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Table 2 PACE-UP practice nurse physical activity consultations and behaviour change techniques included

From: PACE-UP (Pedometer and consultation evaluation - UP) – a pedometer-based walking intervention with and without practice nurse support in primary care patients aged 45–75 years: study protocol for a randomised controlled trial

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

  1. 1. Provide general information on behaviour-health link; 2. Provide information on consequences to individual; 4. Provide normative information about others’ behaviour; 7. Action planning; 8. Barrier identification; 9. Set graded tasks; 10. Prompt review of behavioural goals; 11. Prompt review of outcome goals; 12. Prompt rewards contingent on effort; 13. Prompt rewards contingent on successful behaviour; 16. Prompt self-monitoring of behaviour; 17. Prompting self-monitoring of behavioural outcome; 18. Prompting focus on past success; 19. Provide feedback on performance; 20. Provide information on when and where to perform the behaviour; 21. Provide instructions on how to perform the behaviour; 23. Teach to use prompts/cues; 26. Prompt practice; 29. Plan social support/social change; 35. Relapse prevention/coping planning; 36.Stress management/emotional control training; 37. Motivational interviewing.