Table 2 Overview of VITALISE content: to be added into page 9 under table 2 heading

Module 1: Introduction

Welcome to VITALISE with Changing Health

Message from a specialist in lifestyle management of NAFLD providing an overview of the aims and objectives of the programme

Module 2: Understanding non-alcoholic fatty liver disease (NAFLD)

What is NAFLD?

Overview of the liver; what is NAFLD and how it progresses; the different stages of the disease

How is NAFLD diagnosed?

Overview of the tests/investigations that may be used to diagnose NAFLD

Understanding your health results

What the different tests/investigations measure and what the results mean

NAFLD myths

Common myths about NAFLD and why it shouldn’t be left unmanaged

Managing your NAFLD

Animations demonstrating how lifestyle change can improve liver health, reduce cardiovascular disease risk and improve metabolic control

Patient success stories

Real-life examples of how people with NAFLD or at risk of NAFLD have improved their liver health by making lifestyle changes

Long term heath complications from NAFLD

Potential consequences of not managing NAFLD

Module 3: Getting started with coaching

How to access lifestyle coaches and what to expect from coaching sessions

Module 4: Food and NAFLD

Energy balance

How to balance energy requirements in the context of weight loss

Nutrition and NAFLD

The relationship between diet quality, eating patterns and NAFLD

Understanding carbohydrates

What are carbohydrates and the role they play in our diet

Understanding fats

What are fats and the role they play in our diet

Understanding alcohol

Recommended alcohol intake; calorie content in alcoholic drinks; provision of an online alcohol calculator

Module 5: How do I make changes to my diet?

Finding the right dietary approach

Animation explaining the evidence supporting two dietary approaches for managing NAFLD

Calorie restriction

Calorie restriction in more detail; provision of online weight loss calculators and calorie checkers; link to the NHS weight loss plan

The Mediterranean diet

Mediterranean diet in more detail

Other dietary approaches

Information and external links to alternative dietary approaches

Module 6: Practical tips

Supermarket tour

Animation virtually walking the user around a supermarket providing practical tips on what to look out for when shopping and resisting temptation

Understanding food labels

How to facilitate weight loss by understanding food labels

Portion sizes

Recommended portion sizes of different food groups to promote weight loss and maintenance

Healthy eating recipes

Provides external links to healthy eating recipes to promote weight loss and maintenance

Module 7: Physical activity, exercise and NAFLD

How changing lifestyles contribute to NAFLD and weight gain

Animation communicating how reduced physical activity levels are linked to weight gain and NAFLD

Combining physical activity and diet for weight loss

The benefits of combining physical activity and dietary change to promote weight loss

Physical activity, exercise and NAFLD

The difference between physical activity and exercise; how physical activity and exercise can benefit the liver and lead to other health benefits

How much physical activity do I need to do?

The required amount, intensity and type of physical activity and exercise required to manage NAFLD; ideas for increasing physical activity and exercise levels

Module 8: Steps to Success

Tips for setting your own goals

Tips for setting SMART goals

Goal setting

Tool to facilitate personalised behavioural goal setting for diet and physical activity

Set a food goal

Tool to facilitate monitoring of diet against dietary goals

Step tracking

Tool to facilitate monitoring of daily step counts and track progress

Weight tracking

Tool to facilitate weight monitoring and track progress

Maximising chances of success

Animation prompting use of SMART goals; self-monitoring and support from family and friends to maximise the chances of success