Table 1 Summary of the NULevel face-to-face weight loss maintenance consultation
Section | Content/objectives | Behaviour change techniques |
|---|---|---|
Introduction (5 mins) | Welcome and consent; explain session structure | |
A: Weight history and goals (10 mins) | Review weight history, overall trajectory and number of WL attempts | Prompting focus on past success |
Agree overall weight goal and regain thresholds for red and yellow zones | Goal setting (outcome) | |
Demonstrate and encourage weight self-monitoring using online study interface; explain weight-related SMS feedback system | Prompt self-monitoring of behavioural outcome | |
B: Weight strategies and success (10 mins) | Review current weight management strategies and future preferences | Selection of behavioural options |
Identify individual WL success factors: initial trigger(s); motivations; duration; regain/setbacks; consequences | Prompt focus on past success | |
C: Dietary review (10 mins) | Review eating behaviours using 4-day food diary (habits,frequency; nutritional adequacy; context; any uncontrolled eating; whether participant desires any dietary changes) | Provide feedback on performance |
Goal setting (behaviour) | ||
Identify specific foods/drinks that participant overeats and finds hard to control/avoid (trigger foods); identify less problematic alternatives | Barrier identification | |
Problem solving | ||
D: Set eating goals (10 mins) | Identify and formulate ≥1 SMART eating goals for WLM, specifying how, where and when behaviour is performed, potential sources of social support, barriers, and possible solutions | Goal setting (behaviour) |
Problem solving | ||
Agree plan against which participant monitors and evaluates own performance | Action planning | |
Coping planning | ||
Plan social support/social change | ||
Discuss eating goal self-monitoring using online study interface Explain input of eating data to online ‘diary’, SMS feedback and goal review/resetting process | Prompt self-monitoring of behaviour | |
Review of behavioural goals | ||
E: Coping plans for tempting situations (5 mins) | Identify situations in which participant struggles to adhere to desired eating habits. Participant generates strategies to avoid this outcome | Barrier identification |
Problem solving | ||
Coping planning | ||
Optional: identify an alternative WLM plan, if participant desires, from three options: Mediterranean diet, calorie-controlled diet and Change4life | Provide instruction on how to perform the behaviour and information on where/when to perform the behaviour | |
Discuss how, where, when and with whom to put the plan into place, possible obstacles to implementing the plan, and possible solutions to apply | Action planning | |
Coping planning | ||
Barrier identification | ||
Problem solving | ||
F: Physical activity review and goal setting (10 mins) | Review and discuss current physical activity | Provide feedback on performance |
Highlight importance of physical activity to WLM and overall health, and discuss ways to become more active, if desired | Provide information on the consequences of behaviour to the individual | |
Identify and formulate a SMART physical activity goal for WLM (e.g. daily step count), specifying how, where and when behaviour is performed, potential sources of social support, barriers, and possible solutions | Goal setting (behaviour) | |
Action planning | ||
Barrier identification | ||
Coping planning | ||
Plan social support/social change | ||
Discuss activity goal self-monitoring using online study interface Explain input of step counts to online ‘diary’, SMS feedback and goal review/resetting process | Prompt self-monitoring of behaviour | |
Review of behaviour goals | ||
G: Relapse prevention (10 mins) | Explain rationale for behavioural self-monitoring, lapse/relapse distinction and importance of problem solving | Prompt self-monitoring of behavioural determinant |
Explain weekly online diary contains questions on WLM confidence; health, wellbeing and priority placed on WLM in previous week Explain options to contact the research team (by email, SMS and diary tick-box) | Social support | |
Identify situations in which participant struggles to be active Participant generates “if … then …” formulations using a volitional helpsheet (Armitage 2014) physically drawing a line to link situations with several possible solutions | Barrier identification | |
Problem solving | ||
Coping planning | ||
H: Summary | Summarise eating, physical activity and weight goals Check participant understanding of action plans, coping plans and self-monitoring procedures | |
Give participant written details of goals, online interface user guide, log-in details and (if desired) new WLM eating plan | ||
Address remaining concerns, explain next steps and thank participant for their time |