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Table 3 Modules within the education content of the app

From: Assessing the feasibility and acceptability of Changing Health for the management of prediabetes: protocol for a pilot study of a digital behavioural intervention

Module

Purpose

Videos (V) + articles (A)

Behaviour change techniques incorporated

Understanding diabetes

• Explaining how type 2 diabetes affects the body

• Making clear which risk factors are modifiable

• Dispelling diabetes myths

• Making clear that change is possible

V1—What is type 2 diabetes

A1—What is prediabetes

A2—Risk factors for diabetes

A3—The role of your genes in diabetes risk

V2—Managing your risk of type 2 diabetes

A4—Understanding your test results

A5—Why do not all bigger people get type 2 diabetes

• Information about health consequences

Steps to success

• Introducing the most important behaviour change techniques for risk modification

• Providing a framework for successful lifestyle change

• Introducing the concept of lifestyle coaching

• Providing motivation to continue with the learning programme in order to gain access to a lifestyle coach

V1—Maximising your chance of success

A1—Five essential tips to goal setting

A2—Using ‘self-talk’

A3—Getting started with coaching

• Goal setting (behaviour)

• Goal setting (outcome)

• Self-monitoring of outcomes of behaviour

• Action planning

• Social support (unspecified)

• Barrier identification

• Time management

• Self-talk

• Feedback on behaviour

• Review behaviour goals

• Follow-up prompts

Understanding food

• Breaking down the food we eat into its component parts

• Explaining how each of those parts affects glucose control

A1—Eating to feel full

A2—Understanding fat in your diet

V1—How eating affects your weight

V2—Carbs in your diet

A3—How big is ‘a portion’?

A4—Top ten food myths

• Information about health consequences

Changing your diet

• Overview of three eating approaches that have been proven to be effective for improving glucose control

• Interactive tools to support dietary change

V1—Finding the right diet for you

V2—Low carb approach

V3—Intermittent fasting

V4—Mediterranean diet

V5—Supermarket tour

A1—Using prompts and cues

A2—Recipe ideas for the low carb diet approach

A3—More about the low carb diet approach

A4—More about the Mediterranean diet

A5—More about intermittent fasting

• Information about health consequences

• Prompts/cues

Getting active

• The role of physical activity in weight loss and glucose control

• Testing knowledge of activity recommendations

• Introducing types of activity most effective for weight loss and improved glucose control

V1—How our changing lifestyles contribute to weight gain

V2—Combining exercise and diet

A1—Why combining works best

A2—Aerobic and resistance fitness

A3—Could HIIT be the right fit?

A4—The benefits of resistance exercise

Plugin: Set an activity goal

• Self-monitoring of behaviour

• Information about health consequences

• Provide instruction