Intervention component/HAPA constructs | Description | Behaviour Change Techniques [27] *denotes core BCTs |
---|---|---|
Discuss benefits of walking with dyad | Increase motivation to walk by discussing benefits of walking after stroke for physical and mental health and maintaining and improving walking and recovery. Discuss barriers and how others have addressed them by drawing on positive experiences of other PWS. Introduce handbooks | 3.1.Social support (unspecified)* 5.1.Information about health consequences 5.2.Salience of consequences 5.3.Information about social and environmental consequences 5.6.Information about emotional consequences 11.2.Reduce negative emotions 15.1.Verbal persuasion about capability |
Discuss working as a dyad | Explain dyadic working. Discuss how the dyad can work together to develop goals and plans to support walking. Discuss role of walking buddy and benefits of social support for walking. Discuss potential benefits for buddy | 1.9.Commitment 3.1.Social support (unspecified)* 12.2. Restructuring the social environment |
Identify and set personally meaningful walking goals | Explore and develop intentions to walk more. Encourage the dyad to agree personally meaningful walking goals for the PWS, based on the capabilities and desires of PWS. Agree how buddy will provide support (the buddy may not always walk with the PWS) | 1.1.Goal setting (behaviour)* 1.3. Goal setting (outcome)* 3.1.Social support (unspecified)* |
Action Planning | Suggest that the dyad makes an action plan after they have set a goal. Explain that when a meaningful, shared goal based on step counts, time spent walking and on desired activity or walking route has been agreed, laying out a plan provides a way to help achieve their goal. Plan when, where, and how much they will walk for the week ahead | 1.4.Action planning* 3.1.Social support (unspecified)* 7.1.Prompts/cues 8.1Behavioral practice/ rehearsal |
Monitor progress, coping planning | Identify and agree a self-monitoring strategy. Select personally relevant monitoring approach: step-count using pedometer provided or monitor time spent walking, distance, places walked to. Provide pedometers. Discuss completion of activity diary. Anticipate challenges and discuss ways the dyad can negotiate ways to overcome them when they arise | 1.2 Problem-solving* 2.3.Self-monitoring of behaviour* 2.4.Self-monitoring of outcomes of behaviour* 3.1.Social support (unspecified)* 4.1Instruction on how to perform the behaviour |
Reviewing goals, problem-solving and maintenance | Review goals with the dyad, review diaries and progress made towards goals. Review action plans, discuss lessons learned, offer encouragement. Discuss goal revision and review how the dyad is working. Explore challenges encountered, setbacks. Discuss coping planning and discuss building support and reminders to include walking into everyday life | 1.2.Problem solving* 1.5.Review behaviour goal(s)* 1.6.Discrepancy between current behaviour and goal 1.7.Review outcome goal(s)* 2.2. Feedback on behaviour 2.7.Feedback on outcome(s) of behaviour 3.1.Social support (unspecified)* 7.1.Prompts/cues 8.3 Habit formation 13.5.Identity associated with changed behaviour 15.1.Verbal persuasion about capability 15.3. Focus on past success |