Table 1.

ACHIEVE behavioral weight loss intervention core components.

Intervention components	Type and frequency of contact
Goal setting	Weight loss goal 10 lbs. in 18 months (tailored to individual)
Key behavioral recommendations	Avoid sugary drinks; avoid junk food; eat five servings of fruits/vegetables per day; portion control; smart snack habits/ and regular physical activity.
INTERVENTION CONTACTS
Group weight management session	Months 1–6 45 min session 1x per week, 3 of 4 weeks, led by study interventionist Months 7–18 45 min session 1x per month, led by study interventionist
Individual weight management session	Months 1–18 15–20 min session, 1x per month, led by study interventionist
Group exercise classes	Months 1–6 50 min session, 3x per week, led by study interventionist. Months 7–12 50 min session, 3x per week led by study interventionist (2x per week) or psychiatric rehabilitation program staff, with video-assistance (1x per week). Months 13–18 50 min session, 3x per week led by study interventionist (1x per week) or psychiatric rehabilitation program staff, with video-assistance (2x per week).
Brief Weigh-ins	Months 1–6 1x per week Months 7–18 2x per month
Self-monitoring “tracker”	Participants fill out a simple tracking tool that records the number of servings of fruits and vegetables, whether they exercised outside of the group classes above for 30 min, and whether they drank sugar drinks; ate junk food; achieved smart portions; and achieved smart snacking goals.
Incentive program	Study participants were rewarded for participation in group and individual weight management sessions and group exercise classes with a point system, which participants could trade points for small prizes (e.g., athletic socks or headphones).
Environmental prompts	Reminders to be used at home: high impact behavioral goals on laminated card, refrigerator magnets, pre-printed grocery lists, water bottle, measuring cups, lunch bags.