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Table 2 Description of the behavioural change intervention sessions

From: Effects of a behaviour change intervention aimed at increasing physical activity on clinical control of adults with asthma: study protocol for a randomised controlled trial

No. Week Topics covered
Week 1:
Lifestyle choices
• Motivational interview to establish an educational diagnosis
• Identify the behaviour stage regarding physical activity
• Raise awareness of physical activity benefits
• Provide the Fitbit flex 2 and ask them to wear it for at least 3 days each week
Week 2:
Why become physically active?
• Raise awareness of the physical activity international recommendations
• Deepen the knowledge about the physical activity benefits for patients with asthma
• Review Fitbit flex 2 data of the past week and set one smart weekly goal (number of steps)
• Establish the action planning (goal) and sign a contract
• Evaluate the confidence of patients in achieving the goal (self-efficacy)
• Explain about the use of the workbook, diary and vibration alert
Week 3:
Sedentary behaviour
• Raise awareness of the risks of prolonged uninterrupted periods of sitting
• Ask them to start monitoring their sitting time (diary in a workbook)
• Discuss strategies to stand up/break up the sedentary time, according to the Fitbit flex 2 vibration function
• Review achievement (using the diary and Fitbit flex 2 data) of the current goal
• Discuss progress of the current goal
• Set one smart weekly goal (number of steps)
Week 4:
Dealing with barriers
• Dealing with barriers (as part of action and coping planning)
• Brainstorm the main barriers and possible solutions/modifications
• Discuss preferred activities
• Invite participants to come up with ideas for walking (progression in duration/intensity)
• Congratulate patients on any success (positive reinforcement) and ask them to reflect on any difficulties
• Review achievement (using the diary and Fitbit flex 2 data) of the current goal
• Progress the current smart goal (number of steps and sedentary behaviour)
Week 5:
Self-control
• Facilitate self-control (how to self-monitor the negative and positive behaviours regarding PA)
• Identify the benefits acquired with the lifestyle change and reinforce the commitment to change
• Invite participants to come up with ideas to break up the sedentary time
• Review achievement (using the diary and Fitbit flex 2 data) of the current goal
• Progress current goal(s) as able/required
Week 6:
Setting additional goal
• Review initial goal and discuss the progress of this goal (challenges)
• Evaluate the confidence about achieving the new goal (self-efficacy)
• Reinforce the health benefits of increased participation in PA and of breaking up sedentary time
• Congratulate any success and reflect on any difficulties
• Review achievement (using the diary and Fitbit flex 2 data) of the current goal
• Set a new smart goal as able/required
Week 7:
Being rewarded
• Identify the behaviour stage regarding physical activity
• Discuss the change (or not) that was achieved, as well as the benefits acquired with the new lifestyle
• Discuss positive reinforcement
• Review achievement (using the diary and Fitbit flex 2 data) of the current goal
• Set a final goal (number to steps)
Week 8:
Goal balance
• Final motivational interview (goal setting, benefits acquired and strategies to overcome barriers)
• Reinforce the importance of following through with these changes
Establish a long-term goal to stay physically active