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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