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. 2023 Nov 2;31(11):662. doi: 10.1007/s00520-023-08137-z

Table 2.

Overview of themes and sub-themes

Theme Sub-themes/codes Brief description
Commitment

Prioritising physical activity

Value of physical activity

Perceiving external barriers

Commitment evidenced through prioritising and valuing PA was the foundational dimension that influenced PA engagement and behaviour change amongst participants. Those that assigned a higher value and priority to PA were more likely to establish a routine or schedule PA and be successful in PA behaviour change.
Accountability and monitoring

Accountability to the trial team

Accountability to others

General monitoring and support

Participants that reported a reliance on external accountability for motivation tended to be less successful in PA behaviour change. Most participants valued reviews/check ins but most of those that increased and maintained PA were not so focused on external accountability for motivation.
Routine

Incidental PA

Scheduled PA

Influence of retirement on routine.

Participants that established a PA routine by scheduling or planning exercise appeared more likely to engage in adequate MVPA and maintain PA. There was recognition of the importance of a routine for PA engagement and yet many that were retired referred to a lack of structure to their day and some were resistant to planning and structure since retirement.
Fitbit as health coach

Instilling awareness

Prompts

Self-monitoring and feedback

Goal setting and review

Unreliability of device

Fitbit as a demotivator

Technical challenges

The theme of ‘Fitbit as health coach’ summarises the finding that the Fitbit™ was perceived as the primary active ingredient to increase PA for most participants. The Fitbit was viewed as helpful in raising awareness of PA level and sedentary behaviour through objective feedback and as a self-monitoring tool to achieve goals and targets.