This support will be provided in the form of a health coaching approach with the inclusion of relapse prevention strategies. This model of working is based upon a patient centered approach that employs principles from health psychology and behavioral medicine, and the skills and attitude from health coaching and motivational interviewing. The aim is to focus upon the participants own intrinsic motivators, explore barriers and encourage the development of personally determined solutions. The initial clinical consultation will allow a review of the participant's gains from engaging in the TDR or training programme and potential barriers that may arise and individualise solutions. This will be recorded for the participant to take away and will form the basis of the telephone/face to face follow up and group support. There is a convergence of evidence from multiple sources that these approaches beneficially impact behavioural change.