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Table 1 Components of the getting in balance intervention: the Gestational Diabetes’ Effects on Moms (GEM) study

From: A pragmatic cluster randomized clinical trial of diabetes prevention strategies for women with gestational diabetes: design and rationale of the Gestational Diabetes’ Effects on Moms (GEM) study

Phase

Component

Topic

Modality

Pregnancy phase I

Gestational weight gain letter

Goals for gestational weight gain tailored to pregravid BMI and current weight gain trajectory

Mail

Early postpartum phase II

Session 1

Intervention overview; healthy eating

Telephone

Session 2

Dietary fat

Telephone

Session 3

Low-fat healthy eating

Telephone

Session 4

Physical activity

Telephone

Session 5

Handling challenging feelings and triggers

Telephone

Session 6

Healthy eating for weight loss

Telephone

Session 7

Healthy eating out

Telephone

Session 8

Managing setbacks

Telephone

Session 9

Physical activity

Telephone

Session 10

Healthy eating during social activities

Telephone

Session 11

Managing stress

Telephone

Session 12

Negative thoughts

Telephone

Session 13

Staying motivated; relapse prevention

Telephone

Late postpartum phase III

Newsletter 1

Behavioral strategies (e.g., self-monitoring; problem solving)

Mail

Newsletter 2

Dietary tips; stress management; social support

Mail

 

Newsletter 3

Physical activity and dietary tips; behavioral strategies

Mail