Table 2

Intervention approaches to improve weight loss and physical activity adherence (N = 1076)
Toolbox approaches CORE (1-16) POST-CORE
a. Weight loss approach Level 1 (Standard)
Problem-Solving 77% 96%
Review Self-Monitoring Skills 49% 76%
Recommend Increased Activity 35% 76%
Recommend Lower Fat/Cal Goal 24% 25%
Negotiate New Self-Monitoring Strategy 16% 47%
Provide Healthy Recipes 14% 37%
Develop Motivational Strategy 13% 25%
Recommend Use of Structured Meal Plans 10% 40%
Level 2 (Extra Time or Added Cost)
Schedule Extra Phone Call or Visit 18% 75%
Propose Incentive Strategy or Contract** 11% 52%
Extra Mailings; Recommend/Provide Slim Fast Shakes; Refer to Specialists; Involve Family Members; Provide Low Fat/Cal Frozen Entrees, Food Samples, Taste Testing, Cookbooks, Utensils, Loan/Buy Self Help Books, Grocery Store Visit <10% 0-30%
b. Physical activity approach Level 1 (Standard)
Problem-Solving 74% 91%
Exercise With Participant in Session 18% 48%
Develop Motivational Strategy (No Cost) 14% 24%
Refer to Exercise Facility (No Cost) 10% 19%
Refer to Exercise Specialist (No Cost) 10% 22%
Make Plan to Find Regular Exercise Partner 9% 24%
Level 2 (Extra Time or Added Cost)
Schedule Extra Phone Call or Visit 16% 64%
Propose Incentive Strategy or Contract** 8% 44%
Loaned Item to Support PA (e.g. heart rate monitor) 8% 18%
Purchase Item to Support PA 8% 26%
Provide Trial Health Club Membership 6% 14%
Gave Pedometer 3% 41%
Extra Mailings, Refer to Specialists, Involve Family Members, Loan/Buy Self-Help Books or Exercise Equipment, Register for Community Activity Event <5% 0-30%

*Note: Intervention approaches are rank-ordered by the percentage of participants for whom they were used at least once. Lifestyle coaches recorded “no additional approach was used” during at least 1 core and 1 post-core curriculum session for nearly 100% of participants.

**Incentive strategy (Added Cost) is an approach that entails making behavior contracts with participants to set short-term (e.g. 4-6 week) measurable goals (e.g. increasing physical activity minutes by 30 minutes per week, limiting snacks to no more than 200 calories). A small reward is provided (e.g. 10$ gift certificate to sporting goods or grocery store) only if the goal is achieved.

Venditti et al.

Venditti et al. International Journal of Behavioral Nutrition and Physical Activity 2014 11:16   doi:10.1186/1479-5868-11-16

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