Behavioral goals
Healthful dietary pattern with reduced fat and other sources of calories
Consumption of 1200–1499 kcal/d if body weight less than 100 kg or 1500–1800 kcal/day if body weight greater than 100 kg; even more if very high weight
Moderate physical activity gradually increased to and maintained at 150 minutes/week, achieved by walking or similar aerobic activity
Meet recommendations for strength training
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Core treatment curriculum
Year 1 – Looseleaf participant manual with 2 page guidelines for each of 12 sessions based on 14 of the original DPP Lifestyle Balance intervention sessions.*
Year 2 – Supplemental and maintenance materials covering the other 2 DPP sessions and reiterating core content from other sessions*
Compact Disc (CD) with audio narrated versions of the first 12 intervention sessions*
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Aids to enhance adherence
Commercially available calorie counter
Elastic resistance band
Keeping track worksheets adapted from DPP*
Physical activity guide with recommended types of physical activity and a zip code based list and map of physical activity resources
Automated telephone messages (every other month in Year 2 only)
$5 per visit to offset out-of-pocket costs of visit attendance
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| Contact mode and frequency |
| Primary care clinician
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| Lifestyle Coach – in person office visits
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| Implementation Monitoring and Quality Control |
Protocol adherence by clinicians and practice staff
Monitoring and support by study coordinator and medical director via on-site meetings, email, and phone contact
Written visit forms completed by clinicians after each visit
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| Lifestyle coaching
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| Adherence Monitoring |
| Attendance at clinician visits
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✓ |
✓ |
| Attendance at coaching visits-
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✓ |
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