Table 1.

Details of the PACE-Lift physical activity consultations with the practice nurse

Week	Sessions	Guide to session content	Proposed Behavioural Change Techniques (Michie [[54]])*
1	Session1: First steps (45 minutes) As soon as possible after randomisation	Review health status, current activity, health benefits of physical activity	1,2,
		Review baseline accelerometer data (step-counts and time spent in at least moderate intensity PA)	19,
		30 mins × 5 days / week message & how to increase PA safely	4,21
		Teach use of pedometer and calculator to calculate average daily steps
		Cost-benefit analysis for increasing physical activity	2,
		Ideas of how, when and where to increase step-counts	20,38
		Use of rewards for effort and for achieving goals	12,13
		SMART physical activity goals, weekly walking planner & step-count diary	7,9,16,
		Check confidence levels, ensure goals are realistic	9,
		Summarise & check patient understanding, plan date for wearing accelerometer next and time next meeting	26,
3	Session 2: Continuing the changes (30 minutes) Approximately 2 weeks after session 1	Review step-count and accelerometer data and step-count diary	10,19,
		Encourage progress in increasing walking and achieving goals	12,13,
		Troubleshoot any problems with equipment or diary	8,
		Barriers and facilitators to increasing physical activity, overcoming barriers	8
		Review target and set new SMART walking goals using walking planner	7,9,16
		Check confidence levels, build confidence to make change	5,18,29,36,
		Encourage recording in step-count diary	16
		Review and set your own goals	5,8,10,
		Summarise & check patient understanding, plan date for wearing accelerometer next and time next meeting	26,
7	Session3: Keeping up the changes (30 minutes) Approximately 4 weeks after session 2	Review step-count and accelerometer data and step-count diary	10,19,
		Encourage progress in increasing walking and achieving goals	12,13,
		Troubleshoot any problems with equipment or diary	8,
		Preparing for setbacks: discussion of coping strategies, building social support	29,35,
		Introduce pacing; general pacing tips and plans	9,35
		Building habits – generate ‘if-then’ plans to prevent setbacks or build habits	7, 23,
		Review target and set new SMART walking goals using walking planner	7,9,16,
		Encourage recording in step-count diary	16,
		Summarise & check patient understanding, plan date for wearing accelerometer next & time next meeting	26,
11	Session4: Building lasting habits (30 minutes) Approximately 4 weeks after session 3	Review step-count and accelerometer data and step-count diary	10,19,
		Review overall progress over the sessions	11,
		Encourage progress in increasing walking and achieving goals	12,13,
		Building habits: discuss methods of maintaining lasting change	35,
		Becoming your own activity coach: review benefits of PA	1,2,
		Set a new overall PA target and step-count goal for next 3 months	7,
		Review stages for making change (SMART goals, set rewards, build confidence to change, review goals, overcome barriers, pacing & dealing with setbacks)	7,8,9,12,35

* 1. Provide general information on behaviour-health link; 2. Provide information on consequences to individual; 4. Provide normative information about others’ behaviour; 5. Goal setting (behaviour); 7. Action planning; 8. Barrier identification; 9. Set graded tasks; 10. Prompt review of behavioural goals; 11. Prompt review of outcome goals; 12. Prompt rewards contingent on effort; 13. Prompt rewards contingent on successful behaviour; 16. Prompt self-monitoring of behaviour; 18. Prompting focus on past success; 19. Provide feedback on performance; 20. Provide information on when and where to perform the behaviour; 21. Provide instructions on how to perform the behaviour; 23. Teach to use prompts/ cues; 26. Prompt practice; 29. Plan social support / social change; 35. Relapse prevention / coping planning; 36.Stress management / emotional control training; 38. Time management.