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 Development of a Lifestyle Modification RCT
• Example #1
• A patient with PCOS randomized to the SystemCHANGE intervention has a BMI of 34 kg/m2. She reports eating very few vegetables on a weekly basis, consuming sweets daily, and does not exercise. She has struggled with obesity as long as she can remember.
• How can you apply SystemCHANGE with this patient?
 Development of a Lifestyle Modification RCT
• Example #2
• A patient with PCOS randomized to the SystemCHANGE intervention has a BMI of 29 kg/m2. She does not understand why she has not lost a significant amount of weight over the past 3 months. She eats salads everyday and only drinks diet soda most of the time. Every time she plans to start exercising, she has never followed through. She is now frustrated and wants to give up.
• How can you apply SystemCHANGE with this patient?
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