<qa>  What is the primary focus of the manual?Intervention Fidelity: Intervention fidelity will be assessed using strategies consistent across the literature. 31-34 35 A comprehensive manual will be developed detailing recruitment, retention, assessment, and standardized intervention protocols. Standardized checklists will be utilized to review procedures. When a checklist item is not met, reasons will be exploredre-training will occur. Each participant will be contacted by telephone biweekly to reinforce intervention concepts based on group assignment, appointment reminders, answer questions, and address areas of concern. Intervention adherence will be assessed at weeks 4 and 8 via urine ketone analysis unless contraindicated which, in case, serum ketones will be analyzed. 