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Table 2 The topics and content of the six group sessions of the ILSM group

From: Effectiveness of a diabetes prevention program for rural women with prior gestational diabetes mellitus: study protocol of a multi-site randomized clinical trial

Topics

Content

1st: Orientation and Goals-setting (90 min)

a. Introduction to ILSM.

b. Assess personal risk of developing T2DM.

c. Inform the life-threatening outcomes of having T2DM.

d. Give good examples of T2DM prevention by lifestyle modification.

f. Tell and ask the benefits of and barriers to lifestyle change.

g. Set goals to achieve and maintain a healthy lifestyle pattern after 3 months.

h. Group exercise (30 min).

2nd: Healthy eating patterns (90 min)

a. Assess current eating patterns.

b. Summarize the barriers of changing unhealthy eating patterns from the previous two sessions.

c. Low Glycemic Index diet.

d. Analyze the barrier on dietary and solutions from the previous sessions.

e. Help make individual action plan and coping plan on healthier eating patterns.

Action plan: What unhealthy eating patterns would you like to change? Pattern 1, 2. For Pattern 1, When? How?

Coping plan: Which barrier might prevent you from changing the eating pattern? Barrier 1, 2. How could you overcome this barrier? For Barrier 1, Strategy 1.

f. Group exercise (30 min).

3rd: Physical activities (90 min)

a. Assess current physical activities.

b. Summarize the barriers of performing physical activities.

c. Analyze the barrier’s solutions from the previous sessions.

d. Encourage raising more barriers and solutions.

e. Help make individual action plan and coping plan on physical activities.

Action plan: Which kind of physical activity would you like to perform? Activity 1, 2. For activity 1, When? Where? How long?

Coping plan: Which barrier might prevent you from being active at least 2 × 20 min per week? Barrier 1, 2. How could you overcome this barrier? For Barrier 1, Strategy 1.

f. Ask to perform aerobics together guiding by a popular DVD disk.

g. Group exercise (30 min).

4th: Stress management (90 min)

a. Assess the current stress.

b. Stress management: Impact of stress on feelings and behaviors and health; Identify sources of stress; Identify unhelpful stress-management strategies; Discuss more helpful ways of managing stress

c. Help make individual action plan and coping plan on mental health management.

Action plan: Which kind of strategy would you like to perform to reduce stress? Activity 1, 2. For activity 1, When? Where? How long?

Coping plan: Which barrier might prevent you from managing stress? Barrier 1, 2. How could you overcome this barrier? For Barrier 1, Strategy 1.

d. Ask to practice some psychological therapy (such as relax exercise) in groups.

e. Group exercise (30 min).

5th: Family support on ILSM & family lifestyle patterns (90 min)

a. Assess the current family support on ILSM & family lifestyle patterns (meal-planning and exercise pattern) of each participant family.

b. Family healthy eating: Healthier family meal-planning; Dealing with barriers to making healthier choices; Communication strategies

c. Family exercise patterns: Importance of family exercise patterns; Suggestions and good examples of family exercise patterns

d. Help make family action plan and coping plan with family members, on family support and family lifestyle pattern improvement.

e. Ask each family member to express their intentional support to the participant.

f. Group exercise (30 min).

6th: Fare well and Relapse prevention (90 min)

a. Assess the current lifestyle and relapse events.

b. Relapse prevention: The principle trend phases of behavior changing, Problem-solving strategies for maintaining a healthier lifestyle; Weight and energy balance; Managing relapses

c. Emphasize the importance of T2DM screening every six months

d. Fare-well and conclusion for the group meeting sessions.

e. Group exercise (30 min).