Table 1 HOPE intervention session structure and module content

Core Sessions

Session 1

1

Getting to Know HOPE and Your Coach

·General introduction to the HOPE Program

·To build rapport between participant/coach

·Outline of program structure and module content

·To encourage open discussion

·Definition of roles/expectations of participant and coach are defined

·To customize a program to participants’ needs

Session 2

2

Setting Goals and Making Action Plans

· Introduction to the concept of goal setting and action planning

· For participant to have a foundational understanding of goal setting/action planning

· 3 rules to follow in developing a high-quality goal

· To make first attempt at setting a high -quality goal

· Action Plan Checklist

Elective Sessions

Module A: Managing Your Medications

· Knowing Your Medications

· For participant to better understand medication outcomes (benefits vs. side-effects)

· Choosing the Right Medication for You

· To build skill: improve communication with PCP/healthcare team

· Keeping a Schedule for Taking Your Medications

· To set/adjust a medication-adherence goal

Module B: Using Thoughts to Improve Wellness

· Recognizing How Thoughts Affect Mood and Behaviors

· For participant to understand the impact thoughts have on feelings and actions

· Using Coping Statements to Improve Wellness

· To build skill: coping, alternative thinking

· Increasing Positive Thinking/Decreasing Negative Thinking

· To set/adjust a goal for practicing thought- monitoring strategies

Module C: Eating a Healthy Diet

· Controlling Carbohydrate Intake

· To improve participant’s knowledge of nutrition and dietary recommendations

· Increasing Fruit And Vegetable Intake

· To build skill: balanced food-group servings, portion control, healthy food substitutions

· Reducing Unhealthy Fat Intake

· Limiting Portion Sizes

· To set/adjust a healthy diet goal

Sessions 3-8

3-8

Module D: Increasing Pleasant Activities

· Recognizing How Behaviors Affect Thoughts and Moods

· For participant to understand the impact actions can have on thoughts and feelings

· Identifying Meaningful Activities

· To build skill: resuming or beginning new activities of interest

· Engaging In Pleasant Activities and Being Active

· To set/adjust a behavioral activation goal

Module E: Getting Fit

· Improving Endurance Through Cardiovascular Exercise

· To educate participant about recommended exercise guidelines

· Improving Flexibility Through Stretching

· Improving Strength and Muscle Tone Through Strength Training

· To set/adjust a fitness goal, considering participant’s physical limitations

Module F: Learning How to Relax

· Understanding What Stress, Worry, and Anxiety Are

· To identify stressors that impact health

· How to Use Deep Breathing to Reduce Stress and Tension

· To build skill: practicing deep breathing and/or imagery exercises

· How to Use Imagery to Reduce Stress and Tension

· To set/adjust a goal for incorporating relaxation techniques into participant’s daily routine

Follow-Up Sessions

Session 9

10

Adjusting Your Action Plans and Overcoming Obstacles

· Review all previous goals and assess goal progress

· For participant to reflect on accomplishments realized through the HOPE Program

· Discussion of remaining barriers/obstacles to goal success and identification of strategies for overcoming them

· To build skill: overcoming barriers/obstacles

· To make final adjustments to Action Plans

Session 10

12

Managing Your Resources and Final Discussions

· Final discussions:

· For participant to reflect on diabetes-care skills acquired in HOPE

· Diabetes ABCs

· To prepare participant to continue goal development on his/her own, following HOPE

· Resources/support system

· For participant to be satisfied with program outcomes and committed to achieving long-term health goals

· Monitoring Action Plans/tracking goal progress

· Closing remarks