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Table 4 Example matrix for change objectives aiming at increasing physical activity (behavior)

From: Use of intervention mapping to adapt a health behavior change intervention for endometrial cancer survivors: the shape-up following cancer treatment program

Performance objectives

Change objectives

BCTs

Theory

Practical application

S/SB/B

PO 1. Reduce sedentary behaviors

OE 1.1. Assess their current PA and evaluate required PA changes

Feedback on behavior

CT

Complete a quiz about physical activity levels and receive written feedback based on their score.

SB

OE 1.2. Understand the difference between physical activity and exercise

Framing/reframing

CT

Understand that exercise is only one of a range of physical activities that can promote health

S

KN 1.1. Recognize the benefits of PA

Information about health and emotional consequences

SCT

Know about the physical and emotional benefits of physical activity

SB

Know about the link between physical activity and sleep

 

SE 1.1. Express confidence in being more physically active

Problem solving

SCT

Identify potential barriers to physical activity and generate strategies to overcome them

SB

SE 1.2. Express confidence in reducing sedentary behaviors

Instructions on how to perform the behavior

SCT

Recognize ways of reducing sedentary behaviors

B

   

Recognize ways of improving sleep quality

B

GO 1.1. Set a goal to reduce sedentary time

Behavioral goal setting

SCT

Set a SMART physical activity goal based on GO 4.1.

S

  1. Determinant-specific change objectives target each performance objective (PO). The determinants were outcome expectations (OE), knowledge (KN), self-efficacy (SE), and goals (GO). The BCTs and practical applications are present only in the sessions (S); both in the sessions and the booklet (SB); or only in the booklet (B). BCTs: Behavior Change Techniques, CT: Control Theory, SCT: Social Cognitive Theory