Table 1.
Description of BEST MEALS intervention
Session | Topic | Content | Format |
---|---|---|---|
1 | Introduction/Self-Monitoring | Rationale of BEST MEALS; Write out family daily/weekly routines related to type 1 diabetes (T1DM) management; Set goals for treatment | Slide presentation; Group discussion; Handouts |
2 | Insulin Management/Glucose Targets | Insulin types/action; Insulin dose calculations; Glucose targets for young kids; Challenges to T1DM management | Slide presentation; Group discussion; Handouts |
3 | Child Behavioral Management-I | Contingent Attention; Applying Contingent Attention at Meals; Specific behaviors to praise versus ignore; Direct requests versus indirect requests or coaxes | Slide presentation; Video clips modeling praise/ignoring; Group discussion; Handouts |
4 | Carbohydrate Counting/Building a Healthy Plate-I | Review steps to count carbohydrates; ADA recommendations for fat and saturated fat intake; Recognizing/reducing daily fat intake | Slide presentation; Group discussion; Food labels; Sample menus; Handouts |
5 | Building a Healthy Plate-II and Introducing New Foods | Review recommendations for daily fat intake; Review strategies for recognizing/reducing daily fat intake; Contingent Attention to introduce new foods and non-preferred foods | Slide presentation; Video clips modeling introduction of new/non-preferred foods; Group discussion; Handouts |
6 | Maintenance/Supporting a Healthy Lifestyle | Reviewed recommendations for daily physical activity; Helped families create a list of physical activity options; Discussed other problem behaviors at meals | Slide presentation; Group discussion; Activity to develop family physical activity lists; Video clips modeling some other problematic behavior at meals (i.e., child only eating if he/she is reinforced); Handouts |