Week | Sessions | Guide to session content | Behavioural change techniques[58] |
---|---|---|---|
1 | Session 1: First steps (30 minutes) Week 1 | Review health status, current activity, health benefits of PA | 1, 2 |
Cost-benefit analysis for increasing PA | 2 | ||
PA guidelines and how to increase PA safely | 4, 21 | ||
Moderate intensity PA and relating it to number of steps | |||
Review participant baseline step-count | 19, | ||
Teach use of pedometer and recording walks and steps in diary | 21, 26 | ||
Ideas for increasing steps | 20 | ||
Goal-setting – PACE-UP goals or tailored to the individual patient | 7, 9, 16 | ||
Use of rewards for effort and for achieving goals | 12, 13 | ||
Summarise and check patient understanding, plan time for next meeting | |||
Communication strategies to overcome resistance and promote patient-led change | 37 | ||
5 | Session 2: Continuing the changes (20 minutes) Week 5 | Review step-count and walking diary | 10, 19 |
Encourage progress in increasing walking and achieving step-count goals | 12, 13 | ||
Troubleshoot any problems with pedometer or diary | 8 | ||
Review target and agree goals for next stage | 7, 9, 16 | ||
Barriers and facilitators to increasing PA, overcoming barriers, encouraging support | 8, 29 | ||
Pacing and avoiding boom and bust | 9, 35 | ||
Check confidence levels, build confidence to make change | 18, 29, 36 | ||
Summarise and check patient understanding, plan time for next meeting | |||
Communication strategies to overcome resistance and promote patient-led change | 37 | ||
9 | Session 3: Building lasting habits (20 minutes) Week 9 | Review step-count and walking diary | 10, 19 |
Review overall progress over the sessions | 11, 17 | ||
Encourage progress in increasing walking and achieving goals | 12, 13 | ||
Preparing for setbacks | 35 | ||
Building habits: discuss methods of maintaining lasting change, including repetition, if-then rules and support | 7, 29, 23, 29, 35 | ||
Setting goals: maintaining current activity or increasing further? | 7, 9, 16, 26 | ||
Remind re contact with research assistant in 3–4 weeks | |||
Communication strategies to overcome resistance and promote patient-led change | 37 |