This arm will receive the DWW 2.0 Individual Videophone intervention in Year 2 of the clinical trial. The participant and their intervention counselor will have one-on-one sessions that take place via videophone (like a Skype call), for one hour each week. Each session will be led by a trained deaf, ASL-fluent DWW 2.0 counselor and will be held at a scheduled appointment time that is agreed upon by the subject and the counselor. Subjects will be asked to complete a daily food and physical activity diary during the the course of the 16-week intervention. Each intervention session will include a weigh-in, personal sharing and problem solving, discussion of a weight management topic, which may include watching a powerpoint presentation and/or video; and a discussion on goal setting and action planning for the next week.

Participants received the DWW 2.0 Individual Videophone intervention in Year 1 of the clinical trial. The participant and their intervention counselor had one-on-one sessions via videophone, for one hour each week. Each session was led by a trained deaf, ASL-fluent DWW 2.0 counselor. Subjects were asked to complete a daily food and physical activity diary during the course of the 16-week intervention. Each intervention session included a weigh-in, personal sharing and problem solving, discussion of a weight management topic, and a discussion on goal setting and action planning for the next week.

Deaf Weight Wise 2.0 is a group or individual intervention lead by trained, American Sign Language fluent Deaf counselors, who utilize an existing evidence-based curriculum that emphasizes healthy eating, exercise, and lifestyle components. It is a behavior change intervention that uses motivational interviewing techniques to help participants identify/recognize unhealthy behaviors, build skills that will promote behavior change, and help group members to support each other to make behavior changes. The Curriculum includes group exercise ("Do It!"), experiential learning ("Try It!" such as learning how to read a nutrition label), and group activities such as sampling healthy foods ("Taste It!"). Self-monitoring using daily food diaries and weekly "weigh-ins" are encouraged. The intervention also includes a 6-month follow up and maintenance phase.

Participants received the DWW 2.0 Group intervention in Year 2 of the clinical trial. The group intervention consisted of groups of approximately 6-8 subjects who meet together for 16 weeks, for two hours each week. A trained, deaf, American Sign Language (ASL)-fluent DWW 2.0 counselor led the sessions. Subjects were asked to complete a daily food and physical activity diary during the course of the 16-week intervention. Each intervention session included a weigh-in, group sharing and problem solving, discussion of a weight management topic, and a discussion on goal setting and action planning for the next week.

Deaf Weight Wise 2.0 is a group or individual intervention lead by trained, American Sign Language fluent Deaf counselors, who utilize an existing evidence-based curriculum that emphasizes healthy eating, exercise, and lifestyle components. It is a behavior change intervention that uses motivational interviewing techniques to help participants identify/recognize unhealthy behaviors, build skills that will promote behavior change, and help group members to support each other to make behavior changes. The Curriculum includes group exercise ("Do It!"), experiential learning ("Try It!" such as learning how to read a nutrition label), and group activities such as sampling healthy foods ("Taste It!"). Self-monitoring using daily food diaries and weekly "weigh-ins" are encouraged. The intervention also includes a 6-month follow up and maintenance phase.

Participants received the DWW 2.0 Individual Videophone intervention in Year 2 of the clinical trial. The participant and their intervention counselor had one-on-one sessions via videophone, for one hour each week. Each session was led by a trained deaf, ASL-fluent DWW 2.0 counselor. Subjects were asked to complete a daily food and physical activity diary during the course of the 16-week intervention. Each intervention session included a weigh-in, personal sharing and problem solving, discussion of a weight management topic, and a discussion on goal setting and action planning for the next week.

Deaf Weight Wise 2.0 is a group or individual intervention lead by trained, American Sign Language fluent Deaf counselors, who utilize an existing evidence-based curriculum that emphasizes healthy eating, exercise, and lifestyle components. It is a behavior change intervention that uses motivational interviewing techniques to help participants identify/recognize unhealthy behaviors, build skills that will promote behavior change, and help group members to support each other to make behavior changes. The Curriculum includes group exercise ("Do It!"), experiential learning ("Try It!" such as learning how to read a nutrition label), and group activities such as sampling healthy foods ("Taste It!"). Self-monitoring using daily food diaries and weekly "weigh-ins" are encouraged. The intervention also includes a 6-month follow up and maintenance phase.

