Table 2.
Week | Sessions | Guide to session content | Behavioural change techniques [58] |
---|---|---|---|
1 |
Session 1: First steps (30 minutes) Week 1 |
Review health status, current activity, health benefits of PA |
1, 2 |
Cost-benefit analysis for increasing PA |
2 |
||
PA guidelines and how to increase PA safely |
4, 21 |
||
Moderate intensity PA and relating it to number of steps |
|
||
Review participant baseline step-count |
19, |
||
Teach use of pedometer and recording walks and steps in diary |
21, 26 |
||
Ideas for increasing steps |
20 |
||
Goal-setting – PACE-UP goals or tailored to the individual patient |
7, 9, 16 |
||
Use of rewards for effort and for achieving goals |
12, 13 |
||
Summarise and check patient understanding, plan time for next meeting |
|
||
Communication strategies to overcome resistance and promote patient-led change |
37 |
||
5 |
Session 2: Continuing the changes (20 minutes) Week 5 |
Review step-count and walking diary |
10, 19 |
Encourage progress in increasing walking and achieving step-count goals |
12, 13 |
||
Troubleshoot any problems with pedometer or diary |
8 |
||
Review target and agree goals for next stage |
7, 9, 16 |
||
Barriers and facilitators to increasing PA, overcoming barriers, encouraging support |
8, 29 |
||
Pacing and avoiding boom and bust |
9, 35 |
||
Check confidence levels, build confidence to make change |
18, 29, 36 |
||
Summarise and check patient understanding, plan time for next meeting |
|
||
Communication strategies to overcome resistance and promote patient-led change |
37 |
||
9 |
Session 3: Building lasting habits (20 minutes) Week 9 |
Review step-count and walking diary |
10, 19 |
Review overall progress over the sessions |
11, 17 |
||
Encourage progress in increasing walking and achieving goals |
12, 13 |
||
Preparing for setbacks |
35 |
||
Building habits: discuss methods of maintaining lasting change, including repetition, if-then rules and support |
7, 29, 23, 29, 35 |
||
Setting goals: maintaining current activity or increasing further? |
7, 9, 16, 26 |
||
Remind re contact with research assistant in 3–4 weeks |
|
||
Communication strategies to overcome resistance and promote patient-led change | 37 |
1. Provide general information on behaviour-health link; 2. Provide information on consequences to individual; 4. Provide normative information about others’ 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; 17. Prompting self-monitoring of behavioural outcome; 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; 37. Motivational interviewing.