Diabetes Prevention Support Center

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The Group Lifestyle BalanceTM Program - Download GLB Materials

The Group Lifestyle BalanceTM (GLB) Program is a comprehensive lifestyle behavior change program adapted directly from the successful lifestyle intervention used in the National Institutes of Health funded Diabetes Prevention Program (DPP). The original individually administered DPP Lifestyle Balance intervention (copyright 1996; 2011) was developed and written at the University of Pittsburgh by the DPP Lifestyle Resource Core on behalf of the DPP Research Group. Members from the original DPP lifestyle team collaborated to adapt and update the individual intervention to a group–based program with a recommended delivery schedule of 22 sessions during a 1-year period of time.

The instructional content of the DPP 16-session curriculum was fully consolidated into 12-sessions designed to be administered weekly. Other modifications to core content included a broad behavioral focus on the principles for making healthy food choices and meal planning rather than a central emphasis on the USDA food pyramid, instructions to combine both calorie and fat self-awareness and monitoring from the beginning of the intervention, and inclusion of the pedometer as a valuable tool to help increase self-awareness and motivation for increasing overall movement and physical activity levels. As in the DPP, the goals of the GLB intervention are to achieve and maintain a 7% weight loss, and to safely and progressively increase to 150 minutes per week of moderately intense physical activity similar to a brisk walk.

Subsequent to the 12 weekly sessions, a series of 4 transition sessions have been provided with a recommendation that the frequency of weekly group meetings be faded from weekly, to bi-weekly, and finally to monthly group contacts. This can be done with some scheduling flexibility during months 4-6 of the program. Group members are encouraged to practice their behavior change skills more independently as the level of group and facilitator support is reduced. The transition sessions reinforce core session learning as well as introduce the cognitive and behavioral strategies critical for long-term weight management. Other instructional content in this phase relates to the importance of including high-fiber, low-caloric density (e.g. plant-based) foods in meal planning, managing self-defeating thinking patterns, and incorporating strength-training (e.g. resistance band) exercises for a complete physical activity regimen in line with current national recommendations..

The final six (monthly) support sessions are designed to be delivered interchangeably depending on group and facilitator preference. These support sessions amplify core diabetes prevention and cardiovascular health messages and allow for continued weight, diet, and activity monitoring and accountability. In the monthly support phase, the majority of session time is utilized for either skills practice (e.g. flexibility and balance exercises, eating slowly and mindfully, and decreasing time spent sitting) or group problem solving (addressing barriers and challenges and making action plans for the future).

In addition to the written materials, a DVD version of the Group Lifestyle BalanceTM program has been developed (GLB-DVD). The GLB-DVD covers the initial 12-weekly sessions of the Group Lifestyle BalanceTM program, with the sessions portrayed by professional actors. In addition to the 12–week Group Lifestyle BalanceTM Program, the GLB-DVD series includes a section that provides educational information about pre–diabetes, diabetes and the metabolic syndrome. There is also a CD with supplemental tools that include knowledge challenges, games, calculation tools such as a BMI calculator, and a dictionary of commonly used terms. The DVD was shown to be effective in a small pilot study of at risk patients and is currently being evaluated on a larger scale.

The GLB program is designed for overweight individuals age 18 and older who have pre-diabetes and/or the metabolic syndrome. Individuals who take part in the program are asked to self–monitor weight, food intake and physical activity levels and are given feedback concerning their progress. Participants generally receive a variety of materials including Group Lifestyle BalanceTM session handouts, a Fat and Calorie Counter, self–monitoring books for keeping track of food, physical activity and weight, a pedometer with instructions and logs, and a chart for self–monitoring (or graphing) weekly weights over the course of the program.

DPSC Services for Health Professionals

Group Lifestyle BalanceTM Training Workshops
The DPSC offers Group Lifestyle BalanceTM training workshops for health professionals, and on–site consultation and education. The DPSC offers trainings onsite for groups of 10 or more people. The 2–day workshops are designed to provide the health care professional with the background and information necessary to conduct the Group Lifestyle BalanceTM program in various settings. Continuing education hours are available for nurses and registered dietitians. Please click here for upcoming workshops.

Group Lifestyle BalanceTM Materials and Supplemental Information
The Group Lifestyle BalanceTM materials including the Leader’s Guide and Participant Handouts are available on this website for non-commercial use. Click here to download the materials. The DPSC offers a special section within this website for individuals who have completed the two-day Group Lifestyle BalanceTM training workshop. This secure area of the website offers online support to trained individuals as they implement the program. Support materials include program marketing tools for participants, supply ordering information, workshop slide presentations, and other materials to facilitate program implementation.

Group Lifestyle BalanceTM Preventionist Network
For those who would like to provide the Group Lifestyle BalanceTM in a primary care practice or other community setting, the DPSC has established a network of health professionals who are trained and certified to deliver the program. The DPSC can assist your organization in finding a health professional to deliver the GLB program in your setting. Contact us for more information.

Group Lifestyle BalanceTM Newsletter
A quarterly newsletter is available to health professionals who have completed the 2-day Group Lifestyle BalanceTM workshop. The newsletter will keep you up-to-date with prevention efforts locally, nationally and around the world, as well as the latest Diabetes Prevention Support Center news, including updates for the Group Lifestyle BalanceTM Program.

Prevention Screening

Identification of individuals who are at risk is an important first step in reducing risk. Contact the Diabetes Prevention Support Center to discuss options for screening in your setting.

Prevention Evaluation

Evaluation service to assess practice performance in identification and intervention for diabetes and cardiovascular disease risk factors.

Community Resource

Information resource for those in the health care community via our toll–free phone number or website; speakers are also available for community events.

For a list of current programs click here


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