Adapt the Regulation of Cues (ROC) treatment program for Latinas to see if it can treat prediabetes and prevent developing of Type 2 Diabetes and reduce weight.

Inclusion Criteria:

• Women who self-identify as Hispanic/Latina, aged 18-55
• BMI 30-45 kg/m2
• Documented diagnosis of prediabetes also confirmed by HBA1c level of 5.7-6.4%
• Spanish or English proficiency at a 5th grade level
• Physician approval to participate

Exclusion Criteria:

• Current diagnosis of T2D
• Current Pregnancy or lactation or planning to get pregnant within the study duration
• Recent history of heart disease, symptoms of angina, stroke, orthopedic problems that would limit activity during the following 6 months, or any other serious medical condition that would make physical activity unsafe
• Currently enrolled in weight-loss program or taking medications for weight loss or prediabetes
• Current moderate or severe alcohol or substance use disorder, acute suicidal ideation, psychosis, compensatory behaviors, or a diagnosis of bulimia
• Hospitalization due to a psychiatric disorder in the past year.
• Planning to move from the San Diego area within the next 6 months