Session | Week | Session determinants | Content | Techniques |
---|---|---|---|---|
1 | 1 | Physical activity expectations; Physical activity past experiences; Physical activity self-efficacy; Physical activity values. | • Exploration of current and historical physical activity behaviours; • Identify telephone coaching outcome expectations; • Identify physical activity outcome expectations; • Determine level of motivation for increasing physical activity (e.g. how motivated are you to increase physical activity on a scale of 1–10? Why did you give it a 3, as opposed to a 4 or 5?); • Identify and address unrealistic physical activity expectations; • Assess barriers to physical activity; • Discuss goals and action plans. | Motivational interviewing strategies: • Open ended questions; • Affirmations; • Reflections; • Summaries; • Develop discrepancy; and • Illicit change talk. Cognitive-behavioural techniques: • Elicit PA outcome expectations and experiences; • Elicit values and physical activity priorities; • Identify physical activity barriers and problem solving; • Goal setting –behavioural; • Action planning. |
2 | 2 | Physical activity outcome expectations; Experience regarding goal setting. | • Review of goal progress from session 1; • Barrier identification and determine level of self-efficacy for overcoming barriers (e.g. how confident are you to overcome barrier X on a scale of 1–10? Why did you give it a 3, as opposed to a 4 or 5?); • Progress and amend action-plan and goals; • If physical activity goals involve program based activities (e.g. strength training, walking groups) individual to source contact details. | Motivational interviewing strategies as above. • Illicit and explore change talk. Cognitive-behavioural techniques: • Problem solving; • Goal setting; • Focus on past success; • Prompt experiential learning through trial and error. |
3 | 4 | Outcome expectations and experiences in relation to physical activity goal progress. | • Review of goals and progress from session 2; • Explore current experiences of physical activity; • Barrier identification and self-efficacy strategies for overcoming barriers; • Discuss self-monitoring strategies to monitor goal (e.g. physical activity tracking); • Discuss intervention timelines and action plan for the next two weeks. | Motivational interviewing strategies as above. Cognitive-behavioural techniques: • Review of physical activity behaviour and outcome goal(s); • Elicit current physical activity outcome experiences; • Goal planning, and what-then plans; • Education regarding self-monitoring of behaviour or outcomes; • Relapse prevention. |
4 | 6 | Physical activity outcome expectations; Exercise self-efficacy; Coping strategies; Future planning. | • Review of progress from session 3; • Explore current experiences of physical activity; • Relapse prevention - tailored to individual needs; • Discuss intervention timelines and action plan for the next six weeks. | Motivational interviewing strategies as above. Cognitive-behavioural techniques • Elicit current physical activity outcome experiences; • Coping strategies (e.g. physical activity pacing, planning); • Engaging social support; • Relapse prevention |
5 | 12 | Theory of behavioural maintenance; Relapse prevention; | • Intervention recap; • Review of progress from previous session and intervention as a whole; • Identify what has helped PA changes; • Identify what can helped PA maintenance; • Relapse prevention – identification of potential future scenarios, and what-then plans for overcoming issues (e.g. if I experience X, then I will do Y); • Additional follow-on services – community health promotion services/exercise services. | Motivational interviewing strategies as outlined above. Cognitive-behavioural techniques: • Action planning - focus on past and current success; • Problem solving – what-if planning. • Relapse prevention. |