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Table 2 Younger Women’s Wellness After Cancer Program Intervention Content and Delivery Strategies

From: Protocol of trans-Tasman feasibility randomised controlled trial of the Younger Women’s Wellness After Breast Cancer (YWWACP) lifestyle intervention

Week/s

Delivery strategies

Content

1

Individual or group virtual consultation delivered by cancer nurse as preferred by participants

Virtual consultation delivered by specialist cancer nurse: Phone coaching, iBook/PDF/hardcopy, health education material, website and email. Introduction to website and program. Development of tailored health education based on agreement between nurse and participant on an individualised plan and goals. Discuss healthy weight measures and associated risk factors, i.e. waist circumference, waist/hip ratio. Discuss exercise, physical activity, healthy eating, and other concerns and appropriate screening.

3, 9

Email/phone

At weeks 3 and 9, a follow-up email is sent from the consultation nurse and zoom consultation if requested to the participant. This phase of communication enquires how the participant is progressing with the program, reviews their individualised plan/goals, identifies barriers and plans for completion of the program.

6

Virtual consultation delivered by nurse

Through health education and motivational interviewing, this virtual appointment addresses:

• Review of plan and goals

• Behavioural relapse prevention strategies

• Answer questions and deliver any additional program materials required (i.e. menopause, stress, sleep).

Participant goals set in the first consultation will be reviewed and revised as necessary, including discussion of a personal action plan and identification of barriers.

Issues or concerns raised by the participant addressed by nurse.

12

Virtual consultation delivered by nurse

Discussion and review of how the participant found the program and whether individual goals were met including waist circumference measures. The participant encouraged to keep up positive behaviour change following the formal program. Future goals and relapse prevention discussed to encourage sustainability.