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Development of a Lifestyle Modification
RCT
• Women perform small experiments with diet and exercise with Plan, Do, Check, Act (PDCA) cycles
• Plan- goal setting for a small weight loss target
• Do- integrate dietary changes with exercise
• Check- assess data (food/exercise diaries or apps) to determine if
strategies were or were not effective
• Act- problem solve and identify a solution
Alemi et al., 2000; Deming & Orsini, 2012
Act
Plan
Continuous Do Improvement
Check
Development of a Lifestyle Modification
RCT
• Randomization
• SystemCHANGE intervention group
• Diet and exercise education materials
• Weight loss goal setting, identify important people, lifestyle routines, life cycles, possible solutions
• PDCA cycles
• Follow-up phone calls
• Storyboarding
• Attention-control intervention group
• Distinct from receiving usual care
• Diet and exercise educational materials • Follow-up phone calls
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