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Table 3 Description of ACHIEVE Intervention

From: Randomized trial of achieving healthy lifestyles in psychiatric rehabilitation: the ACHIEVE trial

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