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. 2023 Sep 15;7:e33810. doi: 10.2196/33810

Table 2.

Diet and physical activity targets of the intervention.

Behavior target Specific subtargets
Promoting awareness that T2DMa can be prevented
  • Addressing fatalistic beliefs about the causation of T2DM

  • Addressing any sense of inevitability about getting T2DM

Promoting awareness of the link between diet and T2DM
  • Addressing any sense of lack of control over one’s diet

  • Awareness of the many benefits of improving diet, including that it can help prevent T2DM

Promoting awareness of the link between a lack of PAb and T2DM
  • Addressing any sense of lack of control over one’s levels of PA

  • Awareness of the many benefits of increasing PA, including that it can help prevent T2DM

Providing information about how to improve dietc
  • Healthier food suggestions or substitutions

  • Healthier food preparation techniques

  • Awareness of snacking and promoting healthier snacks

  • Awareness of sugar in drinks and promoting healthier drinks, for example, water

  • Awareness of or reducing amount of carbohydrates in diet

  • Awareness of or reducing amount of sugar in diet

  • Awareness of or reducing amount of fat and oils in diet (including use of Ghee and deep-fried foods)

  • Awareness of or reducing amount of salt in food (including how to flavor foods without using lots of salt)

  • Portion size and a balanced diet

  • Importance of fiber and increasing fiber in diet

  • Addressing expectations to participate in gatherings where it is expected to prepare and share large quantities of food

  • Addressing family expectations and preferences in food preparation

Providing information about how to increase PA and types of PA that can help prevent T2DM
  • Ideas for reducing sedentary behaviors

  • Promoting aerobic exercise, for example, walking, cycling, and swimming

  • Ideas for strength training

  • Ideas for stretching

  • How to build activities into daily life

  • Suggesting exercise that can be done in the house (if weather and other obligations prevent going out to exercise, eg, family commitments, or if not being used to spending time outdoors)

  • Promoting exercising with others, for example, walking group and fitness class

  • Addressing cultural expectations to prioritize responsibilities to kin over oneself which may be a barrier to prioritizing exercise

aT2DM: type 2 diabetes mellitus.

bPA: physical activity.

cWhere the focus groups and narrative review determined that more knowledge was needed on PA and diet, the extensive knowledge generated in the wider EuroDHYAN study [15,16,38-40] was used as evidence to determine the more specific subtargets.