Table 1.
Behavior Change Techniques (BCTs) Used in the Lifestyle Intervention
| Week | Session content | BCTs implemented (Michie categories) |
|---|---|---|
| 1 | Introduction to EX+D intervention and GMCB sessions | 1, 2, 21 |
| Setting intervention and GMCB session expectations | 1, 2, 21 | |
| Discussion of gradual progression of change in EX+D behaviors and self-regulatory skill development, practice, and mastery | 9, 21 | |
| EX+D behavioral contract | 25 | |
| Facilitate social dynamics and social support for EX+D behavior | 28, 29 | |
| Provide behavioral self-monitoring logs | 16, 17 | |
| 2 | Review weekly EX+D behavior successes/challenges | 18, 19 |
| Introduce information on FITT principle, macronutrients, portion control approaches, and New American Plate guidelines | 1, 2, 21 | |
| Discuss IDEA-P self-monitoring approaches | 1, 2, 16, 17 | |
| Facilitate social dynamics/support/problem-solving for EX+D behavior | 28, 29 | |
| Prompt independent practice of self-regulatory skills for EX+D behavior | 26 | |
| Review and provide behavioral self-monitoring logs | 16, 17 | |
| 3 | Review weekly EX+D behavior successes/challenges | 18, 19 |
| Discuss IDEA-P group and individual goal setting approaches | 1, 2, 5, 10, 11, 18, 19 | |
| Discuss IDEA-P self-monitoring approaches | 1, 2, 16, 17 | |
| Discuss IDEA-P action planning approaches | 1, 2, 5 | |
| Discuss IDEA-P time management approaches | 1, 2, 38 | |
| Discuss approaches to increase fruit, vegetable, and whole grain intake | 1, 2, 21 | |
| Facilitate social dynamics/support/problem-solving for EX+D behavior | 28, 29 | |
| Prompt independent practice of self-regulatory skills for EX+D behavior | 26 | |
| Review and provide behavioral self-monitoring logs | 16, 17 | |
| 4 | Review weekly EX+D behavior successes/challenges | 18, 19 |
| Discuss approaches to shift toward a plant-based diet consistent with New American Plate guidelines | 1, 2, 21 | |
| Discuss IDEA-P group and individual barrier problem-solving approaches | 1, 2, 8 | |
| Discuss IDEA-P self-monitoring approaches | 1, 2, 16, 17, 18, 19 | |
| Discuss IDEA-P action planning approaches | 1, 2, 5, 18, 19 | |
| Discuss IDEA-P time management approaches | 1, 2, 18, 19, 38 | |
| Discuss IDEA-P group and individual goal setting approaches | 1, 2, 5, 10, 11, 18, 19 | |
| Facilitate social dynamics/support/problem-solving for EX+D behavior | 28, 29 | |
| Prompt independent practice of self-regulatory skills for EX+D behavior | 26 | |
| Review and provide behavioral self-monitoring logs | 16, 17 | |
| 5 | Review weekly EX+D behavior successes/challenges | 18, 19 |
| Discuss approaches to shift toward a plant-based diet consistent with New American Plate guidelines | 1, 2, 21 | |
| Discuss IDEA-P self-monitoring approaches | 1, 2, 16, 17, 18, 19 | |
| Discuss IDEA-P action planning approaches | 1, 2, 5, 18, 19 | |
| Discuss IDEA-P time management approaches | 1, 2, 18, 19, 38 | |
| Discuss IDEA-P group and individual goal setting approaches | 1, 2, 5, 10, 11, 18, 19 | |
| Facilitate social dynamics/support/problem-solving for EX+D behavior | 28, 29 | |
| Prompt independent practice of self-regulatory skills for EX+D behavior | 26 | |
| Review and provide behavioral self-monitoring logs | 16, 17 | |
| 6 | Review weekly EX+D behavior successes/challenges | 18, 19 |
| Discuss personal motivational value of lifestyle and outcomes changes observed during the lifestyle intervention | 16, 17, 18, 19 | |
| Discuss approaches to shift toward a plant-based diet consistent with New American Plate guidelines | 1, 2, 21 | |
| Discuss IDEA-P self-monitoring approaches | 1, 2, 16, 17, 18, 19 | |
| Discuss IDEA-P action planning approaches | 1, 2, 5, 18, 19 | |
| Discuss IDEA-P time management approaches | 1, 2, 18, 19, 38 | |
| Discuss IDEA-P group and individual goal setting approaches | 1, 2, 5, 10, 11, 18, 19 | |
| Facilitate social dynamics/support/problem-solving for EX+D behavior | 28, 29 | |
| Prompt independent practice of self-regulatory skills for EX+D behavior | 26 | |
| Review and provide behavioral self-monitoring logs | 16, 17 | |
| 7 | Review weekly EX+D behavior successes/challenges | 18, 19 |
| Discuss IDEA-P relapse prevention approaches | 16, 17, 18, 19 | |
| Discuss approaches to shift toward a plant-based diet consistent with New American Plate guidelines | 1, 2, 21 | |
| Discuss IDEA-P self-monitoring approaches | 1, 2, 16, 17, 18, 19 | |
| Discuss IDEA-P action planning approaches | 1, 2, 5, 18, 19 | |
| Discuss IDEA-P time management approaches | 1, 2, 18, 19, 38 | |
| Discuss IDEA-P group and individual goal setting approaches | 1, 2, 5, 10, 11, 18, 19 | |
| Facilitate social dynamics/support/problem-solving for EX+D behavior | 28, 29 | |
| Prompt independent practice of self-regulatory skills for EX+D behavior | 26 | |
| Review and provide behavioral self-monitoring logs | 16, 17 | |
| 8 | Review weekly EX+D behavior successes/challenges | 18, 19 |
| Discuss IDEA-P relapse prevention approaches | 16, 17, 18, 19 | |
| Discuss approaches to shift toward a plant-based diet consistent with New American Plate guidelines | 1, 2, 21 | |
| Discuss IDEA-P self-monitoring approaches | 1, 2, 16, 17, 18, 19 | |
| Discuss IDEA-P action planning approaches | 1, 2, 5, 18, 19 | |
| Discuss IDEA-P time management approaches | 1, 2, 18, 19, 38 | |
| Discuss IDEA-P group and individual goal setting approaches | 1, 2, 5, 10, 11, 18, 19 | |
| Facilitate social dynamics/support/problem-solving for EX+D behavior | 28, 29 | |
| Prompt independent practice of self-regulatory skills for EX+D behavior | 26 | |
| Review and provide behavioral self-monitoring logs | 16, 17 |
EX+D exercise and dietary intervention; GMCB group-mediated, cognitive-behavioral intervention; IDEA-P Individualized Diet and Exercise Adherence Pilot Trial.