Table 1 Intervention content by treatment arm
Standard Care Weight Loss (SCW) | Standard Care Pain Management (SCP) | STOP | |
|---|---|---|---|
0 | Baseline Goals Setting | ||
1 | Psychoeducation about Weight; Introduction to Calorie Restriction and Self-Monitoring | Psychoeducation about Pain and Theories about Pain | Psychoeducation about Pain and Weight, Self-monitoring |
2 | Review of Calorie Counting, Nutrition Information, and Self-Monitoring | Pleasant Activity Scheduling | Review of Calorie Counting, Nutrition Information, and Self-monitoring |
3 | Stimulus Control and Dietary Behaviors | Understanding Automatic Thoughts and Health, Identifying Automatic Thoughts | Activities Reframed: Pleasant Activities and Physical Activity |
4 | Guiding Thoughts, Motivation, and Problem Solving | Evaluating and Challenging Automatic Thoughts | Time-based Activity Pacing |
5 | Physical Activity | Cognitive Restructuring: Identifying ‘Shoulds’ and Core Beliefs | Stimulus Control, Dietary Behaviors |
6 | Reviewing Weight and Primary Goals | Cognitive Restructuring: Identifying and Challenging Core Beliefs | Thoughts and Health: Identifying Automatic Thoughts and Cognitive Errors |
7 | Identifying and Modifying Automatic Thoughts | Relaxation Techniques | Evaluating and Challenging Automatic Thoughts |
8 | Evaluating and Challenging Automatic Thoughts | Time-based Activity Pacing | Cognitive Restructuring: Identifying and Challenging “Should” Beliefs |
9 | Targeting Thoughts, Feelings, and Behaviors that Influence Diet and Activity | Stress Management and Coping Self-Statements | Cognitive Restructuring: Identifying and Challenging Core Beliefs |
10 | Relaxation Techniques | Assertiveness, Anger Management, Communication | Relaxation Techniques |
11 | Review and Planning for Weight Maintenance | Review, Relapse Prevention, Flare Up Planning | Review, Weight Maintenance, Relapse Prevention, Flare Up Planning |