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Table 1 Embedded adaptive interventions in the pilot SMART 

From: A pilot sequential multiple assignment randomized trial for developing a biobehavioral adaptive intervention to improve insulin sensitivity in patients with stage 1 obesity

Embedded Adaptive Intervention

First-stage intervention

Status

Second-stage intervention

#1

Nutrition counseling

Responder

Continue nutrition counseling

Non-responder

Augment with metformin

#2

Nutrition counseling

Responder

Continue nutrition counseling

Non-responder

Weight loss counseling

#3

Exercise counseling

Responder

Continue exercise counseling

Non-responder

Augment with metformin

#4

Exercise counseling

Responder

Continue exercise counseling

Non-responder

Weight loss counseling