Table 1.

Physical activity intervention content and strategies

Week	Session Topic and Content	Behavioral and Cognitive Strategies
1	Welcome to the Bari-Active Program Discuss importance of PA within context of bariatric surgery Identify health risks of a sedentary lifestyle and health benefits of an active lifestyle Evaluate perceived benefits and personal barriers related to PA adoption Discuss Intervention goals Provide PA monitoring log, pedometer, and instructions for recording daily bout-related walking exercise minutes and steps	Increase knowledge Offer clear rationale for PA adoption Acknowledge any internal conflict regarding PA adoption Self-reevaluation (explore congruence between values, goals, and lifestyle) Assess motivational readiness Modeling Mastery experiences (promote competence and self-efficacy)
2	Building a Preoperative Walking Program Establish baseline daily average walking exercise minutes and steps Differentiate lifestyle and structured PA Brainstorm ways to increase lifestyle PA Teach talk test to gauge walking intensity Discuss making walking exercise a habit	Feedback and reinforcement Increasing healthy opportunities Counter conditioning (substitution of healthier PA behavior) Mastery experience
3	Creating an Active Environment: Making Physical and Social Cues Work for You Identify positive environmental cues to increase PA Identify strategies to eliminate/avoid inactivity cues	Stimulus control Counter-conditioning Mastery experience Feedback and reinforcement
4	Setting Goals Introduce goal-setting principles, set goals targeting behaviors to increase PA Identify pleasant/unpleasant aspects of PA Differentiate extrinsic and intrinsic rewards Identify ways to make walking more enjoyable	Coaching in employing principles of goal-setting Feedback and reinforcement Emphasize enjoyable aspects of PA Mastery experiences
5	Problem Solving Increasing self-efficacy to counter barriers related to increasing PA Apply problem-solving steps to future PA barriers	Positive feedback Planning coping responses Social support/helping relationships
6	Putting it all Together and Establishing Commitment Develop contract to facilitate commitment to maintenance of PA change consisting of short, medium and long-term goals Identify sources of support for PA behavior change Revisit congruence between PA behavior change and values	Behavioral contracting/self-liberation Social support/helping relationships Self-reevaluation Mastery experiences