Table 2 Design of a group-based educational and physical training programme (Great) self- management support programme
Physical exercise | Self-management education |
|---|---|
0-8 weeks | |
1-hour sessions, twice a week for 8 weeks. Led by local physiotherapists. | 2-hour sessions, once a week for 6 weeks. Led by local health professionals. |
Principles: | Themes: |
1.Warm-up (15-20 min): exercises for large muscle groups. | 1. Establish the group. Assess expectations. Confidentiality. |
2. Work-out (30 min); strength, endurance, balance, mobility. | 2. Activity and social participation; recommendations and possibilities. |
3. Moderate intensity (12-15 on Borg RPE scale) with peaks of higher intensity. | 3. Chronic disease(s). Self-management, coping strategies, personal choices. |
4. Slow- down, stretching, relaxation (10-15 min). | 4. Family, friends, working situations. Chronic disease from relatives’ perspectives. |
5. Communication and cooperation. Interaction with health professionals. | |
6. How to move on. Personal goal- setting. Evaluation. | |
8 weeks -11 months | |
No supervised exercise activities | 3- 4 telephone calls from a local health professional (1 every eight week). |
11-12 months | |
1-hour sessions, once a week for four weeks. Led by local physiotherapists. | One 2 hours follow-up session; Up-date of previous themes, decisions on personal goals after completion at 12 months. Led by local health professionals. |