Healthcare | Free Full-Text | The Development of a Multi-Modal Cancer Rehabilitation (Including Prehabilitation) Service in Sheffield, UK: Designing the Active Together Service

Education Information about emotional consequences (5.6) Feedback on behaviour (2.2) Self-monitoring of behaviour (2.3) Reduce negative emotions (11.2) Information about health consequences (5.1)

• Participants are informed of the benefits of enhancing their fitness, optimising nutrition, and managing mental well-being prior to cancer treatment.

Persuasion Credible source (9.1)

• Trained professionals deliver all aspects of the service (see Section 2.6 Active Together Workforce).

Information about emotional consequences (5.6) Feedback on behaviour (2.2) Verbal persuasion and capability (15.1) Training Demonstration of the behaviour (6.1) Instruction on how to perform a behaviour (4.1) Feedback on behaviour (2.2) Self-monitoring of behaviour (2.3) Graded tasks (8.7) Behavioural practice/rehearsal (8.1) Biofeedback (2.6) Environmental restructuring Adding objects to the environment (12.5)

• Patients can access heart-rate monitors, wearables, logbooks, and resistance bands to facilitate unsupervised sessions.

Reduce negative emotions (11.2) Modelling Demonstration of the behaviour (6.1) Enablement Goal setting (behaviour) (1.1) Goal setting (outcome) (1.3)

• Collaboratively setting outcome-related goals, such as achieving or maintaining a certain weight or body mass index (BMI), to monitor progress and motivate patients.

Adding objects to the environment (12.5)

• Patients can access heart-rate monitors, wearables, logbooks, and resistance bands to facilitate unsupervised sessions.

Problem-solving (1.2)

• The patient is prompted to identify barriers and solutions to lifestyle change with the Active Together team (physiotherapist, dietitian, and fitness instructor).

Action planning (1.4) Self-monitoring of behaviour (2.3) Generalisation of target behaviour (8.6)

• Patients are advised to apply exercise, nutritional, and psychological techniques they have learnt at home.

Review behaviour goal(s) (1.5)

• Fitness instructors/physiotherapists/dieticians/psychologists review patient’s progress in achieving behaviour-related goals, providing support, and adjusting strategies as needed.

Review outcome goal(s) (1.7) Social support
(emotional) (3.3)