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