habit reversal e	Difference between a “lapse” and a “relapse”
16	All-or-nothing eating Awareness of dichotomous thinking e	Factors that can lead to relapse
17	Lapse vs relapse h, e Relapse prevention planning	Recognizing and maintaining progress
18	Review and wrap up h, e	Review and wrap up

^h=hunger monitoring in session while eating a meal

^e=exposure session with highly craved foods