Study of Novel Approaches for Prevention

Exclusion Criteria

• •1. Untreated hypertension, hyperlipidemia, or type 2 diabetes, unless permission is provided by their health care provider.
• •2. Heart disease, heart problems or report being prescribed drugs for blood pressure or a major heart condition, unless permission is provided by their health care provider.
• •3. Type 1 diabetes or treatment of type 2 diabetes with insulin or oral medication that may cause hypoglycemia.
• •4. Health problems which may influence the ability to walk for physical activity (e.g. lower limb amputation) or other reasons why a person should not do physical activity, unless permission is provided from their health care provider.
• •5. Health problems that may be associated with unintentional weight change or affect the safety of a weight loss program, including report of a heart attack or stroke, chest pain during periods of activity or rest, loss of consciousness, active tuberculosis, HIV, chronic hepatitis B or C, inflammatory bowel disease requiring treatment within the past year, thyroid disease, renal disease, liver disease, hospitalization for asthma in the past year, or cancer within the past 5 years (except for non-melanoma skin cancers or early stage cervical cancer) or chronic use of steroid medication.
• •6. Report of a past diagnosis of or treatment for a Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition-Text Revision (DSM-IV-TR) eating disorder (anorexia nervosa or bulimia nervosa) or meet criteria for anorexia or bulimia nervosa during screening for this trial
• •7. Report of a past diagnosis of or current symptoms of alcohol or substance dependence.
• •8. Currently pregnant, pregnant within the past 6 months, or planning to become pregnant within the next 6 months.
• •9. History of schizophrenia, manic depression, or bipolar disorder.
• •10. Hospitalization for depression or other psychiatric disorder within the past 12 months.
• •11. Having lost and maintained a weight loss of 10 pounds or more within the past 6 months or are currently participating in a weight loss program, trying to gain weight, using steroids for muscle mass or weight gain, taking weight loss medication, or have had surgery for weight loss.
• •12. Participation in another weight loss or physical activity study that would interfere with this study.
• •13. Another member of the household (or roommate) is a participant or staff member on this trial.
• •14. Reason to suspect that the participant would not adhere to the study intervention or assessment schedule (i.e., can't come to group on a regular basis; will be away for more than two weeks during initial intervention phase or planning to move from the area within next year).
• •15. Not able to speak and understand English.
• •16. Residence or place of work further than 30 miles from the intervention site.
• •17. Perceived inability to attend the 2 year data collection visit.
• •18. Does not have Internet access on a regular basis.