Table 2.

Potential Adaptations to Power Up for Health Based on the Pilot Study.

Potential adaptations to Power UP for Health	Feedback and recommendations from the coaches and advisory panel
Coaching: training, support and responsibilities	○ Include more information on social determinants in coach training.  ■ It is difficult to ask people to eat healthy without providing accessible options in their neighborhood → perhaps creating a healthy food resource guide, information on community organizations.  ■ Social Determants were not addressed in the 2012 DPP but may be necessary for optimal results. ○ Consider training coaches on how to use gym equipment and how to create a workout for participants. ○ Increase coach responsibility by calling the participants; communication between sessions can motivate participants. ○ Provide coaches with visual tools to make the curriculum more concrete and hands on, for example: how much fat is in one french fry, how much sugar should you eat per day, how much salt you have to limit yourself to each day, and so on. ○ Incorporate a visit to the supermarket to practice how to shop healthy; show participants how to read labels at the supermarket visit.
Program Implementation: Timing, requirements	○ Extend class time—for exercise and/or other issues that come up.  ■ Classes rarely ended within the hour time frame; some classes went from 6:30 to 7:45 pm, sometimes staying until 8:15 pm.  ■ No one complained that the class went too long; it could go at least an extra half hour.  ■ Often times discussions went outside the class content → need to develop trust. ○ Have a set call time for coaches to talk with one another and their facilitator. Coaches can provide support to one another. ○ Add to the intervention logistical issues including all of the surrounding issues such as how to acclimate to the gym culture, who is making the follow-up calls.
Meeting Program Goals	○ Exercise doesn’t have to be a part of every class, but could be incorporated in some sessions; planning for both indoor and outdoor activities (depending on the weather). Fitness component energized the groups.  ■ Reflection re: where we had the intervention and how to incorporate exercise? How important was it to have the program at the Parks and Recreation centers? ○ Need to push the tracking of diet and exercise component, but make more acceptable/feasible. For example, have resources/guides available to participants for using online tracking apps. ○ Be flexible and accommodating to where different people are in terms of defining program success—a stable weight could also be considered success, particularly with other factors considered (e.g., medications).

Note. DPP = Diabetes Prevention Program.