Total of all reporting groups

Self-reported age at which participant became deaf

Participants received the DWW 2.0 Individual Videophone intervention in Year 1 of the clinical trial. The participant and their intervention counselor had one-on-one sessions via videophone, for one hour each week. Each session was led by a trained deaf, ASL-fluent DWW 2.0 counselor. Subjects were asked to complete a daily food and physical activity diary during the course of the 16-week intervention. Each intervention session included a weigh-in, personal sharing and problem solving, discussion of a weight management topic, and a discussion on goal setting and action planning for the next week.

Deaf Weight Wise 2.0 is a group or individual intervention lead by trained, American Sign Language fluent Deaf counselors, who utilize an existing evidence-based curriculum that emphasizes healthy eating, exercise, and lifestyle components. It is a behavior change intervention that uses motivational interviewing techniques to help participants identify/recognize unhealthy behaviors, build skills that will promote behavior change, and help group members to support each other to make behavior changes. The Curriculum includes group exercise ("Do It!"), experiential learning ("Try It!" such as learning how to read a nutrition label), and group activities such as sampling healthy foods ("Taste It!"). Self-monitoring using daily food diaries and weekly "weigh-ins" are encouraged. The intervention also includes a 6-month follow up and maintenance phase.

Participants received the DWW 2.0 Group intervention in Year 2 of the clinical trial. The group intervention consisted of groups of approximately 6-8 subjects who meet together for 16 weeks, for two hours each week. A trained, deaf, American Sign Language (ASL)-fluent DWW 2.0 counselor led the sessions. Subjects were asked to complete a daily food and physical activity diary during the course of the 16-week intervention. Each intervention session included a weigh-in, group sharing and problem solving, discussion of a weight management topic, and a discussion on goal setting and action planning for the next week.

Deaf Weight Wise 2.0 is a group or individual intervention lead by trained, American Sign Language fluent Deaf counselors, who utilize an existing evidence-based curriculum that emphasizes healthy eating, exercise, and lifestyle components. It is a behavior change intervention that uses motivational interviewing techniques to help participants identify/recognize unhealthy behaviors, build skills that will promote behavior change, and help group members to support each other to make behavior changes. The Curriculum includes group exercise ("Do It!"), experiential learning ("Try It!" such as learning how to read a nutrition label), and group activities such as sampling healthy foods ("Taste It!"). Self-monitoring using daily food diaries and weekly "weigh-ins" are encouraged. The intervention also includes a 6-month follow up and maintenance phase.

Participants received the DWW 2.0 Individual Videophone intervention in Year 2 of the clinical trial. The participant and their intervention counselor had one-on-one sessions via videophone, for one hour each week. Each session was led by a trained deaf, ASL-fluent DWW 2.0 counselor. Subjects were asked to complete a daily food and physical activity diary during the course of the 16-week intervention. Each intervention session included a weigh-in, personal sharing and problem solving, discussion of a weight management topic, and a discussion on goal setting and action planning for the next week.

Deaf Weight Wise 2.0 is a group or individual intervention lead by trained, American Sign Language fluent Deaf counselors, who utilize an existing evidence-based curriculum that emphasizes healthy eating, exercise, and lifestyle components. It is a behavior change intervention that uses motivational interviewing techniques to help participants identify/recognize unhealthy behaviors, build skills that will promote behavior change, and help group members to support each other to make behavior changes. The Curriculum includes group exercise ("Do It!"), experiential learning ("Try It!" such as learning how to read a nutrition label), and group activities such as sampling healthy foods ("Taste It!"). Self-monitoring using daily food diaries and weekly "weigh-ins" are encouraged. The intervention also includes a 6-month follow up and maintenance phase.

measure mean change = 6-month BMI - baseline BMI, for the immediate and delayed intervention groups (change from pre to post intervention).

62 cases were included in analysis of primary outcomes (out of 76 enrolled). 14 cases were excluded from analysis because they had data for only one timepoint out of five timepoints.

change in amount of physical activity = 6-month MET-minutes/week - baseline MET-minutes/week (change from pre to post intervention), using the International Physical Activity Questionnaire. IPAQ score is a continuous measure and reports median MET-minutes per week (a combination of walking met-minutes/week + moderate activity MET-minutes/week + vigorous activity MET-minutes/week).

