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Table 2 Delivery and content of lifestyle coach face to face visit

From: Breast cancer risk reduction - is it feasible to initiate a randomised controlled trial of a lifestyle intervention programme (ActWell) within a national breast screening programme?

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