Intervention
One RD case manager met with participants individually, in groups, and by phone for assessment, goal setting, education, and support. Goals were tailored but based on national dietary recommendations for people with type 2 diabetes and obesity (20,21). The RD measured weight and waist circumference, followed laboratory results, and discussed patientcare issues with physicians when appropriate. Individual sessions occurred six times throughout the year, totaling 4 h. Participants attended six 1-h small-group sessions. Brief monthly phone contacts provided support. The direct cost of the intervention, including written information, was $350.00 per person. Unit time was based on patient care time as designated in the protocol and estimated by the RD. Unit costs were actual cost of educational material. Salary and overhead were based on published costs from the Diabetes Prevention Program (16). Goals of the intervention were modest weight loss (5% of initial weight) and dietary intake as well as physical activity reflecting national recommendations (20-22). Usual care participants received educational material (23) and were free to join other weight management or diabetes care programs.
Intervention
One RD case manager met with participants individually, in groups, and by phone for assessment, goal setting, education, and support. Goals were tailored but based on national dietary recommendations for people with type 2 diabetes and obesity (20,21). The RD measured weight and waist circumference, followed laboratory results, and discussed patientcare issues with physicians when appropriate. Individual sessions occurred six times throughout the year, totaling 4 h. Participants attended six 1-h small-group sessions. Brief monthly phone contacts provided support. The direct cost of the intervention, including written information, was $350.00 per person. Unit time was based on patient care time as designated in the protocol and estimated by the RD. Unit costs were actual cost of educational material. Salary and overhead were based on published costs from the Diabetes Prevention Program (16). Goals of the intervention were modest weight loss (5% of initial weight) and dietary intake as well as physical activity reflecting national recommendations (20-22). Usual care participants received educational material (23) and were free to join other weight management or diabetes care programs.
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