2.1. Intervention Contents
Obesity, WeChat-based, Cancer
OBESITY, BREAST CANCER, DISEASE, CANCER
Fitbit tracker. All participants received a Fitbit Alta HRTwelve modules. Modules were sent via WeChat. Participants received 12 weekly, culturally appropriate, evidence-based educational modules along with tailored tips and messages via WeChat. Each module includes an educational session/information that lasts less than 20 min. The educational modules include (1) Assess Your Risk, (2) Prevention Through Cancer Screening and Vaccination, (3) Eat Well to Reduce Cancer Risk for You and Your Family, (4) Smart Shopping and Cooking, (5) Abs Exercise, (6) Active Lifestyle with Your Child to Boost Your Energy, (7) Fitness for You and Your Child, (8) Healthy Lifestyle for Healthy You, (9) Happy Motherhood and Stress Management, (10) Effective Coping and Getting Support, (11) Stay Motivated to Prevent Cancer and Obesity, and (12) Healthy Weight and Flat Abs for Long-Term Health. The contents of the modules were based on relevant evidence from the literature as well as professional organizations in China, such as the Chinese Center for Disease Controls (Biweekly WeChat messages. Biweekly WeChat messages are based on individual characteristics, behavior patterns, and preferences. Individual characteristics include information related to their health and family environment, such as the number of children at home and family history of breast cancer. Preferences include information collected at baseline on when they would like to receive the WeChat message, and behavior patterns include physical activity and diet data from Fitbit. Text messaging is a convenient way to facilitate realistic goal setting, self-monitoring, and information exchange. Interventions using WeChat-based text messages have been found to promote behavioral change and reduce weight in adults [