Table 3.

Approaches used to enhance enjoyment

Quote 1	"I think it’s finding something that connects with that person because there’s no sort of bullet for, footballs not going to be for every boy or girl and gymnastics isn’t going to be for everyone, dancing isn’t going to be for everyone" (Shannon, dietician).
Quote 2	"We will give them ideas, we will say ’Have you tried this?' And we say ’Is there any PE that you like?' And they might say trampolining, I really enjoy it, so we will say ’well why don’t you think about doing it after school?' Or ’why don’t you try that?' or ’why don’t you try on a weekend?' And we’ll try and use whatever they’re doing in school or what their friends are up to. Or we’ll say ’have you heard about that park run?'" (Rebecca, physio).
Quote 3	"You’ve got to give them a grass roots introduction to a lot of different options and opportunities and then find what they engage with and what they connect with most" (Claire, physio).
Quote 4	"I suggest to them to do absolutely anything that would get them off their bottoms. Because obviously my idea of an exercise opportunity and what I find fun is not necessarily what somebody else finds fun so I encourage them to find something that makes them laugh, makes them have fun and that they will continue to go back to" (Victoria, physio).
Quote 5	"I suppose the only thing is to spend time finding out what people like, so this is something we do, for example, so this allows us perhaps to target particular exercises and match particular people to, so we have a girl who likes to do Yoga so we devised a way of using the Yoga positions for drainage and using the breathing techniques to then encourage expansion in those particular positions. So I think the fact we’re lucky in the small number that we have and we can get to know them well enough that we can kind of get deep, individual, personalised approach" (Claire, physio).
Quote 6	"We need to be more proactive with trying to not force our kids into exercise but to support them with getting to know what’s out there and finding something that they can engage with and then it’s not just the initiation of that programme it’s the continuing support" (John, physio).
Quote 7	"We have a ‘top gear’ sort of thing where people that work in the hospital have done the bike test, so that the patients can think ‘oh I want to try and beat a certain staff member’ so they can see that all we’re asking them to do, we’re not all super fit either, and they can try and beat the next person the next time" (Jessica, physio).
Quote 8	"Before Christmas we did a challenge of ‘n’ kilometres. So we set a challenge with all the children messaging in how many kilometres that they’ve done a week. So we have a couple that will do a park run so they say well I’ve done 5K this week so we add that to our tally and we want to get a thousand kilometres between us" (Beth, physio).
Quote 9	"It’s only good for the children that actually care and think ‘Oh I need to get a couple more thousand steps in.’ If not it’s just a number on a watch" (Peter, physio).
Quote 10	"We ask parents whether they as a family do any exercise and look at trying to do exercises together as part of a family so it’s not a physio thing to do, it’s more a fun thing that they all do together" (Victoria, physio).
Quote 11	"We’ve tried in the past going out to see somebody at home and I would get her friend there as well so the two of them would be doing like a body pump style session in the house just because if she just wouldn’t do it by herself but her friend was really keen to give it a go" (Claire, physio).
Quote 12	"With the slightly older ones, we might have a walk around the hospital, sometimes it might even be a bit of a walk into town, but with a bit more of an incentive of like going to like a milkshake shop or something with them just to encourage them to get out and have it’s like a bit of a treat at the end of it" (Alice, physio).

Note: All names provided are pseudonyms.