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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
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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)
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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
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Feedback and reinforcement
Increasing healthy opportunities
Counter conditioning (substitution of healthier PA behavior)
Mastery experience
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3 |
Creating an Active Environment: Making Physical and Social Cues Work for You
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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
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Coaching in employing principles of goal-setting
Feedback and reinforcement
Emphasize enjoyable aspects of PA
Mastery experiences
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5 |
Problem Solving
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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
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