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Table 2 Key components of the lifestyle coach sessions (face to face visits)

From: A novel approach to increasing community capacity for weight management a volunteer-delivered programme (ActWELL) initiated within breast screening clinics: a randomised controlled trial

Visit 1 – Face-to-face (60 min) Visit 2 – Face-to-face (45 min)
• identification of BMI
• Instruct participant on pedometer use and proposed walking programme
• Walk and talk 10 min (interactive walking session)
• Physical activity goal setting (implementation intention setting and personalised walking programme)
• Discuss how to reduce sedentary behaviour
• Caloric value of (hot and cold) alcohol and sugary drinks discussed “Sugar Savvy” quiz undertaken (https://www.wcrf-uk.org/sites/default/files/are-yousugar-savvy-game.pdf) (advice given on alternatives, portion size, frequency) (Possibility of implementation intention setting on drinks)
• Weight loss goal (emphasis on modest up to 7% in 12 months)
• Motivational interviewing questions on weight loss
• Guidance on self-monitoring, weekly self-weighing, reporting and feedback– implementation intention setting for weighing
• Initial dietary challenges – snacking and “weakness foods” (based on a verbal 24 h intake)
• Summarise meeting – goal setting, action and coping planning, times of relapse
• Praise success (however modest)
• Evaluate and modify PA goals as required. Check body weight recorded
• Reminder about body weight and breast cancer risk reduction (even after 50)
• Highlight weight loss principles (revising snacking, importance of meal patterns and 5 a day)
• Remind about goal set for weight loss and how this converts to personal eating plan
• Review 24 h diet recall sheets (handed out last visit) (or take a 24 h recall if sheets not completed) • Discuss calories – focus on -600 kcal deficit diet (Identify personalised eating plan using British Heart Foundation (BHF) materials)
• Discuss Portion sizes and frequencies (use images from BHF materials and portion distortion information)
• Food labelling
• Identify Implementation intentions on one food/drinking habit (set one only- if suggestions needed base on 24 h recordings)
• Summarise goals and key challenges, check all materials provided
• Arrange first two telephone appointments
• Discuss leisure centre activity to meet staff (if interested)
Nine, follow-up phone calls
• Check well being
• Check goal progress, self-reported weight, re-enforce the importance of self-monitoring
• Identify success and challenges
• Discuss possible problems ahead (e.g. holidays)
• Coping strategies and starting again if intentions failed
• Start discussion on the importance of habits in eating behaviours using Ten Top Tips.
• Weight Loss and Weight Loss Maintenance
• Highlight the importance of regular food intake (including breakfast) and portion size Refer to Keep to your meal routine and Focus on Food
• Stress the importance of physical activity and social support Refer to Tips Walk off the weight
• Re-enforce importance of self-monitoring
• Re-enforce information on snacking Refer to Pack a Healthy snack and Five a Day
• Re-enforce information on drinks sweet and alcohol and value of water Refer to Think about your drinks
• Re-evaluate portions size (as per BHF booklet) Refer to Caution with your portions
• Return to discussing physical activity and reducing sedentary behaviour Refer to Up on your feet
• Re-evaluation of goals, coping planning, where next, summarise success