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Table 2 BCTs included in the KAPA intervention, in the order of delivery

From: Keeping adults physically active after Falls Management Exercise (FaME) programmes end: development of a physical activity maintenance intervention

Month   Session content

BCT’s extracted from the intervention matrix

1     Initial consultation: the aim of this session is to build a rapport with the participants, analyse their behaviours and develop effective action plans using motivational interviewing.

 

1.a Review health status

 

1.b Explore physical activity knowledge and provide information on the physical activity guidelines

5.1

1.c Reflect on current physical activity levels (strength, MVPA, balance) and compare with physical activity guidelines, problem solve how to meet the guidelines

1.2, 1.6, 2.2

1.d Decisional balance analysis with mental imagery of two possible futures

9.2, 9.3

1.e Provide physical activity education and information about the physical activity services within the local community

5.3

1.f Introduce home exercise booklet and demonstrate exercises

4.1, 6.1

1.g Write a weekly physical activity plan (how, what, when and who with approach)

1.4

1.h Identify the barriers and facilitators relating to a person’s capability, opportunity and motivation to perform the plan

1.2

1.i Identify mechanisms of social support

3.1

1.j SMART goals for physical activity behaviours and outcomes

1.1, 1.3

1.k Modify goals and plans in accordance to self-reported commitment and confidence ratings

1.9

1.l Introduce the use of monitoring tools (i.e. physical activity diaries and pedometers)

2.3, 2.4, 12.5

1.m Summaries the session, gain a signature of commitment and confirm date of next session

1.8, 1.9

2     Follow-up session 1: the first follow-up meeting aims to facilitate adherence to the physical activity plan and goals.

 

2.a Review health status

 

2.b Review physical activity diaries, attainment of goals and revise/adapt physical activity plans and goals.

1.4, 1.5,1.7, 2.2, 2.5

2.c Use a motivational interviewing approach to help problem solve high-risk situations where physical activity has not been performed and write “if then” plans

1.2, 1.4, 3.1

2.d Encourage the use of diaries

2.3

2.e Reinforce social support mechanisms

3.1

2.f Summaries the session and confirm date of next session

 

3     Follow-up session 2: the aim of the second follow-up meeting is to facilitate physical activity adherence and introduce behaviour maintenance strategies.

 

Repeat steps 2a, 2b and 2c performed in the first follow-up meeting (i.e. session 2).

 

3.a Relapse prevention strategies: (i) continued use of monitoring systems, (ii) reflecting on past successes, (iii) reflecting on lapses to identify high-risk situations and (iv) develop coping strategies

1.2, 1.4, 2.3, 2.4, 15.3

3.b Building new habits: (i) education of habit formation, (ii) self-review of poor physical activity habits, (iii) record habits in diary

2.3, 8.3

3.c Use of rewards for enacting good physical activity behaviours and goal attainment

10.7, 10.9

3.d Reflecting on enjoyment and satisfaction levels of being more active

11.2

Repeat steps 2d, 2e and 2f performed in the first follow-up meeting (i.e. session 2).

 

4 and 5    Follow-up sessions 3 and 4: the third and fourth follow-up meetings aim to help the participant build the self-regulation skills that they need to maintain the desired health behaviours.

 

Repeat steps 2a, 2b and 2c performed in the first follow-up meeting (i.e. session 2).

 

4.a Problem solving and planning for possible future environmental and life changes

1.2, 1.4

4.b Reviewing habit diaries

2.2

4.c Problem solve and write plans to over-ride old habits (i.e. behaviour substitution plans and removing environmental triggers).

1.2, 1.4, 7.5, 8.2

5.a Identifying stress management strategies (e.g. rest breaks, Tia-Chi, mindfulness)

11.2

5.b Planning for times of low psychological resource levels (i.e. stress, grieving)

1.4, 11.2, 11.3

Repeat steps 2d, 2e and 2f performed in the first follow-up meeting (i.e. session 2).

 

6     Follow-up session 5: the last session aimed to build on the skills needed to maintain healthier physical activity habits

 

Repeat steps 2a, 2b and 2c performed in the first follow-up meeting (i.e. session 2).

 

6.a Reflect on newly developed self-regulation skills

15.3

6.b Review physical activity plans and detail how people intend to maintain physical activity without further guidance

1.4

6.c Review achievements and provide praise

2.7, 10.4

6.d Close the session and sign a pledge of commitment

1.8, 1.9