Table 1 Content of Latinos en Control Intervention.

1

Rapport with individual patients; individual assessments of: DSM history; DSM goals and incentives; expectations and commitment for the program; family support and resources for DSM; rationale for DSM; begin SMBG twice daily.

2

Group cohesiveness (i.e., icebreaking exercises); what is diabetes; meeting and working with a new health care provider; physical activity self-monitoring (step counters); begin walking and physical activity.

3

Attitudes toward healthy eating; healthiest foods ("Green" section of the Traffic Light Food Guide); communicating with dietitians; begin self-monitoring of food intake.

4

Review of "Green" foods; portion control ("Yellow" section of the Traffic Light Food Guide); common challenges to self-monitoring of food intake.

5*

Review dietary concepts introduced up to now; behavior changes made up to now; foods to avoid or eat infrequently and in small amounts ("Red" section of the Traffic Light Food Guide); management of hypoglycemia and self-management; communicating with health care providers *(Session protocol and materials)

6

Mid-program review: physical activity, dietary concepts, self-monitoring, understanding and practice of self-management for glucose control, management of hypoglycemia.

7

Medication adherence; cholesterol and blood pressure; diabetes complications; barriers and resources to self-management; foods bingo; what to ask from health care providers.

8

Foot care; infections; smoking; stress management; getting support from the health care system.

9

Food labels and label reading skills; saturated fat, sodium and fiber; food bingo.

10

Supermarket tour.

11

Review food shopping strategies; heart healthy eating; management of sick days; following provider recommendations.

12

Program review; future challenges to maintenance; keeping in touch with health care providers.

Maintenance Phase: Session Objectives and Topics.

13

Review of self-management concepts; continuing to increase physical activity

14

Progress toward healthy eating; new ideas for increasing healthiest foods; continuing to self-monitor self-management behaviors; group problem-solving of challenges.

15

Managing challenges to portion control and avoiding unhealthy foods; Moving more.

16

Review of self-management experiences.

17

Medication adherence; cardiovascular risk factors and diabetes complications.

18

Staying healthy and reducing stress.

19

Future challenges to maintenance of behavior change.

20

Review and graduation.