Behavioral Strategy Adaptations from National-Diabetes Prevention Program to DPPFit
| Behavioral Strategy | N-DPP* | DPPFit |
|---|---|---|
| Setting and evaluating goals | Session 1 recorded into participant notebook. Revisited throughout 16 core sessions. | Weight loss goal, PA daily/weekly goals (to be set in individual Fitbit® user application [app]); revisit through daily text at frequency of DPP |
| Self-management strategies for behavioral change | Session 11 | Week 11 SMS/MMS texts |
| Self-monitoring of diet | Calorie counting, fat gram logs, food diary | Fitbit® app – food log |
| Self-monitoring of physical activity | Physical activity log | Fitbit® tracker and Fitbit® app |
| Accountability | Lifestyle coach delivers 16 sessions over 6-monthnth period, in groups or 1 on 1. | Daily SMS/MMS texts |
| Problem solving, barriers to change | Session 9 | Week 9 SMS/MMS texts |
| Addressing relapse in lifestyle changes | Session 12 | Week 12 SMS texts |
| Increasing self-efficacy | Session 11, session 16 | Week 11, week 16 SMS/MMS texts |
Abbreviations: PA, physical activity; MMS, multimedia messaging service; N-DPP, National-Diabetes Prevention Program; SMS, short message service (in the present study, both SMS and MMS refer to text messages).
Session number refers to the 16 session-core of the DPP.