Table 3 Design elements of the BE WELL weight loss intervention
Stage | Intensive (Months 1-4) | Transitional (Months 5-6) | Extended (Months 7-12) |
|---|---|---|---|
Goal of contact | Gradual weight loss associated with small, progressive changes in diet and physical activity | Weight maintenance or continued gradual weight loss | |
Contact schedule | Weekly (13 contacts) | Monthly (2 contacts) | Bi-monthly/monthly (typically 3-6 contacts) |
Contact mode | Group, in person (Family member welcome) | Individual, in person (Family member welcome) | Individual, by phone (in person as needed) |
Contact duration | 90-120 minutes | 30-60 minutes | Variable |
Contact structure | * Private weigh-in * Review and sharing of progress, or lack thereof, in relation to action plan/goals from last session * Didactic presentation of a new topic * 30-minute supervised physical activity session * Development of individual action plan/goals for the next week | * Private weigh-in * Review of self-monitoring records * Identification of personal barriers to weight loss and activity * Problem solving and relapse prevention * Development/revision of a customized care plan | * Review of self-monitoring records * Detection of signs of non-adherence and relapse * Problem solving to encourage adherence and prevent relapse * Revision of the customized care plan * If indicated, re-initiation of intensive weight loss efforts through individual or small group visits |