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Table 3 Brief presentation of the treatment protocol

From: The Prevention Of WEight Regain in diabetes type 2 (POWER) study: the effectiveness of adding a combined psychological intervention to a very low calorie diet, design and pilot data of a randomized controlled trial

Weekly sessions

 

Session 1

Introduction of the therapist and the group members

 

Agreements on attendance, commitment, homework and privacy

 

Setting realistic treatment goals

 

Explaining the rationale of the cognitive treatment

 

Introducing relevant concepts op CBT (situation, thoughts, emotions, behavior) and the use of the diary

Sessions 2 – 4

Discussing rationale and the concepts of CBT

 

Explaining unrealistic and automatic thoughts

 

Identifying and challenging dysfunctional cognitions about eating, weight and shape (by Socratic dialogue)

 

Homework: cognitive diaries

Sessions 5 – 8

Introducing the behavioral experiment

 

Challenging dysfunctional cognitions by setting up a behavioral experiment

 

Identifying and challenging ‘core beliefs’, the underlying self-schemas

 

Homework: cognitive diaries and behavioral experiments

Sessions 9 – 10

Preparing for the oncoming ending of weekly sessions

 

Identifying and challenging dysfunctional cognitions about relapse

 

Introducing relapse prevention sessions

Relapse prevention sessions

 

Session 11

Challenging dysfunctional cognitions about relapse

 

Setting goals for the long term

 

Explaining Problem Solving Treatment and Proactive Coping

Session 12 – 16

Implementing PST and PC in an individual plan

Session 17

Preparing for treatment ending

 

Challenging dysfunctional cognitions about treatment ending

 

Personal reminder in difficult times