Table 1.

Intervention Content

Module	REAL Intervention Content	Attention Control – Information Packet
1. Assessment and Goal-Setting	Health history review; life history narrative Exploration of barriers and supports to diabetes care	N/A
2. Living with Diabetes	What is diabetes? How is it treated? Understanding acute and long-term complications	Learning about diabetes Know your ABCs (A1C, blood pressure, cholesterol) Self-monitoring blood glucose Foot care recommendations
3. Access and Advocacy	Getting care: Finding a care provider, using healthcare benefits Making treatment decisions, communicating with care providers	Get routine care to stay healthy (understanding visit frequency and appropriate tests and screenings) Accessing care (hours and locations for clinics local to participant’s residence)
4. Activity and Health	Daily routines and diabetes self-care: making and breaking habits Risky activities (e.g. drinking, drug use) and diabetes dilemmas	Learning how to live with diabetes (recommended daily self-care activities) Healthy eating (USDA dietary guidelines; portion control) Physical activity recommendations
5. Social Support	Managing diabetes in social situations, dealing with “diabetes police” Family-household life, peer relationships, and intimate relationships	N/A
6. Emotions and Wellbeing	Emotions and diabetes: anxiety, depression, anger, guilt, denial, fear Coping with diabetes burnout and self-destructive behaviors Promoting well-being and developing positive coping strategies	Coping with negative emotions about diabetes
7. Long Term Health	Planning for the future: Anticipating changes in lifestyle and routine Adapting to change: Diabetes complications, changes in health status	Cardiovascular disease prevention Prevention and treatment of diabetic retinopathy