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Table 2 Summary of the content of the supervised exercise component of both interventions

From: Exercise combined with Acceptance and Commitment Therapy (ExACT) compared to a supervised exercise programme for adults with chronic pain: study protocol for a randomised controlled trial

Session Education/advice (30 min) Exercise (1 h)
1 Introduction to exercise
Pool orientation
Induction to gym programme
Demonstration of gym exercises
Gym exercise:
Gentle warm up – walking and stretches
Brief gym circuit
Cool down
2 Group discussion on goal setting
Provision of individual home exercise programme HEP created by physiotherapist based on patient’s individual goals
Hydrotherapy
Warm up
Gentle aerobic and buoyancy assisted and resisted exercises
3 Understanding pain
Group will be shown the YouTube video ‘understanding pain in 5 minutes’ followed by a group question/answer session
Hydrotherapy
Warm up
Aerobic, strengthening exercises and informal pool games
4 Group discussion about physical activity, introduction to pacing and principles of graded exposure
Time to answer any questions from participants
Hydrotherapy
Continuation of above and gentle progression of exercises
5 Group discussion on pacing and graded exposure including potential challenges that may be arising regarding putting principles into practice Hydrotherapy
Continuation of above and gentle progression of exercises
6 Continued group discussion on progress and problem solving Gym session – participants are free to perform exercises from their individualised exercise programme or other exercises of their own choosing under the guidance of the physiotherapist
7 Group discussion on progress and problem solving. Introduce topic of maintaining behaviour change Gym session
Continuation of above and progression of exercise under guidance of physiotherapist
8 Wrap-up session including preparation for maintaining an active lifestyle and managing setbacks Gym session
Continuation of above and progression of exercise under guidance of physiotherapist