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Table 2 Topics to be addressed in the intervention

From: Keeping Active with Texting after Stroke (KATS): development of a text message intervention to promote physical activity and exercise after stroke

Topic

Sources of informationa

Reduce feelings of abandonment and isolation

PPI

Literature

Provide continuity from rehabilitation

CRT CWG

Encourage participants to continue with exercises and activities recommended by therapists and stroke nurses

CRT

CWG

Encourage participants to work towards goals agreed with therapists at the end of rehabilitation

CRT

CWG

Build on the goals agreed by therapists at the end of rehabilitation

CRT

CWG

Move on to setting personal goals (without therapist input)

PPI

CWG

Suggest setting goals for activities participants would enjoy (to increase maintenance)

PPI

CRT

HAPA

Encourage planning how to return to pre-stroke activities

CRT

CWG

HAPA

Provide examples of goals and plans

HAPA

PPI

Use quotes from people with stroke:

• To demonstrate they are not going through it alone

• To model intervention components, e.g. goal setting

HAPA

PPI

Interviews

Encourage enlisting the support of family members and friends

HAPA

Literature

Give examples of how family and friends can help

CRT

Literature/guidelines

Address low self-efficacy

Literature

PPI

Interviews

Encourage people to walk (safely) outside

Literature/guidelines

Suggest engagement with online resources for physical activity

PPI

CWG

Suggest self-monitoring of activities (provide a blank calendar)

PPI

HAPA

Literature

Encourage regular reflection on progress

HAPA

Literature

Explain and model coping planning, e.g. what to do in bad weather, when fatigued, when exercising becomes tedious

HAPA

PPI

Provide prompts to be active

Maintenance model

PPI

Encourage habit formation

HAPA

Maintenance model

Promote maintenance in the long term

Maintenance model

CWG

Use humour to engage and maintain interest

Literature

  1. aAbbreviations used in Table 2. PPI public and patient involvement; CRT, Core Research Team; CWG, Collaborative Working Group; HAPA, Health Action Process Approach