Intervention component | Aim | Content | Process and outcome evaluation |
---|---|---|---|
Use client-centred approach in clinic. | Develop rapport with client, building trust, and shared respect. | Effective communication skills. Exhibit empathy, listen, reflect, summarise. | Clients individually able to talk about their physical activity and smoking experiences. |
Elicit beliefs about quitting and physical activity as a behavioural strategy. | Increase self-awareness and build confidence to quit, using behavioural and pharmacological support. | Clients identify pros & cons of quitting and aids for quitting. Focus discussion on physical activity through direct and vicarious experiences of clients. | Clients identify physical activity as a promising behaviour to aid smoking cessation. |
Cognitive processes to promote physical activity as a smoking cessation aid, alongside other aids. | Increase pros and reduce cons for physical activity and increase self-efficacy and outcome efficacy. | Facilitate client discussions to introduce physical activity as a behaviour that is not just structured exercise, and helps to manage cravings, withdrawal symptoms & weight. | Clients increase beliefs in physical activity as a coping strategy and aid to quitting. |
Behavioural processes to increase physical activity as a smoking cessation aid, alongside other aids. | Develop behavioural strategies to increase physical activity. | Set SMART goals with clients to increase physical activity. Think about timing of physical activity, mood and avoiding lapses. Signpost to physical activity/exercise opportunities & remove barriers to do physical activity. Elicit social support for physical activity. | Self-monitoring used (e.g. pedometer worn and physical activity diary kept). Rewards and reinforcement contingencies established. |
Review and reflect on increased physical activity. | Build confidence and perceptions of control, & ability to self-regulate mood and cravings with physical activity. | Client reflects on physical activity successes and sets new targets. Identify identity shifts (e.g. smoker to exerciser). Highlight physical activity related mood and well-being. | Client increases confidence to do more physical activity and stay quit. |