Development of an Inclusive Adaptive Treatment Strategy for Weight Loss in People With Prediabetes Using a Sequential Multiple Assignment Randomized Trial

Inclusion Criteria

• •18-75 years of age
• •BMI of 27 kg/m2 or greater for ambulatory individuals and 22 kg/m2 for individuals with spinal cord injury. Adjustments will be calculated for those with amputations and/or limb indifference
• •at risk for developing type 2 diabetes (prediabetes)
• •One or more physical or mobility disabilities
• •Stable medication type and dosage for 3 or more months for medications likely to affect body weight and/or appetite
• •Willing to complete requirements for participation