Skip to main content

Table 1 Details of the PACE-Lift physical activity consultations with the practice nurse

From: Randomised controlled trial of a complex intervention by primary care nurses to increase walking in patients aged 60–74 years: protocol of the PACE-Lift (Pedometer Accelerometer Consultation Evaluation - Lift) trial

Week Sessions Guide to session content Proposed Behavioural Change Techniques (Michie [[54]])*
1 Session1: First steps (45 minutes) As soon as possible after randomisation Review health status, current activity, health benefits of physical activity 1,2,
Review baseline accelerometer data (step-counts and time spent in at least moderate intensity PA) 19,
30 mins × 5 days / week message & how to increase PA safely 4,21
Teach use of pedometer and calculator to calculate average daily steps  
Cost-benefit analysis for increasing physical activity 2,
Ideas of how, when and where to increase step-counts 20,38
Use of rewards for effort and for achieving goals 12,13
SMART physical activity goals, weekly walking planner & step-count diary 7,9,16,
Check confidence levels, ensure goals are realistic 9,
   Summarise & check patient understanding, plan date for wearing accelerometer next and time next meeting 26,
3 Session 2: Continuing the changes (30 minutes) Approximately 2 weeks after session 1 Review step-count and accelerometer data and step-count diary 10,19,
Encourage progress in increasing walking and achieving goals 12,13,
Troubleshoot any problems with equipment or diary 8,
Barriers and facilitators to increasing physical activity, overcoming barriers 8
Review target and set new SMART walking goals using walking planner 7,9,16
Check confidence levels, build confidence to make change 5,18,29,36,
Encourage recording in step-count diary 16
Review and set your own goals 5,8,10,
   Summarise & check patient understanding, plan date for wearing accelerometer next and time next meeting 26,
7 Session3: Keeping up the changes (30 minutes) Approximately 4 weeks after session 2 Review step-count and accelerometer data and step-count diary 10,19,
Encourage progress in increasing walking and achieving goals 12,13,
Troubleshoot any problems with equipment or diary 8,
Preparing for setbacks: discussion of coping strategies, building social support 29,35,
Introduce pacing; general pacing tips and plans 9,35
Building habits – generate ‘if-then’ plans to prevent setbacks or build habits 7, 23,
Review target and set new SMART walking goals using walking planner 7,9,16,
Encourage recording in step-count diary 16,
   Summarise & check patient understanding, plan date for wearing accelerometer next & time next meeting 26,
11 Session4: Building lasting habits (30 minutes) Approximately 4 weeks after session 3 Review step-count and accelerometer data and step-count diary 10,19,
Review overall progress over the sessions 11,
Encourage progress in increasing walking and achieving goals 12,13,
Building habits: discuss methods of maintaining lasting change 35,
Becoming your own activity coach: review benefits of PA 1,2,
Set a new overall PA target and step-count goal for next 3 months 7,
   Review stages for making change (SMART goals, set rewards, build confidence to change, review goals, overcome barriers, pacing & dealing with setbacks) 7,8,9,12,35
  1. * 1. Provide general information on behaviour-health link; 2. Provide information on consequences to individual; 4. Provide normative information about others’ behaviour; 5. Goal setting (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; 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; 38. Time management.