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Table 2 MAGDA-DPP core curriculum and key contents of the six sessions and two follow-up telephone calls

From: Mothers After Gestational Diabetes in Australia Diabetes Prevention Program (MAGDA-DPP) post-natal intervention: study protocol for a randomized controlled trial

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