Table 3 Strategies GPs use to encourage patients to be active and involved in their care

Exercising with others to improve motivation and adherence

“When patients tell me they exercise with their husband or their neighbour I know that they will probably be more committed as it’s a shared thing. It’s pleasant, they have a connection and they’re not walking on their own” (GP6)

Enjoying different activities that are not restrictive, easy to set up, and accessible, while avoiding injuries through gradual recovery

“The activity must vary because otherwise they get bored, they give up (…) they often set goals that are too aggressive, too fast and they get discouraged” (GP8)

Changing everyday habits

“Parking further away, walking, taking the stairs” (GP10)

“Don’t take the car, use a bike. Walk or use public transport. Don’t use the elevator, take the stairs. Walk the dog. Do your shopping on foot if it’s for a baguette and not very far” (GP14)

Giving patients choices to improve adherence

“If you impose something on them, it won’t work so well. Patients will choose according to who they are, their environment, and their lifestyle” (GP9)

Stopping patients from feeling guilty if they don’t achieve their goals

“Patients should do as well as they can” (GP8)

Prescribing physical activity, in particular APA

“Sometimes when we have the chance, I don’t know if it’s luck, but if they have lower back pain and diabetes I’ll give them a prescription to play sports. Like that it’s prescribed by the Doctor, I don’t know why but when it’s prescribed by the doctor it’s always more motivating” (GP8)