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. 2023 Sep 6;13(9):e072410. doi: 10.1136/bmjopen-2023-072410

Table 2.

Content of the smartphone-delivered behavioural activation and mindfulness practice programme

Week Contents
0 45 min psychoeducation on caregiving and depression
  1. Overview of depressive symptoms

  2. Cause and how to manage them

  3. Caregiving role and demands

  4. Impact of the caregiving burden

1 Behavioural activation (30 min per session, total of 16 sessions) Mindfulness practice (30 min per session, total of 16 sessions)
Review the present use of time
Use the monitoring form
  • Establish the orientation of the class

  • The Raisin exercise (eating meditation)

  • 12 min body scan

  • Feedback and discussion of the exercise

2 Brainstorm pleasant events
Schedule pleasant activities
  • Practice review

  • Exercises on thoughts and feelings

  • 12 min body scan

  • Brief mindfulness breathing

3 Review scheduling of events
Discuss how to improve
  • Exercises focusing on unpleasant experiences

  • Practising seeing and hearing

  • Sitting meditation (awareness of breath and body, and of responses to painful sensations)

  • 3 min breathing space

  • Mindful stretching and breath meditation

4 Review modifications
Consolidate gains on scheduling
  • Practice review

  • Practising seeing and hearing

  • Mindful communication

  • 3 min breathing space

  • Sitting meditation (awareness of breath, body and sounds, then of how we relate to our experience through the reaction)

5 Review present social support
Explore new sources of support
  • Practice review

  • Mindful walking

  • 3 min breathing space

  • Sitting meditation (awareness of breath, body and sounds, then of how we relate to our experience through the reaction)

6 Examine communication skills
Explore new options
  • Practice review

  • Sitting meditation

  • Exercises on thoughts and alternative viewpoints

  • 3 min breathing space (responsive)

7 Review new communications
Discuss how to improve
  • Practice review

  • Sitting meditation with breath, body, sounds

  • Activity and mood exercise

  • Identifying habitual emotional reactions to difficulties

  • 3 min breathing space (responsive)

8 Review modification
Consolidate gains on support
  • Practice review

  • 12 min body scan

  • Exercise on looking forward

  • Exercise on preparing for the future