Table 1.

Group Sessions and Associated Learning and Behavioral Objectives, A New DAWN

Sessiona	Title	Learning and Behavioral Objectives
1	What Is Diabetes? Living With Diabetes	To review basic diabetes information (risk factors, causes and symptoms of high and low blood glucose, and key factors in living well with diabetes) To introduce study goals and group session format
2	What's in Your Food: Carbohydrates, Protein, and Fat. Knowing Your Serving Sizes	To group foods by their major macronutrients and relate carbohydrate content to glycemic effect To enhance awareness of portions served and serving sizes
3	Healthy Eating — Fiber and Fat	To discuss and encourage use of blood glucose self-monitoring logs To introduce relationship between blood glucose and hemoglobin A1c (HbA1c) values To review recommendations for healthy eating, with a focus on fiber and fats
4	Planning Meals — Plate Method	To introduce plate method and other strategies for planning meals To provide menus (15 days) and review how they could be used for better diabetes control
5	Shopping and Eating Out	To practice reading the nutrition facts on food labels and review nutrient claims (e.g., low fat, light, low sodium) To increase awareness of fast foods' nutrient and caloric content
6	Blood Glucose Self-Monitoring	To review importance of blood glucose self-monitoring, target blood glucose ranges, and recommended HbA1c values To increase knowledge of how food and physical activity affect blood glucose levels
7	Blood Pressure Control	To review the meaning of blood pressure numbers, recommended blood pressure levels for people with diabetes, and importance of blood pressure control in protecting kidney health To increase knowledge of how diet and physical activity affect blood pressure levels (with focus on DASH eating pattern and taking 10,000 steps per day)
8	Diabetes Medications	To introduce pharmacist as knowledgeable community member and medication expert To discuss how different diabetes medications work and provide participants with opportunity to ask questions about medications they are currently taking (not only diabetes medications)
9	Personal Health Habits 1b	To introduce podiatrist as knowledgeable community member To review good health habits related to skin and foot care and make connection between smoking and foot health To increase knowledge of Medicare coverage of therapeutic footwear for people with diabetes
10	Personal Health Habits 2b	To introduce dentist as knowledgeable community member To increase awareness of how diabetes affects dental health, including proper denture care
11	Stress Management	To introduce a community health professional who is knowledgeable of strategies to reduce stress and improve mental well-being To discuss how dealing with stress can help with diabetes self-management
12	Church's Optionc	To review progress made toward reaching goals set in A New DAWN program To offer an opportunity for program participants to interact and celebrate their accomplishments

DASH indicates Dietary Approaches to Stop Hypertension (12).

^aOpportunities for self-monitoring blood glucose and blood pressure, physical activity, and tastings were behavioral components of each session.

^bPersonal health habits include foot, skin, and dental care.

^cChurch members decide on session topic or to have social event with potluck.