Appendix.
Session topics: weight loss only and combined weight loss/depression group visits
| Session | Weight loss only (90-min sessions) | Combined weight loss/depression (120-min sessions) |
|---|---|---|
| 1 | Orientation: group norms, introduction to self-monitoring, behavior change processes | Orientation: group norms, introduction to self-monitoring, behavior change processes, relation between depression and weight |
| 2 | Energy balance and healthy food choices | Energy balance and healthy food choices |
| 3 | Diet quality: Fat and cholesterol | Pleasant activities and depression I |
| 4 | High fiber, low fat eating | Pleasant activities and depression II |
| 5 | Increasing physical activity | Increasing physical activity |
| 6 | Lifestyle exercise | Lifestyle exercise, barriers to exercise |
| 7 | Barriers to exercise | Relaxation training |
| 8 | Eating patterns | Problem solving I |
| 9 | Eating in social situations | Problem solving II |
| 10 | Eating in restaurants | Eating patterns, eating in social situations, eating in restaurants |
| 11 | Re-evaluating diet and exercise goals I | Re-evaluating diet and exercise goals I |
| 12 | Re-evaluating diet and exercise goals II | Re-evaluating diet and exercise goals II |
| 13 | Stress and eating | Cognitive goals: monitoring thinking |
| 14 | Fad diets, weight loss medications, surgery for weight loss | Cognitive techniques: what’s the evidence? |
| 15 | Cues for eating and exercise | Cognitive techniques: thought balancing |
| 16 | Advanced diet change | Advanced diet change |
| 17 | Advanced exercise change | Advanced exercise change |
| 18 | Assertion and eating | Social skills and assertiveness I |
| 19 | High risk situations | Social skills and assertiveness II |
| 20 | Managing slips and lapses | Managing slips and lapses |
| 21 | Summing up | Summing up |
| 22 | Long-term self-care plan | Long-term self-care plan |
| 23 | Monthly check-in: review and reinforcement (diet and exercise; goals and motivation; plans for next month), ad hoc session content determined by group members | Monthly check-in: review and reinforcement (diet, exercise,pleasant activities, and thought balancing; goals and motivation; plans for next month), ad hoc session content determined by group members |
| 24–26 | Same as session 23 | Same as session 23 |
For both interventions, sessions 1–16 were held weekly, sessions 17–22 were held biweekly, and sessions 23–26 were held monthly. Topics that are unique to the combined weight loss/depression program are highlighted in bold text