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Table 2 Overview of intervention content

From: Living well after breast cancer randomized controlled trial protocol: evaluating a telephone-delivered weight loss intervention versus usual care in women following treatment for breast cancer

Intervention phase & call frequency

Purpose

Objectives

Initial phase

6 weekly calls

Optional text (SMS) messages

Building rapport

Education

Engagement

Skill-building

• Program overview

• Feedback on baseline assessment to build motivation

• Understand importance of physical activity and diet in weight loss management

• Build patient engagement through homework and self-monitoring

• Use of behavior change skills and action plans: goal setting, self-monitoring, problem solving, rewarding success

• Review progress, reinforce success & problem-solve barriers

• Ongoing education

10 fortnightly calls

Optional text (SMS) messages

Establish behavior change & achieve weight loss

Skill-building

• Reflect on progress (changes made) and outcomes/benefits experienced

• Progress goals

• Continued use of behavior change skills: goal setting, self-monitoring, problem solving, rewarding success, managing slips

• Ongoing education

Extended care phase

6 monthly calls

Optional structured text (SMS) messages

Consolidation

Maintaining changes

• Encourage participants to direct sessions

• Reinforce successes and review benefits

• Behavior change skills: relapse prevention and maintaining motivation

• Plans and strategies for maintaining weight loss and behavior changes

  1. SMS short-messaging service