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Table 3 Developing an intervention climate rich in structure (supporting competence)

From: Developing and testing the feasibility of a theory-based brief counseling intervention to promote physical activity in breast cancer survivors enrolled in the PAC-WOMAN trial

Basic psychological need

Key processes targeted (mechanisms of action)

Motivational and behavioral change techniques (active ingredients)

Session activities (examples)

Competence

Set optimal challenges

Assist participants in identifying the level of change they are ready or realistically able for (changes that can be readily mastered and not overly stressful or demanding)

[BCT 1.1, 1.3, and 1.6; MBCT 17]

When setting SMART PA goals and action plans, in session 2, the need for them to be personally relevant and achievable for each participant was emphasized

Focus on process/progress and not outcomes per se

[BCT 1.5, 1.7, and 2.3; MBCT 10 and 20]

At the end of the intervention, on session 8, participants were encouraged to frequently review their goals

Prompt the use of self-regulatory skills

Handing out a participant handbook, exercise booklet, self-monitoring device

[BCT 2.3, 2.6, 4.1, 6.1, 8.1, and 8.7; MBCT 6, 7, and 20]

All participants were offered an activity tracker for self-monitoring PA in the first session

Identify sources of instrumental support

Explore sources of social support outside the program

[BCT 1.4 and 3.1; MBCT 14 and 19]

During session 4, participants were asked to draw a map with their daily activities and spaces they visit often and think about how they can seek support from someone else in each of those contexts

Prompt vicarious and experiential learning

Stimulate within group exchanges on new experiences or barriers (and how to overcome them) related to behavior change

[BCT 1.2, 3.1, 12.1, 12.2, and 12.3; MBCT 15, 19, and 21]

Identifying potential barriers to practicing PA and having participants, as a group, try to come up with solutions was an activity from session 5