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Table 6 The intervention content identified based on BCTs

From: Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel

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TDF domains

Sub-theme/Barriers

Intervention functions identified

BCTs identified

Intervention content and format

Psychological capability

Knowledge

Perceived poor knowledge about the diagnose of metabolic syndrome

Education

Information about health consequences (5.1)

Provide information on published research on the definition, negatives, and physical activity-related knowledge of metabolic syndrome via the app

Absent knowledge about regular physical activity

Behavior regulation

Lack of self-monitoring

Education

Information about health consequences (5.1)

Provide information on published research on the negatives and physical activity-related knowledge of metabolic syndrome via the app

Prompts/cues (7.1)

Set up reminders for individuals to record the type, time, frequency, and (or) intensity of physical activity via the app

Enablement

Self-monitoring of behavior (2.3)

Record the type, time, frequency, and (or) intensity of physical activity via the app

Physical capability

Skills

Fear of physical activity aggravating conditions

Training

Demonstration of the behavior (6.1)

Provide observable examples of individuals who perform physical activity properly via the app

 

Absence of physical activity skills

Instruction on how to perform a behavior (4.1)

Provide instruction on how to perform physical activity via the app

 

Feedback on the behavior (2.2)

Tell the person what they need to improve during physical activity via the app

 

Behavioral practice/rehearsal (8.1)

Encourage individuals to rehearse physical activity properly via the app

 Physical opportunity

Environmental context and resources

Lack of time

Environmental restructuring

Prompts/cues (7.1)

Set up reminders for individuals to perform physical activity via the app

 

Lack of equipment and venue

Enablement

Social support (practical) (3.2)

Provide suggestions on how to perform regular physical activity (e.g., suggest users reduce time of entertainment to

 

exercise; perform physical activity with devices and venues; suggest users exercise indoors on rainy days) via the app

 

Perceived lack of physical activity atmosphere

Goal setting (behavior) (1.1)

Set goals of physical activity via the app

 

The influence of weather

Restructuring the social environment (12.2)

Suggest users make friends with people who enjoy physical activity via the app

 

Prompts/cues (7.1)

Set up reminders for individuals to perform physical activity via the app

Reflective motivation

Social/professional role and identity

Physical activity is unimportant

Education

Information about health consequences (5.1)

Provide information on published research on the definition, negatives, and physical activity-related knowledge of metabolic syndrome via the app

 

Persuasion

Information about health consequences (5.1)

Introducing the negatives and physical activity-related knowledge of metabolic syndrome via the app

 

Optimism

Not perceiving benefits of physical activity

Education

Information about health consequences (5.1)

Introducing the negatives and physical activity-related knowledge of metabolic syndrome via the app

 

Persuasion

Credible source (9.1)

Present a speech from health care professionals to emphasize the benefits of physical activity for individuals with metabolic syndrome via the app

 

Information about health consequences (5.1)

Introducing orally the negatives and physical activity-related knowledge of metabolic syndrome via the app

 

Intention

Low intention

Education

Information about health consequences (5.1)

Provide information on published research on the definition, negatives, and physical activity-related knowledge of metabolic syndrome via the app

  

Have intention but lack of confidence

Prompts/cues (7.1)

Set up reminders for individuals to perform physical activity via the app

  

Persuasion

Credible source (9.1)

Present a speech from health care professionals to emphasize the importance of physical activity via the app

  

Information about health consequences (5.1)

Provide information on published research on the definition, negatives, and physical activity-related knowledge of metabolic syndrome via the app

  

Incentivization

Feedback on behavior (2.2)

Inform the person of physical activity data, such as how many steps they walk each day via the app

  

Self-monitoring of behavior (2.3)

Record the type, time, frequency, and (or) intensity of physical activity via the app

  

Modelling

Demonstration of the behavior (6.1)

Provide observable examples of individuals who enjoy physical activity via the app

  

Commitment (1.9)

Ask the individuals to use the words, such as “strongly”, “committed” or “high priority” “I will” to affirm or reaffirm a strong commitment to start, continue, or restart the attempt to perform regular physical activity via the app

  

Behavioral contract (1.8)

Establish a contract with the individual to make sure to take regular physical activity via the app

 

Goals

No goals

Education

Information about health consequences (5.1)

Provide information on published research on the definition, negatives, and physical activity-related knowledge of metabolic syndrome via the app

 

Persuasion

Information about health consequences (5.1)

Introducing the definition, negatives, and physical activity-related knowledge of metabolic syndrome via the app

 

Modelling

Demonstration of the behavior (6.1)

Provide observable examples of individuals who enjoy physical activity via the app

 

Enablement

Goal setting (behavior) (1.1)

Set goal of physical activity via the app

 

Goal setting (outcome) (1.3)

Set a weight loss goal as an outcome of regular physical activity via the app

 

Action planning (1.4)

Prepare a schedule to perform physical activity at a certain time and on certain days of the week via the app

 

Review behavior goal(s) (1.5)

Examine if own performance corresponds to agreed-upon goals, and adjust future behavioral goals accordingly via the app

Automatic motivation

Emotion

Negative emotion affects physical activity

Enablement

Reduce negative emotions (11.2)

Providing advice on how to manage stress, such as listening to music via the app

Emotional consequences (5.6)

Introduce the benefits of physical activity, such as relieving negative emotions via the app

Social support (emotional) (3.3)

Consider taking a partner or friend with self to perform regular physical activity via the app