Table 1.

Group Intervention Components of the Heart Disease Reversal Program.

Session number	Nutrition	Exercise	Stress management
1	Orientation to HDRP	Self-monitor physical activity	None
	Intro to nutrition component
	No-oil sauté method
	Culturally based flavor combinations
2	Diet troubleshooting	Intro to exercise component	Coping with food cravings
	Steaming technique	Proper walking technique	Mindful eating
3	Protein	Exercise for stress management	Intro to stress management component
	Batch cooking	Exercise troubleshooting	Diaphragmatic breathing
	Cooking dried legumes
4	Carbohydrates and diabetes	Exercise for blood sugar management	Awareness of thinking
	Cooking whole grains		“The Hook” metaphor; progressive muscle relaxation
5	Managing social situations and eating out	Safe exercise progression	Challenging negative thinking
	Dr Greger’s daily dozen	Exercise troubleshooting	Gratitude journal
			Postural relaxation
6	Fat: Types, omega 3’s, problems with low-carb/high-fat diets	Lifestyle activity	Problem- vs Emotion-Focused coping
		Safe exercise progression	Guided beach imagery
		Exercise troubleshooting
7	Dietary methods for boosting nitric oxide	Exercise and artery function	Acceptance and softening
	Cooking with herbs		Clarifying values
			Mindfulness meditation
8	Circadian rhythm and optimizing weight loss	Safe exercise progression	Activity scheduling
		Exercise troubleshooting	Savoring
			Guided forest imagery
9	Optimizing brain health	Exercise, cognition, and brain health	Social support
			5 acts of kindness
			Lovingkindness meditation
10	Iron, calcium, and iodine	Exercise and bone health	Assertive communication
	Healthy bones		Anger awareness
	Food synergy and antioxidants		Autogenic relaxation
11	Other reasons for eating plant-based (environment, food contaminantion)	Optimum amount of exercise	Optimizing sleep
			Light meditation
12	Final group session; summary review, planning for the future, maintaining gains, program feedback