Table 3

Description of ACHIEVE Intervention

Initial Intervention (Months 1 through 6)


Type of contacts

Frequency


Group weight-management class led by interventionist (45 min.)

Once per week

3 of 4 weeks


Individual visit with interventionist (15-20 min.)

Once per month


Group physical activity class led by exercise leader/interventionist (50 min.)

Three times per week


Weigh-in during weight management group and individual visit (2 min.)

Once per week


Maintenance Intervention (Months 7 through 12)


Type of contacts

Frequency


Months 7 through 12

Months 13 through 18


Group weight management class

Overall frequency

Once per month

Once per month


Led by interventionist

Monthly

Monthly


Individual visit with interventionist

Every 4 weeks

Every 4 weeks


Group physical activity class

Overall frequency

Three times per week

Three times per week


Led by exercise leader/interventionist

Twice per week

Once per week


Monitored by rehab program staff

Once per week

Twice per week


Weigh-in

Overall frequency

Twice per month

Twice per month


With intervention staff

Twice per month

Twice per month


Core Components


Self-monitoring

Weigh-ins, Tracker food/exercise log


Goal setting, feedback, problem solving

Motivational interviewing and support at group and individual sessions


Social support

Group and individual weight management sessions, group physical activity sessions


Skills training

Weight management group sessions, physical activity sessions, individual sessions


Environmental supports

Physical activity sessions, Staff education in health food choices on-site


Environmental contingencies/reinforcements

incentive items for attendance, participation and specific behaviors


Casagrande et al. BMC Psychiatry 2010 10:108   doi:10.1186/1471-244X-10-108

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