Table 2 MAGDA-DPP core curriculum and key contents of the six sessions and two follow-up telephone calls
Session | Topics covered |
|---|---|
Individual session (delivered in participant’s home at >3 months postpartum) | Introduction to DPP |
Assessment of personal risk of developing T2DM | |
Highlight the five program goals: | |
• Reduce weight by 5% | |
• Reduce total fat intake to < 30% daily energy intake | |
• Reduce saturated fat intake to < 10% daily energy intake | |
• Increase fiber intake to > 15 g per 1000 kcal | |
• Increase physical activity to at least 30 minutes moderate intensity physical activity on at least 5 days per week | |
Build commitment to attend the program by discussed perceived benefits and importance of attending | |
Establish personal weight goal (current weight minus 5%) for the after 3 months | |
Set physical activity goal | |
Group session 1 (held in community venue within 1 month of individual session) | Background to the program |
What is diabetes? | |
Physical activity goal-setting: review of progress with goal set at the individual session | |
Fighting fat: saturated fat | |
• Benefits of reducing saturated fat intake | |
• Identify common sources of saturated fats in foods and from food labels | |
• Practice modifying foods to reduce saturated fat content | |
Saturated fat goal-setting | |
Group session 2 (held in community venue 2 weeks after Group session 1) | Review goals set, and set new activity goal |
Fighting fat: total fat | |
• Benefits of reducing total fat intake | |
• Identify sources of dietary fat | |
• Self-assessment of current total fat intake | |
• Practice modifying foods to reduce total fat content | |
Weight management | |
Total fat goal-setting | |
Group session 3 (held in community venue 2 weeks after Group session 2) | Review goals set, and set new activity goal |
Filling up on fiber | |
• Benefits of increasing fiber intake | |
• Goals for daily fiber intake | |
• Self-assessment of current fiber intake | |
• Identify high-fiber foods | |
• Identify meal plans that are high in fiber | |
Family healthy eating (part 1) | |
• Healthier shopping activity | |
Healthy eating goal-setting (1) | |
Group session 4 (held in community venue 2 weeks after Group session 3) | Review goals set, and set new activity goal |
Family healthy eating (part 2) | |
• Healthier family meal-planning | |
• Dealing with barriers to making healthier choices | |
Mindful eating | |
Managing sleep | |
• Importance of good family sleep patterns | |
• Ways to improve sleep | |
Healthy eating goal-setting (2) | |
Group session 5 (held in community venue 2 weeks after Group session 4) | Review goals set and set new activity goal |
Stress | |
• 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 | |
Depression | |
• Identifying depression | |
• Impact of depression | |
• Identifying ways to manage depression | |
• Resources available for support | |
Relapse prevention | |
• Weight and energy balance | |
• Managing relapses | |
• Key strategies for maintaining a healthier lifestyle | |
Long-term goal-setting | |
• Action-planning | |
• Problem-solving | |
• Rewards | |
Telephone follow-up 1 (3 months after Group session 5) | Review of progress |
Telephone follow-up 2 (6 months after Group session 5) | Review of progress |