Table 2.

Behavioural support and self-management strategies [87] employed to support the lifestyle intervention in DIADEM-I

Behavioural support and self-management strategies	Examples of behavioural techniques
Self monitoring	• Identifying the relationship between mood and food selection and intake this will be accomplished using a food and mood diary • Using scales to gauge hunger and satiety • Regular weight measurement • Recording of food selection and intake
Goal setting	• SMART (Specific, Measureable, Achievable, Relevant and Time-Bound) goals will be used throughout • Individualised goals will be set by participants regarding diet and physical activity
Stimulus control	• Identification of external and internal triggers to unhealthy eating habits • Use of distraction techniques to help subjects avoid emotional eating
Cognitive restructuring	• Reviewing the impact of negative thoughts and beliefs and their impact on behaviour change. • Replacing negative thoughts and beliefs with positive thoughts and beliefs
Eating behaviour	• Education about healthy eating behaviours • Choosing low energy alternatives to high energy foods • Portion control • Timing and duration of eating • Dealing with snacking
Planning	• Planning meals and physical activity • Planning for challenging situations e.g. eating with family, eating at restaurants, and eating and activity while traveling
Maintenance	• Maintaining successful behaviours • Dealing with lapses and avoiding relapse • Avoiding previous behaviours that resulted in weight regain
Reward & support	• Non-food related rewards • Support from family and friends
Problem solving	• Problem solving skills • Dealing with high risk situations that impact on eating