Table 1 Summary of diabetes prevention/program group lifestyle balance [18] sessions and content
Session number | Topic |
|---|---|
Core sessions | |
 Session 1 | Welcome to the Diabetes Prevention Program Group Lifestyle Balance (DPP/GLB) Gives an overview of the DPP/GLB program including setting a 7% weight loss goal |
 Session 2 | Be a calorie detective This session teaches participants how to monitor their calories and their fat intake |
 Session 3 | Healthy eating This session contains tips to include healthy foods in the daily routine, such as eating more fruits and vegetables, lean meats, and healthy fats while staying away from calorie-dense foods containing added sugars and unhealthy fats |
 Session 4 | Move those muscles Content includes setting physical activity goals, providing exercises for different muscle groups, and reviewing exercise safety guidelines |
 Session 5 | Tip the calorie balance This session is about balancing calories and how it is related to weight loss. It also provides tips on balancing a daily menu to keep caloric intake on track |
 Session 6 | Take charge of what’s around you This session teaches participants how to develop positive activity and food cues. Those include recognizing hunger and fullness and having gym clothes and shoes nearby to engage in physical activity |
 Session 7 | Problem solving This session provides five steps to problem solving, including weighing the pros and cons of a situation and choosing to stay on track with a weight loss plan |
 Session 8 | Step up your physical activity This session focuses on staying active and safely increasing the intensity and time of an activity |
 Session 9 | Manage slips and self-defeating thoughts This session emphasizes staying away from negative thoughts and replacing them with positive ones |
 Session 10 | Four keys to healthy eating out This session provides tips on how to make healthier choices in restaurants |
 Session 11 | Make social cues work for you This session includes how to turn social cues that might disrupt the weight loss journey into positive cues |
 Session 12 | Ways to stay motivated This session discusses stress management and stresses the importance of staying motivated to reach the weight loss journey |
Transition sessions | |
 Session 13 | Strengthen your physical activity plan This session includes the benefits of resistance training and stresses the importance of stretching after each exercise session. It also explains how to increase weight and repetitions as one becomes proficient with the present routine |
 Session 14 | Take charge of your lifestyle Even though the DPP/GLB meetings are now once a month, this session is about helping the participants to consistently monitor their weight and to stay on track with their physical activity |
 Session 15 | Mindful eating, mindful movement This session teaches the participants the techniques to eat and move mindfully |
 Session 16 | Manage your stress This session gives the opportunity to participants to talk about their stress levels. It also provides them with strategies to manage their stress |
Support sessions | |
 Session 17 | Sit less for your health This session reviews with the participants the time they spend sitting and provides them with suggestions on how to reduce their sitting time |
 Session 18 | More volume, fewer calories This session discusses how to add volume to a meal without adding too many calories. It also provides some recipes that are easy to make yet add volume to the meal. As a result, one might feel full and eat less food |
 Session 20 | Balance your thoughts This session is meant to help participants reflect on how changing their lifestyle helped them reach their weight loss goal. Furthermore, it encourages participants to eliminate negative thoughts and replace them with positive ones |
 Session 21 | Heart health This session is all about heart disease, its causes, and prevention strategies. It also educates participants about blood cholesterol and how proper nutrition can support healthy levels |
 Session 22 | Look back and look forward As this is the last session, participants are encouraged to continue with the healthy habits they have acquired throughout the past year. They are also advised to plan for eating and physical activity in the next 3–6 months |