Table 1 Behavioral change intervention sessions
Week | Theme | TTM | BPN | Main approach |
|---|---|---|---|---|
1 | Getting to know the patient | Autonomy | Test during the week types of PA which the patient can perform | |
Competence | Train in the session PA/exercises that the patient can perform/knowing the activity monitor | |||
Relatedness | Know previous experiences of the patient related to PA/introduce the group | |||
2 | Why to be physically active? | Self-liberation (making a commitment) | Autonomy | Choose the when, how, and the type of PA that will perform |
Competence | Achievable goals, but with a certain challenge (contract) | |||
Relatedness | Contract is a commitment between the patient the therapist | |||
3 | Monitoring (group session) achallenge | Contingency management (Using rewards) | Autonomy | Celebrating small victories |
Competence | Group challenge (gamification) | |||
Relatedness | Encouraging them to achieve the week group goals | |||
4 | Barriers to PA | Stimulus control (Managing the environment) | Autonomy | Recognition of the patient’s perspective on barriers |
Competence | Identifying barriers and indicating ways to overcome them | |||
Relatedness | Use an object with a color that represents the group | |||
5 | Sedentary lifestyle (group session) | Counterconditioning (using substitutes) | Autonomy | Recognizing environmental potential to reduce sedentary lifestyle and increase PA |
Competence | Focus goals on the process | |||
Relatedness | Encouraging reminders to reduce sedentary lifestyle and increase PA in the group | |||
6 | Goals review | Consciousness raising (getting the facts) | Autonomy | Visualizing the progress |
Competence | Controlling of patient evolution/learning calculation of average and goal of steps per day of the week | |||
Relatedness | Strengthening the bond between patient and therapist | |||
7 | Responsibility | Dramatic relief (paying attention to feelings) | Autonomy | Awareness of the importance of attendance |
Competence | Giving positive feedback | |||
Relatedness | Understanding feelings related to PA | |||
8 | Social support achallenge | Helping relationships (getting support) | Autonomy | Discussion on what motivates to continue doing PA |
Competence | Challenge of doing PA with a person this week | |||
Relatedness | Searching for social support | |||
9 | Perceived benefits (group session) | Environmental revaluation and social liberation | Autonomy | Recognition of the patient’s perspective |
Competence | Feedback on how or not you achieved the result | |||
Relatedness | Exchanging experiences with the group | |||
10 | Possible relapses | Temptation | Autonomy | Action plan ideas |
Competence | Drawing up action plans for possible relapses | |||
Relatedness | Strengthen the group’s bond | |||
11 | Self-re-evaluation | Self-revaluation (creating a new self-image) and decisional balance (pros and cons) | Autonomy | Guidance with intrinsic objective |
Competence | Training/teaching things they failed to do | |||
Relatedness | Strengthen bonds with people close to them | |||
12 | Long-term goals (group session) | Autonomy | A leadership profile will be responsible for the group | |
Competence | Providing encouragement and support | |||
Relatedness | Strengthen the group’s bond |