Table 1.

Anathema’s structure and content.

Module	Intervention components	Content
Let’s talk about sexuality? (week 1)	Psychoeducation	Concepts underlying sexuality Male and female anatomies and erogenous zones Sexual response and sexual pleasure Sexual health, sexual rights, and their importance Activities: Setting my personal goals within Anathema, and I get pleasure from…
When aging and illness come in the way (week 2)	Psychoeducation (tailored to each study population)	Successful aging Sexual expression in older age Physiological, cognitive, and emotional changes in older age Sexual problems and sexual dysfunction in older age Biopsychosocial changes associated with colorectal cancer (CRC) and stroke, and their impact on survivors’ sexual health Activities: Practicing self-compassion, and identifying and classifying the changes I experience in my sexual life due to aging, CRC, or stroke
Emotional and physical intimacy (weeks 3-6)	Psychoeducation Cognitive restructuring Mindfulness Communication skills training Sensate focus	Sexual beliefs, thoughts, and emotions, and their impact on sexuality Identifying, evaluating, and modifying maladaptive thinking Interpersonal relationship and communication issues commonly associated with aging, CRC, and stroke Restoring interpersonal relationships and intimacy Activities: Rational disputation, diary of thoughts and emotions, practicing mindfulness, identifying and overcoming relationship stressors, improving communication, and sensate focus
Exploring one’s sexuality (week 7)	Psychoeducation Mindfulness exercises Sexual skills training	Giving and receiving pleasure: eroticism, masturbation, and intercourse Sex aids and strategies to enhance sexual pleasure and satisfaction Activities: Practicing mindfulness and identifying treatment options
Planning for a long-term fulfilling sex life (week 8)	Relapse prevention	Overview of Anathema and progress evaluation Strategies to maintain progress and prevent setbacks Promotion of a healthy lifestyle as key to better sexual health Activities: Managing therapeutic progress, and strategies to enhance sexual pleasure and satisfaction