Feasibility and Acceptability of a Remotely Delivered Physical Activity and Exercise Management Plan for Females in the Menopausal Transition

This is a mixed-methods, single-arm, non-randomised feasibility and acceptability implementation trial. It will replicate the structure and function of the GP Chronic Condition Management Plan (GPCCMP) framework. This design enables testing of a comparable model for females in the menopausal transition (MT) without utilising the existing Medicare Benefits Schedule (MBS) scheme. The intervention will run over twelve months and include five individual Exercise Physiology sessions. All sessions will be delivered via a secure online platform (Microsoft Teams) to enhance accessibility, particularly for individuals facing geographic, time-based, or logistical barriers to in-person care. Each consultation will be 50 minutes in duration and consultation-based. Sessions will focus on education, behaviour change support, and individualised exercise prescription. Exercise demonstrations may be provided where clinically appropriate; however, participants will not complete full supervised exercise sessions during consultations. Education will include menopause-specific and general physical activity information, such as: Benefits of physical activity for menopausal symptoms, bone health, cardiometabolic health, and overall wellbeing, Australian Physical Activity Guidelines, Behaviour change strategies (e.g., goal setting, self-monitoring, problem-solving), Principles of exercise progression and safe participation, Strategies for overcoming individual barriers to physical activity. Participants may be directed to accredited, evidence-based educational resources tailored to their needs. Participants will receive an individualised exercise program and physical activity advice designed for independent implementation. Programs will be tailored to participant goals, preferences, baseline activity levels, symptoms, and contextual factors, reflecting usual clinical practice. Programs may include aerobic, resistance, flexibility, and balance training as appropriate. Examples of exercises that may be prescribed include: Home-based exercises: squats, lunges, push-ups or Gym-based exercises: leg press, lat pulldown, shoulder press Exercise prescription parameters (e.g., frequency, intensity, duration, sets, repetitions) will be individualised, and progression principles will be explained during the consultations. Programs may be modified following subsequent consultations if deemed clinically appropriate by the AEP. Adherence to the intervention will be assessed by recording attendance at scheduled consultations and collecting information on exercise performed between sessions.