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Table 1 Curriculum for BWL-Stress and BWL-Alone during each study phase

From: Rationale and study protocol for a randomized controlled trial to determine the effectiveness of a culturally relevant, stress management enhanced behavioral weight loss intervention on weight loss outcomes of black women

DPP Lifestyle Change Curriculum

Women’s Health (BWLa-Alone)

Stress Focus (BWL-Stress)

Weekly Sessions

 Session 1: Welcome to DPP

Breast Self-care

Intro to Stress and Health

 Session 2: Be a Fat and Calorie Detective

Skin Care

Identifying/Acknowledging Triggers of Stress

 Session 3: Three Ways to Eat Less Fat and Fewer Calories

Dental Care

Meditation with Focus on Peace, Spirituality, Pride

 Session 4: Healthy Eating

Heart Health

Benefits of Massage

 Session 5: Move Those Muscles

Sleep Habits

Values Clarification

 Session 6: Being Active – A Way of Life

Alcohol Use

Exercise as a Stress Reliever

 Session 7: Tip the Calorie Balance

Tobacco Cessation

Progressive Muscle Relaxation

 Session 8: Take Charge of What’s Around You

Domestic Violence

Navigating Misinformation and Finding Quality Resources for Your Needs

 Session 9: Problem Solving

Age-Appropriate Cancer Screenings

Control What You Can, Accept What You Can’t

 Session 10: Four Keys to Healthy Eating Out

Addictive Behaviors

Expressing Gratitude

 Session 11: Talk Back to Negative Thoughts

Health Insurance

Developing an Action Plan with Achievable Goals

 Session 12: The Slippery Slope of Lifestyle Change

Vaccines

Challenging dichotomous thinking

Bi-Weekly Sessions

 Session 13: Jump Start Your Activity Plan

Navigating Healthcare in the Digital Age

Financial Management

 Session 14: Make Social Cues Work For You

Environmental Health

Setting Boundaries on Social Media

 Session 15: You Can Manage Stress

Healthy Aging

Setting Boundaries by Learning to Say “No”

 Session 16: Ways to Stay Motivated

Health Preparedness

Cognitive Restructuring

 Session 17: Welcome to the Next Phase

Hair Care

Body Image and Self-Talk

 Session 18: Food Preparation and Recipe Modification

Maternal Health and Menopause

Art as a Stress Reliever

 Session 19: Healthy Eating – Taking It One Meal at a Time

Food Safety

Navigating Resources for Counseling and Therapy

 Session 20: Healthy Eating with Variety and Balance

Breast Self-care and Mammograms

Self-Advocacy in Health Care

Monthly Sessions

 Session 21: Preventing Relapse

Dental Care

Guided Imagery

 Session 22: Staying on Top of Physical Activity

Sleep Habits

Social Support

 Session 23: Stepping Up to Physical Activity

Domestic Violence

Sleep Strategies

 Session 24: Balance Your Thoughts for Maintenance

Vaccines

Distraction Techniques

 Session 25: Handling Holidays, Vacations, and Special Events

Women’s Health Take-Home Points

Stress Management Take-Home Points

 Session 26: Final Session: Look Back and Looking Forward

Women’s Health Take-Home Points

Stress Management Reflection

  1. aBehavioral weight loss