1 BOOSTER CALL SCRIPT FIT RCT 2016 “Hi there it’s Linda from Plymouth University. How are you doing?” “That’s great. Are you still available for around 15 minutes to discuss how you are getting on with working on your activity and weight loss goal?” “First of all, I’d like to talk a bit about how it has been- working on your physical activity levels and diet recently, since you started the research study”. Elicit some detail: “How has using mental imagery been for you over the past weeks?” “Is that what you expected?” “How many times a day do you usually use it?” “What kind of situations are you using it in?” “How are you getting on with the app?” “Did you know you can attach your own photos to the practise audios if you like?” ------“Is there anything that’s changed or that’s different in terms of healthy eating or activity levels since we last talked?” (Write down anything that may be useful in the later discussion of motivation or plans) IF YES “What have been the positive effects of being more active? And about making some changes to the way you eat?” “What strategies did you use to achieve that?” “Great, it sounds like things are really going your way. Well done.” “Are you thinking about adding another activity or increasing the time spent being active now?” “Have you considered making some additional changes to how you eat/cook or shop?” “Is there anything that would get better when making those changes?” “Ok, great; let’s imagine doing those things the next week or so, just to see if it could be helpful.” Engage in imagery: 2 If no changes to activity levels or diet identify any partial successes and focus on those (e.g., ate less than usual, did a bit more walking than usual) and review original incentives (why), planned strategies (how) and past successes (wins) “Sorry to hear that things haven’t been going so well. But what you are telling me (partial changes) is already a big step in the right direction, well done. It might be helpful if we reflect back on some of the things we covered in our sessions together”. “You were thinking about making a change because [summarise reasons for change] and you thought you might do this by [summarise planned strategies] and you knew you could do this because [summarise past successes]”. “Have any of those things changed?” Guide participant through doing mental imagery of one or more of those areas, based on participant’s choice or which one may be most helpful based on the participant’s circumstances. 3 Identify barriers to use of mental imagery “Is there anything making it difficult for you to use mental imagery?” If yes, identify barriers, problem solve for how they might be overcome and guide participant through imagining implementing plan. For All: Identify upcoming risk situations: “Are there any risky situations coming up that might be challenging for sticking to your goal? Or have there been times you’ve been feeling more challenged with your goal than other times?” Guide the participant through problem solving for risky or difficult situations and guide them through using mental imagery in that situation. Advise participant to review the material from the face-to-face session and encourage them to engage support (e.g., GP, family members) if they haven’t already done this. Briefly summarise the session “Excellent. That’s all I had to ask you today. Thank you very much for your time today. A quick summary of what we have discussed today, …..” “Does that sound okay?” If Yes: Thank for their time, If No: Adjust summary... “Is there anything that you would like to discuss about the research study?” Encourage ongoing use of mental imagery “Thank you for your participation so far. I would like to encourage you to continue to use mental imagery in your own time. Remember to practise when (behaviour or reminder) and that like any skill it will get easier and stronger with frequent practise.” Book call with participant in two weeks “Lastly, I would like to organise a time with you to complete the second booster telephone call for the study. Just a reminder that your second booster call shouldn’t take any longer than 10-15 minutes and we will discuss similar things to what we have done today. When would be a good time to give you a call in around two weeks?”
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