Interventions: Written advice, BCPP and MDPP programmes
weight loss line, T2D, weight loss, dementia
CVD, DISEASE
The weight loss programmes were delivered remotely by dietitians at MFT.The main components of the programmes are described in Fig. Components of the BCPP, MDPP and written advice.The BCPP group just received their personalised BC risk information. The MDPP group had an NHS Health Check at their baseline appointment which included point of care testing and feedback of their total and HDL cholesterol and HbA1c (Afinion Abbott UK), and personalised risk feedback for developing CVD (10-year and lifetime risk and heart age from QRISK2 [The BCPP and MDPP programmes both included ongoing remote support from a dietitian trained in disease risk communication and prevention of BC, CVD, T2D and dementia through health behaviour change. Both programmes were supported by a trial website which included self-monitoring of weight, diet (completion of restricted days in the 5:2 diet and actual food and drink intake), physical activity (both cardiovascular and resistance), and an average weight loss line for their group to allow social comparison. There were separate moderated forums for BCPP and MDPP to avoid contamination between the groups, where women could message other participants and ask questions of the trial dietitians. Also, weekly menu plans, recipes, tips for planning and managing emotional eating, online videos of the recommended resistance exercises (Physiotec, Canada) and general information about BC, CVD, T2D and dementia and the prevention of these conditions.Women received tailored feedback on their self-reported behaviours on the website from their allocated trial dietitian in the first 6 months. Months 0–3; scheduled phone calls weeks 1, 4, 8 and personalised e-mails in weeks 2, 3, 5–7 and 9–12. Months 3–6; personalised emails every two weeks. Between 6-and 12-months women received automated monthly emails in response to website entries.The intervention components were consistent with the Health Action Process Approach a widely-used model of behaviour change that distinguishes between different stages of behaviour change [