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Table 3 Behavioural strategies underpinning the PROSPER intervention

From: Development of an exercise intervention for the prevention of musculoskeletal shoulder problems after breast cancer treatment: the prevention of shoulder problems trial (UK PROSPER)

Behavioural strategy Description
Collaborative goal setting The physiotherapist helps the participant to set a long-term upper limb functional or PA goal, such as returning to gardening or safely lifting grandchildren. Completing the prescribed exercises are set as a short-term goal; these are then linked to achieving longer-term goals. Ensuring that the participant understands the link between the short and long-term goal is a key part of the adherence strategy.
Confidence scale Participants are asked to rate their confidence to complete the prescribed exercises on a 10-point Likert scale. If a participant has low confidence (defined as < 7 out of 10 in the Health Trainers Manual), then the physiotherapist will explore reasons for this and will problem-solve solutions to improve confidence in ability to exercise.
Implementation intentions Participants identify when and where they will complete both their exercises and their exercise diary.
Exercise diary Participants will complete an exercise diary for review at each appointment. This diary provides immediate feedback and self-monitoring, and serves as a reminder to complete their exercises.
Hurdles and facilitators At review appointments, any barriers to successful completion of the home exercises are explored. The physiotherapist will help the participant find solutions by identifying factors that can facilitate regular exercise.