Table 3.

Overview of module content.

Modules and subcomponents		Description of information content (BCTa code numbers)
Module 1: Introduction
	Welcome to the program	Message from a specialist in lifestyle management of NAFLDb providing an overview of the aims and objectives of the program (9.1)
Module 2: Understanding NAFLD
	What is NAFLD?	Overview of the liver, what is NAFLD and how it progresses, and the different stages of the disease (4.2, 5.1)
	How is NAFLD identified and diagnosed?	Overview of the tests and investigations that may be used to diagnose NAFLD (5.1, 5.2)
	Understanding test results	What the different tests and investigations measure and what the results mean (5.1)
	NAFLD myths	Common myths about NAFLD and why it should not be left unmanaged (4.2)
	Managing your NAFLD	Animations demonstrating how lifestyle change can improve liver health and reduce cardiovascular disease risk and improve metabolic control (5.1, 5.2)
	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 (6.2)
	Long-term complications of NAFLD	Potential consequences of not managing NAFLD (5.1, 9.2)
Module 3: Getting started with coaching		How to access lifestyle coaches and what to expect from coaching sessions (4.1)
Module 4: Food and NAFLD
	Energy balance	How to balance energy requirements in the context of weight loss (2.7, 4.1, 8.2)
	Nutrition and NAFLD	The relationship between diet quality, eating patterns, and NAFLD (4.2, 5.1, 5.2)
	Understanding carbohydrates	What are carbohydrates and the role they play in diet (5.1)
	Understanding fats	What are fats and the role they play in our diet (5.1)
	Understanding alcohol	Recommended alcohol intake, calorie content in alcoholic drinks, and provision of a web-based alcohol calculator (2.3, 5.1)
Module 5: How do I make changes to my diet?
	Finding the right dietary approach	Animation explaining the evidence supporting 2 dietary approaches for managing NAFLD (5.2, 9.1)
	Calorie restriction	Calorie restriction in more detail, provision of web-based weight loss calculators and calorie checkers, and link to the NHSc weight loss plan (2.7, 4.1, 5.1)
	Mediterranean diet	Mediterranean diet in more detail (5.1)
	Alternative dietary approaches	Information and external links to alternative dietary approaches (9.1)
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 (1.2, 4.1)
	Food labels	How to facilitate weight loss by understanding food labels (4.1)
	Portion sizes	Recommended portion sizes of different food groups to promote weight loss and maintenance (4.1)
	Healthy eating	Provides external links to healthy eating recipes to promote weight loss and maintenance (5.1, 9.1)
Module 7: Physical activity, exercise, and NAFLD
	How lifestyle can contribute to weight gain and NAFLD	Animation communicating how reduced physical activity levels are liked to weight gain and NAFLD (5.2)
	Combining physical activity and diet to promote weight loss	The benefits of combining physical activity and dietary change to promote weight loss (5.1)
	Physical activity, exercise, and NAFLD	The difference between physical activity and exercise and how physical activity and exercise can benefit the liver and lead to other health benefits (5.1)
	How much physical activity do I need to do?	The required amount, intensity, and type of physical activity and exercise required to manage NAFLD and ideas for increasing physical activity and exercise levels (5.1)
Module 8: Steps to success
	5 essential steps to goal setting	Tips for setting SMARTd goals (1.1)
	Behavioral goal setting	Tool to facilitate personalized behavioral goal setting for diet and physical activity (1.1)
	Dietary goal setting	Tool to facilitate monitoring of diet against dietary goals (2.3)
	Step tracker	Tool to facilitate monitoring of daily step counts and track progress over time (2.3)
	Weight tracking	Tool to facilitate weight monitoring and track progress (2.4)
	Maximizing chances of success	Animation prompting use of SMART goals and self-monitoring and support from family and friends to maximize the chances of success (1.1, 1.4, 2.3, 2.4, 3.1, 3.2)
Lifestyle coaching support		Review behavioral goals (1.5), provide feedback on behavior (2.2), and provide social support (unspecified; 3.1) and social support (practical; 3.2). Social support is directed specifically at the target behaviors

^aBCT: behavior change technique.

^bNAFLD: nonalcoholic fatty liver disease.

^cNHS: National Health Service.

^dSMART: Specific, Measurable, Achievable, Realistic, Timely.