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Table 1 Overview of tailored modules included in 8-week intervention (page 10)

From: Evaluating a web- and telephone-based personalised exercise intervention for individuals living with metastatic prostate cancer (ExerciseGuide): protocol for a pilot randomised controlled trial

Module title Module goal(s) Tailoring variable Mechanisms of action
Getting started (how to use this site) Introduce the programme, including how to navigate the site. Nil. • Self-efficacy
My exercise Plan (week 1-3) Provide individualised exercise prescription to participants. The aerobic training component of the study is based on metastases location, current aerobic modes, current duration and frequency completed and pain levels. Self-reported ability which includes current fatigue levels, experience and confidence, will also be taken into account (14).
Resistance exercise prescription is be tailored to the individual based on metastasis location pain or injury location, current fatigue levels and both resistance training experience and confidence.
Favoured modes of exercise and access to equipment is taken into account for both aerobic and resistance training.
• Self-efficacy
• Intentions
My exercise plan (week 4-8) Progression of exercise prescription on current exercise levels. Current aerobic exercise levels (current duration and frequency completed). Current resistance training levels (session frequency and percentage of sets and reps completed)
Repeated questions from My Exercise Plan (week 1-3) with previous answers. Participants asked to re-evaluate their answers and change if needed.
• Self-efficacy
• Intentions
Exercise benefits (what does exercise actually do?) Help men to develop a deeper understanding of the benefits of exercise, and how these benefits accrue. Highlight benefits that are personally relevant.
Strengthen intentions to participate in structured exercise.
Health issues that may be improved through exercise (e.g. fatigue, poor sleep, muscle weakness)
Exercise types currently participated in (aerobic and resistance).
• Outcome expectations and identified regulation of motivation.
• Proximal intentions (goals)
Drive safely (how to exercise safely) Provide men with tailored information regarding safety implications to promote educational empowerment. Provide an understanding of when exercise should be terminated to avoid risk of injury. Cancer-specific considerations that may impact the safety of exercise prescription; specifically, current treatment/disease side effects (e.g., fatigue, neuropathy) and treatments (e.g., chemotherapy, androgen deprivation therapy). Co-morbidities (e.g., diabetes, osteoarthritis) were also taken into account [10, 49]. • Self-efficacy
• Outcome expectations/knowledge
How are you tracking? (map your progress each week) Facilitate self-monitoring of exercise behaviours and exercise outcomes, with the aim of strengthening self-regulation. Date, frequency of exercise, satisfaction with goal, motivation, planning score, habit scores, perceived fitness and overall fatigue, mood and pain. • Self-efficacy
• Self-regulation
• Intentions
Making it last (strategies for building lasting exercise habits) Support the adoption and maintenance of health-enhancing exercise behaviours. Structured exercise programme status (interested but not commenced, commenced but finding it hard to adhere to, commenced and finding it easy to adhere to), barrier self-efficacy, exercise planning behaviours, automaticity of exercise. Adoption
• Self-efficacy
• Self-regulation
• Intentions
Maintenance
• Intrinsic motivation
• Enjoyment
• Automaticity (habits)
Exercise + (what else can you do to keep healthy?) Increase health literacy regarding other lifestyle factors that may impact on health and quality of life besides structured exercise. Provide links to further information. Provide men exhibiting high distress with information on where to find help. Current diet, sitting time, alcohol consumption, sleep quality, hot flushes, distress. • Increasing knowledge
• Sign-posting
• Competence
Where else can I get help? Facilitate access to additional support needed in order to improve lifestyle behaviours and quality of life. Topics of interest (diet, exercise, distress, sleep, symptom management, clinical trials), preferred forms of help (e.g. guidance from a professional, booklets), and interest in advice specific to Aboriginal or Torres Strait Islander people, people who have English as a second language and/or people in the LGBTIQ community. • Increasing knowledge
• Sign-posting
• Human support