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. Author manuscript; available in PMC: 2009 Mar 1.
Published in final edited form as: Am J Prev Med. 2008 Mar;34(3):192–201. doi: 10.1016/j.amepre.2007.11.014

Table 1.

Lifestyle intervention objectives for monthly group discussion-format educational sessions facilitated by American Indian health educators

Session Objectives
All sessions
  • Exercise together for 15 minutes

  • Taste-test and learn about the healthy snacks provided

  • Write a behavior change contract each month that includes a dietary or exercise objective, action steps, strategies for enhancing facilitators and addressing barriers to behavior change, and nonfood self-rewards

  • Discuss what worked and did not work in making dietary and/or exercise changes in the previous month

  • Strategize ways to address barriers to change

  • Review examples of healthy lifestyle approaches that various tribes around the country are using

  • Receive encouragement to share what is learned with family and friends

One: Be Strong in Body and Spirit
  • Receive a brief overview of types of diabetes, insulin resistance and risk factors for type 2 diabetes

  • Discuss a balanced life, learn signs of distress, and practice a stress management technique

  • Learn importance of regular exercise in preventing type 2 diabetes

  • Learn how to start an exercise program

  • Practice stretches

  • Learn how to develop a behavior change contract as described above; develop a contract for the month for an exercise objective

  • Learn to use a calendar to record physical activities

  • Learn ways to stay motivated to maintain healthy changes

Two: Veggie Tales
  • Learn the importance of eating three servings of vegetables a day and ways to do so when cooking at home and eating out

  • Discuss environmental influences and strategies to address barriers to vegetable intake

  • Plan meals for one day that incorporate vegetables

  • Learn the importance of making and eating low-fat foods

  • Practice reading food labels for content of different types of dietary fats, especially saturated fats

Three: Sugar and Spice Aren’t Necessarily Nice
  • Discuss progress and strategies and rewards re action steps on exercise, vegetable intake and choosing lower-fat foods

  • Practice reading food labels for sugar content

  • Learn benefits and examples of healthy snack foods

  • Compare amounts of sugar in soft drinks, other sweetened beverages, candy bars, chips, and vegetable and fruit examples

  • Receive and taste low-fat recipes

  • Identify foods lower in fats and sugars offered by fast-food restaurants

Four: Planting Seeds of Wisdom
  • Discuss lack of social support as a barrier to dietary and activity behavior change and share views about asking for support re diet/exercise changes

  • Identify, discuss and role play ways to ask for support from family and friends for diet and exercise changes

Five: Growing Your Garden of the Future
  • Discuss views and concepts about influences on decision making for diet and exercise behaviors

  • Discuss family traditions and cultural traditions that influence diet and activity decision making

  • Analyze advertisements about diet and exercise and describe potential influence of advertisements on personal diet and exercise decision making