Table 2 Detailed description of the PANORAMA intervention package’s components
Component | Description |
|---|---|
The brief motivation interviewing | Includes discussion of (1) personal experience with PA after THA, (2) motivation and barriers related to PA adaptation and adherence, and (3) the patient education material regarding PA after THA (video and leaflet). |
Patient educational material regarding PA after THA | A 6-min surgeon-led patient education video, which summarize the content of a leaflet signed by the patients surgeon (picture on the front page) regarding PA after THA and PA recommendations, which mentions all the benefits of being physically active on recovery of physical function and, e.g., health including recommendations of the right things to do both for individual’s recovery and the longevity of the joint replacement [27, 28]. To provide examples, experiences and empower the patients to succeed engaging in PA patients (n=3) like themselves participate in the video. |
Information leaflet about how to use the pedometer, step-counting journal and goal setting and strategies to increase daily PA | Leaflet-based information and demonstration of (1) how to wear and use a pedometer, (2) how to use a step-counting journal, and (3) how to set goals and make action planning. The participants are instructed to use the first week as an observation period to give them insight into how many steps their current daily life practice translates to. After the first week, the patients are encouraged to determine daily step goals on a weekly basis. In addition, the patients are encouraged to create detailed plans on in which situation and/or where to act to increase their physical activity level [29] and be SMART (Specific, Measurable, Achievable, Relevant and Timed) with their goals, (4) tips on how to increase PA and daily steps and reduce sedentary time by making small changes and other strategies to increase daily PA and links to other PA resources. Participants from minimal contact pedometer-based interventions to promote walking have emphasized that future interventions should provide more examples and strategies for meeting PA recommendations or more strategies for addressing barriers to PA [30, 31]. |
Pedometer | The participants receive a pedometer (Garmin, Vivofit 4) and are encouraged to use the pedometer to monitor the number of steps walked each day during all waking hours. |
Step-counting journal | The participants receive a printed step-counting journal (alternatively an electronic version) and are instructed to record date and total number of steps displayed on the pedometer in their journal at the end of each day [29]. In addition, to calculate and fill in additional steps for activities such as bicycling and other activities that are not well recorded by the pedometer. Furthermore, on a weekly basis to calculate and register the mean number of daily steps in the journal. Finally, to register the goal for the following week. |
Telephone-assisted counselling (n=2) | The two telephone-assisted counselling for PA are follow-ups on the initial face-to-face counselling. The content is now based on the participants’ new experience with PA during the first weeks respectively the first 7 weeks and how the tools are working and strategies for continued PA participation. |