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Table 2 Intervention approaches to improve weight loss and physical activity adherence (N = 1076)

From: Short and long-term lifestyle coaching approaches used to address diverse participant barriers to weight loss and physical activity adherence

 

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%

  1. *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.
  2. **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.