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Table 2 DPP curriculum topics selected for STAR MAMA queries, narratives, and health coaching

From: Applying the COM-B model to creation of an IT-enabled health coaching and resource linkage program for low-income Latina moms with recent gestational diabetes: the STAR MAMA program

DPP curriculum topics

DPP topic selected for STAR MAMA

I. Physical Activity

° Getting started with Being Active (1B)

° Move Those Muscles (2 or 5)

° Being Active: A Way of Life (1A)

° Jump Start Your Activity Plan (13)

I. Physical Activity

° Promoting a first goal of starting to be physically active

° Working up to being physically active 150 min/week

° Planning adding physical activity to daily life in small steps

° Finding enjoyable physical activities and varying them

II. Nutrition

° Be a Fat Detective (Section 4 or 2)

° Ways to Eat Less Fat (6 or 4, 8)

° Healthy Eating (8)

° Tip the Calorie Balance (8)

° 4 Keys to Healthy Eating Out (10)

° The Slippery Slope of Lifestyle Change (12)

° Make Social Cues Work for You (14)

II. Nutrition

° Making healthier food choices- understanding substitutions, portions, high fat foods, labels, organic foods

° Reducing meat consumption

° Understanding different types of carbohydrates

° Reducing sweets, junk food, sugary drinks

° Strategies to eat healthy while eating out, or in social settings

° Action planning around nutrition changes

° Combatting cues leading to stress-eating

III. Mental Health and Stress

° Problem Solving (9)

° Talk Back to Negative Thoughts (11)

° You Can Manage Stress (15)

° Ways to Stay Motivated (16)

° Lifestyle Balance (1A)

° Take Charge of What’s Around You (7 or 8)

III. Mental Health and Stress

° Management of life stressors: caring for baby, feeling sad/blue, family separations, food insecurity

° Keeping calm when infant breastfeeding may be stressful/use of soothing techniques for self and baby

° Communication strategies for partner about healthy changes and family traditions

° Handling advice and critiques from others about changing behaviors

IV. Weight Loss

° Getting started with Losing Weight (1B)

° The Slippery Slope of Lifestyle Change (12)

IV. Weight Loss

° Working towards healthy weight loss through multiple strategies rather than short-term diets

° Engagement with weight loss supportive resources in community

° Breastfeeding as a means to weight loss

° Breastfeeding and importance of exclusivity and duration (12 months) for weight loss, baby’s health, and lowering of chronic disease risk

° Importance of healthy and realistic body image postpartum

V. Glucose Screening

() refers to DPP Curricular Session as summarized in the Lifestyle Balance Program-DPP Lifestyle Change Program Manual of Operations 1996.

V. Glucose Screening Postpartum

° Value of getting screened for diabetes postpartum