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Table 2 The SMART 2.0 Study health coaching year 1 curriculum adapted from the CDC’s National Diabetes Prevention Program (PreventT2)

From: Social Mobile Approaches to Reducing Weight (SMART) 2.0: protocol of a randomized controlled trial among young adults in university settings

Session frequency

Session

PreventT2 curriculum topic

SMART 2.0 revision and description

Weekly

1

Introduction to the program

Intro to SMART 2.0: assess motivations and set short- and long-term goals

2

Track your food

Using the Fitbit app for food tracking: benefits of food tracking, appropriate portion sizes, and reading food labels

3

Track your activity

Using Fitbit to track PA: benefits of tracking PA and a review of current PA data

4

Manage stress

Stress and tracking sleep with Fitbit: sources of stress, coping techniques, and the link between stress and sleep and weight

5

Eat well to prevent T2

Eating well basics: national dietary guidelines

6

Get active to prevent T2

Getting started getting active: benefits of PA and identify ways to get PA, challenges, and barriers

7

Burn more calories than you take in

Balancing what you eat and do: review caloric deficit needed for weight loss and tracking caloric balance with the Fitbit

8

Shop and cook to prevent T2

Meal planning 101: planning and preparing healthy meals

9

Get more active

Get more active: ways to increase active minutes

10

Cope with triggers

Navigating triggers to eat unhealthily: ways to cope with and reduce social pressures to eat unhealthily

11

Find time for fitness

Find time for fitness: challenges and strategies to find time to exercise

12

Keep your heart healthy

Maintaining a healthy lifestyle: 3-month review of progress and challenges

13

Take charge of your thoughts

Take charge of your thoughts: mental health and identifying “helpful” versus “harmful” thoughts

14

Get support

Social support: identify ways to access social support from to support a healthy lifestyle

15

Eat well away from home

Eating well while eating out and on-campus: challenges and strategies to eating well at restaurants and on campus

16

Stay motivated to prevent T2

Staying motivated: strategies to stay motivated to exercise, eat well, and sleep

Bi-weekly

17

When weight loss stalls

Weight loss progress and plateaus: strategies to overcome weight loss plateaus and to continue to lose weight

18

Get enough sleep

Sleep hygiene: benefits of adequate sleep and identify challenges and strategies to getting at least 7 h

19

Stay active to prevent T2

Staying active: identify challenges and strategies to maintaining consistent PA

20

Have healthy food you enjoy

Eating healthy on a budget: 6-month review of progress and challenges and strategies to eat healthy on a budget

Monthly

21

More about T2

General health information: identify current challenges and develop strategies to meet goals

22

Take a fitness break

Quick exercise ideas: brainstorm 10-min exercise ideas and ways to stay active with any schedule

23

Stay active away from home

Staying on track while on break/vacation: challenges and strategies during school breaks/vacations

24

More about carbs

More about macronutrients/nutrient-density: macronutrient information and benefits of nutrient-dense foods

25

Get back on track

Get back on track: review 5-steps to problem solving and strategies for relapse coping and prevention

26

Prevent T2 for life

Continuing progress in year 2 of SMART 2.0: 1-year review of progress and challenges and create an action plan for year 2

  1. T2 type 2 diabetes, PA physical activity