Table 2.

The SMART 2.0 Study health coaching year 1 curriculum adapted from the CDC’s National Diabetes Prevention Program (PreventT2)

Session frequency	Session	PreventT2 curriculum topic	SMART 2.0 revision and description
Weekly	1	Introduction to the program	Intro to SMART 2.0: assess motivations and set short- and long-term goals
	2	Track your food	Using the Fitbit app for food tracking: benefits of food tracking, appropriate portion sizes, and reading food labels
	3	Track your activity	Using Fitbit to track PA: benefits of tracking PA and a review of current PA data
	4	Manage stress	Stress and tracking sleep with Fitbit: sources of stress, coping techniques, and the link between stress and sleep and weight
	5	Eat well to prevent T2	Eating well basics: national dietary guidelines
	6	Get active to prevent T2	Getting started getting active: benefits of PA and identify ways to get PA, challenges, and barriers
	7	Burn more calories than you take in	Balancing what you eat and do: review caloric deficit needed for weight loss and tracking caloric balance with the Fitbit
	8	Shop and cook to prevent T2	Meal planning 101: planning and preparing healthy meals
	9	Get more active	Get more active: ways to increase active minutes
	10	Cope with triggers	Navigating triggers to eat unhealthily: ways to cope with and reduce social pressures to eat unhealthily
	11	Find time for fitness	Find time for fitness: challenges and strategies to find time to exercise
	12	Keep your heart healthy	Maintaining a healthy lifestyle: 3-month review of progress and challenges
	13	Take charge of your thoughts	Take charge of your thoughts: mental health and identifying “helpful” versus “harmful” thoughts
	14	Get support	Social support: identify ways to access social support from to support a healthy lifestyle
	15	Eat well away from home	Eating well while eating out and on-campus: challenges and strategies to eating well at restaurants and on campus
	16	Stay motivated to prevent T2	Staying motivated: strategies to stay motivated to exercise, eat well, and sleep
Bi-weekly	17	When weight loss stalls	Weight loss progress and plateaus: strategies to overcome weight loss plateaus and to continue to lose weight
	18	Get enough sleep	Sleep hygiene: benefits of adequate sleep and identify challenges and strategies to getting at least 7 h
	19	Stay active to prevent T2	Staying active: identify challenges and strategies to maintaining consistent PA
	20	Have healthy food you enjoy	Eating healthy on a budget: 6-month review of progress and challenges and strategies to eat healthy on a budget
Monthly	21	More about T2	General health information: identify current challenges and develop strategies to meet goals
	22	Take a fitness break	Quick exercise ideas: brainstorm 10-min exercise ideas and ways to stay active with any schedule
	23	Stay active away from home	Staying on track while on break/vacation: challenges and strategies during school breaks/vacations
	24	More about carbs	More about macronutrients/nutrient-density: macronutrient information and benefits of nutrient-dense foods
	25	Get back on track	Get back on track: review 5-steps to problem solving and strategies for relapse coping and prevention
	26	Prevent T2 for life	Continuing progress in year 2 of SMART 2.0: 1-year review of progress and challenges and create an action plan for year 2

T2 type 2 diabetes, PA physical activity