Table 2.

Detailed planned content for session II of the IMPLEMENT intervention

Session II: Move it or lose it
Section	Title	Content	Planned behaviour change techniques
II-1	Welcome and Introductions	Agenda and content for session	None
		Viewing of Victorian WorkCover Authority (VWA) videos*	Information provision
		Recap on last session—opportunity to discuss any change in behaviour since last session (if appropriate, ie, session II not immediately following session I)	▸ Barrier identification ▸ Persuasive communication ▸ Provide opportunities for social comparison
II-2	Small group work No.4: Discussion of pre-session activity about advice to stay active	Discussion in small groups (3–4) and feedback to larger group	▸ Barrier identification ▸ Provide opportunities for social comparison
		Feedback small group discussion to larger group. Facilitator to note-take barriers and enablers on whiteboard and revisit throughout session	▸ Persuasive communication ▸ Provide information on consequences ▸ Provide opportunities for social comparison
II-3	Guideline recommendations about interventions	Didactic presentation about guideline recommendations for treatment and evidence supporting them	▸ Information provision ▸ Provide instruction ▸ Persuasive communication
II-4	Making recommendations behaviourally specific	In whole group, re-write original guideline key messages: by who, applying to who, what, where, when	None
II-5	10 steps of clinical management as a framework for low back pain management	Didactic presentation with group discussion including use of: activity log as a replacement for X-ray referral slip; patient education handout	▸ Information provision ▸ Provide instruction ▸ Persuasive communication ▸ Time management
II-6	Small group No.5: talking with patients: Putting recommendations into practice	Using pre-prepared outlines of patient scenarios, participants practice with a partner and create scripts for themselves about the 2 key messages that are workable, time efficient and reinforces patient education	▸ Prompt practice ▸ Role play ▸ Time management
II-7	Summary	Feedback small group discussion to larger group. Reflect on barriers on whiteboard; questions; outstanding issues	▸ Barrier identification ▸ Provide information on consequences ▸ Provide opportunities for social comparison ▸ Persuasive communication
II-8	Action planning	Participants to choose relevant issues they wish to change in their practice, using ‘if-then’ planning for goal achievement	▸ Provide instruction ▸ Prompt specific goal setting (action planning)

*VWA videos were produced as part of a public health media campaign in the late 1990's. Details of the campaign are provided in Buchbinder et al.²⁹