Table 2 Delivery and content of lifestyle coach face to face visit
Contact | Face to face |
|---|---|
Duration | 60 min |
Who Delivers | Trained coach |
Professional support | Provide telephone and email contact details Identify next 2 phone call appointments |
Social support | “Bring a buddy” offered, friend/partner/family member can be invited |
Summary of behaviour change techniques taught | • Goal setting (modest, achievable, everyday life) |
• Action plans (implementation intentions) | |
• Coping planning | |
• Self-monitoring and feedback | |
Goal setting | Goals will be set for: |
• Weight | |
• Physical activity | |
• Food and drink (including alcohol) | |
Implementation intentions agreed (when, where and how) | |
Action plans coping plans self-monitoring | Introduce activity focus |
• Provide pedometer | |
• Pedometer/walking plan and diary | |
• Offer home based activity tools (e.g. DVDs) | |
• Explanation of self-monitoring procedures | |
• Remind about goals | |
• Provide written resource (back up of verbal information) | |
Education and background | 20 minutes including interactive task |
Importance of lifestyle change and breast cancer risk | |
• Brief background to which lifestyle factors increase risk and why | |
- Weight | |
- Physical activity | |
- Food and drink | |
- Alcohol | |
• Consultant endorsement | |
• Discussion of positive experience of weight loss | |
• Personal identification of weight category (interactive) | |
(SET weight goal; avoidance of weight gain or modest weight loss) | |
Education – physical activity | 20 minutes, including interactive walk and talk |
• Activity and inactivity | |
• Demonstration of brisk walking + pedometer (interactive) | |
• Personalised Walking plan (to fit with everyday life alternative if participant wishes) | |
• Physical activity guidelines | |
• Local facilities | |
(SET physical activity goal) | |
Education - diet | 20 minutes including interactive task |
• Weight gain and the risk of breast cancer | |
• Energy dense food and snacks | |
• Breakfast | |
• Sugary and alcoholic drinks | |
• Alcohol – measurement task (interactive) | |
(Personalised plans and SET food and drinks goal) | |
Telephone intervention for fortnightly calls | |
Contact | Telephone, fortnightly |
Time line | Following on from face to face contact until 3 month follow up assessment (6 calls total) |
Duration | 15 min |
Who delivers | Trained coach |
Professional support | Make appointment for next telephone call but re-iterate you can respond to questions before this call as they arise |
Content | General exchange about mental and physical health Elicit participant’s overview on progress and changes made Re-enforce importance of modest behaviour change for health benefit Importance of change and building towards 3 month weight target Importance of remaining active Re-enforce guidance for breakfast, energy dense foods and snacks, sugary drinks, alcohol |
Motivational approaches | Check self-monitoring records Identify perceived diet/activity challenges Identify self-assessed motivations, confidence, ambivalence and personal value re: diet and physical activity |
Personal goals (implementation intentions) | Continue to focus on short term implementation intentions and review these at next call |
Setting long term goals | Identify perceived achievements and summarise success Re-evaluate confidence, motivation and importance of changes made |