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Table 5 Mapping behaviour change concepts to a future nature walks intervention for people discharged from a mental health hospital

From: Co-production of “nature walks for wellbeing” public health intervention for people with severe mental illness: use of theory and practical know-how

Outcome expectanciesA lay summary of evidence (see Table 1) about the benefits of nature walks will be given to people recently discharged from a mental health hospital to help them develop accurate knowledge about the health consequences of participating in the intervention
Positive attitudeInformation provided to participants will aim to promote positive feelings towards the outcomes of nature walks
Personal and moral normsParticipants will be given a diary to self-monitor their participation in the group-based nature walks.
Personal relevanceParticipants will be encouraged to articulate what they hope to achieve from participating in the intervention. The literature for instance, suggests that these may include reducing stress, improving mood and losing body weight.
Individual, targeted informationParticipants will be given information about a local walking group in the community where they will live once they are discharged from a mental health hospital. Maps of their local area will be given should they wish to walk on their own or with a family member or friend. Participants will be supported to identify local walk routes.
Relapse preventionParticipants will identify personal barriers (e.g. low mood, stress, stigma – see Table 2) to participating in a local community walking group and be shown how to develop action and coping plans for times when these barriers feel insurmountable.
Intention formation and concrete planParticipants will set personal and incremental goals to participate in nature walks and be supported to achieve these goals.
Self-efficacyParticipants will be encouraged to describe their experiences of nature walks with a view to encouraging self-belief in their abilities to participate in group-based walks and walking on their own
Subjective normsParticipant’s family members, friends, GP and/or mental health team will be informed about the participant’s involvement in the intervention and asked to encourage participation