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Table 2 Behavior change techniques (BCTs) used in the physical activity (PA) consultations

From: Physical activity as an aid to smoking cessation during pregnancy (LEAP) trial: study protocol for a randomized controlled trial

Week

Session number

Session content

BCTs used (Michie categoriesa)

1

Session 1 (one week before quit day)

Review current PA and discuss PA benefits

1, 2

Explain and demonstrate use of treadmill and pedometer

7, 21, 22, 26

Check PA confidence levels using scaling questions

16

All sessions:

 

Agree PA goals 10

Provide weekly PA and step-count diaries 16

Allow time for questions, summarize, use reflective listening, elicit participant’s views, build a general rapport

Give praise for effort and for achieving PA goals 12, 13

1

Session 2

Review PA goals and effect of PA on cravings

7, 9, 10

Complete cost-benefit analysis for increasing PA

2

Identify PA barriers and problem solve

8

Explain and demonstrate exercises in booklet

21, 22, 26

Provide information on places to exercise

20

Discuss time management and exercise habits

23, 38

Plan social support

29

Provide weekly PA diary and step-count diary

16

2

Session 3 (quit day)

Review PA goals, set heart-rate targets on treadmill

10

Identify PA barriers and problem solve

8

Provide weekly PA diary and step-count diary

16

Check PA confidence levels with scaling questions

8

3

Session 4 (one week after quit day) onwards

Review PA goals, set heart-rate targets on treadmill

10

Plan for relapse prevention/coping

35

Review exercises in booklet

21, 22, 26

Review social support

29

Use imagery to encourage identity as an ‘exerciser’

34

Provide weekly PA diary and step-count diary

16

Reminder that sessions reduce to once a week for the last 2 weeks of the program

27

Check PA confidence levels with scaling questions

8

  1. a Michie categories are defined as follows.
  2. 1) Provide information on consequences of behavior in general. 2) Provide information on consequences of behavior to the individual. 7) Action-planning. 8) Barrier identification/problem-solving. 9) Set graded tasks. 10) Prompt review of behavioral goals. 12) Prompt rewards contingent on effort or progress towards behavior. 13) Provide rewards contingent on successful behavior. 16) Prompt self-monitoring of behavior. 20) Provide information on where and when to perform the behavior. 21) Provide instruction on how to perform the behavior. 22) Model/demonstrate the behavior. 23) Teach subject to use prompts/cues. 26) Prompt practice. 27) Use of follow-up prompts. 29) Plan social support/social change. 34) Prompt use of imagery. 35) Relapse-prevention/coping planning. 38) Time management.