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Table 1 Outline of the Protection Motivation Theory-guided health coaching program

From: A protection motivation theory-guided telehealth coaching program for middle-aged adults with cardiometabolic risk: A feasibility trial

Health coaching process:

(1) Preparation;

(2) Greeting;

(3) Setting the agenda;

(4) Ask-tell-ask;

(5) Action plan;

(6) Closing the loop (in the last session: the health coach and participant summarize and conclude the health coaching process)

Source of information for the participant:

Participants’ booklet containing information on cardiometabolic disease, and to record the cardiometabolic risk profile, action plan, and goal attainment

PMT component

Purpose

Content

First session (1 h per session; week 1)

Threat appraisal

To increase the participant’s perceived vulnerability and perceived severity of developing cardiometabolic disease, fear arousal and moderate rewards in maladaptive coping.

The health coach and participant:

1. review the participant’s cardiometabolic risk profile and health-promoting behaviours.

2. explore the participant’s understanding of cardiometabolic disease and risk factors.

Coping appraisal

To increase the participant’s coping response to the appraised threat of developing cardiometabolic disease, perceived self-efficacy and perceived response-efficacy and reduce their perceived response cost.

The health coach helps the participant to:

3. set self-determined goals and an individualised action plan through self-discovery.

4. explore facilitators of, and barriers to goal attainment and strategies for overcoming barriers.

Subsequent sessions (30 min per session; weeks 4, 8, and 12)

Threat appraisal

To increase the participant’s perceived vulnerability and perceived severity of developing cardiometabolic disease, fear arousal and moderate rewards in maladaptive coping.

1. The health coach and participant review the participant’s cardiometabolic risk profile and health-promoting behaviours, if necessary.

Coping appraisal

To increase the participant’s coping response to the appraised threat of developing cardiometabolic disease, perceived self-efficacy, and perceived response-efficacy and reduce their perceived response cost.

The health coach and participant:

2. review the progress and modify the goals and action plans as necessary through reflection.

3. review the facilitators of and barriers to goal attainment and the strategies to overcome barriers.