56 cases were included in analysis of this physical activity primary outcomes (out of 76 enrolled). 14 cases were excluded from analysis because they had data for only one timepoint out of five timepoints (76-14=62); an additional 6 cases were excluded from the physical activity analysis due to missing physical activity data at the 6-month time point (n=56 for analysis).

Participants received the DWW 2.0 Individual Videophone intervention in Year 1 of the clinical trial. The participant and their intervention counselor had one-on-one sessions via videophone, for one hour each week. Each session was led by a trained deaf, ASL-fluent DWW 2.0 counselor. Subjects were asked to complete a daily food and physical activity diary during the course of the 16-week intervention. Each intervention session included a weigh-in, personal sharing and problem solving, discussion of a weight management topic, and a discussion on goal setting and action planning for the next week.

Deaf Weight Wise 2.0 is a group or individual intervention lead by trained, American Sign Language fluent Deaf counselors, who utilize an existing evidence-based curriculum that emphasizes healthy eating, exercise, and lifestyle components. It is a behavior change intervention that uses motivational interviewing techniques to help participants identify/recognize unhealthy behaviors, build skills that will promote behavior change, and help group members to support each other to make behavior changes. The Curriculum includes group exercise ("Do It!"), experiential learning ("Try It!" such as learning how to read a nutrition label), and group activities such as sampling healthy foods ("Taste It!"). Self-monitoring using daily food diaries and weekly "weigh-ins" are encouraged. The intervention also includes a 6-month follow up and maintenance phase.

Participants received the DWW 2.0 Group intervention in Year 2 of the clinical trial. The group intervention consisted of groups of approximately 6-8 subjects who meet together for 16 weeks, for two hours each week. A trained, deaf, American Sign Language (ASL)-fluent DWW 2.0 counselor led the sessions. Subjects were asked to complete a daily food and physical activity diary during the course of the 16-week intervention. Each intervention session included a weigh-in, group sharing and problem solving, discussion of a weight management topic, and a discussion on goal setting and action planning for the next week.

Deaf Weight Wise 2.0 is a group or individual intervention lead by trained, American Sign Language fluent Deaf counselors, who utilize an existing evidence-based curriculum that emphasizes healthy eating, exercise, and lifestyle components. It is a behavior change intervention that uses motivational interviewing techniques to help participants identify/recognize unhealthy behaviors, build skills that will promote behavior change, and help group members to support each other to make behavior changes. The Curriculum includes group exercise ("Do It!"), experiential learning ("Try It!" such as learning how to read a nutrition label), and group activities such as sampling healthy foods ("Taste It!"). Self-monitoring using daily food diaries and weekly "weigh-ins" are encouraged. The intervention also includes a 6-month follow up and maintenance phase.

Participants received the DWW 2.0 Individual Videophone intervention in Year 2 of the clinical trial. The participant and their intervention counselor had one-on-one sessions via videophone, for one hour each week. Each session was led by a trained deaf, ASL-fluent DWW 2.0 counselor. Subjects were asked to complete a daily food and physical activity diary during the course of the 16-week intervention. Each intervention session included a weigh-in, personal sharing and problem solving, discussion of a weight management topic, and a discussion on goal setting and action planning for the next week.

Deaf Weight Wise 2.0 is a group or individual intervention lead by trained, American Sign Language fluent Deaf counselors, who utilize an existing evidence-based curriculum that emphasizes healthy eating, exercise, and lifestyle components. It is a behavior change intervention that uses motivational interviewing techniques to help participants identify/recognize unhealthy behaviors, build skills that will promote behavior change, and help group members to support each other to make behavior changes. The Curriculum includes group exercise ("Do It!"), experiential learning ("Try It!" such as learning how to read a nutrition label), and group activities such as sampling healthy foods ("Taste It!"). Self-monitoring using daily food diaries and weekly "weigh-ins" are encouraged. The intervention also includes a 6-month follow up and maintenance phase.