Table 3.

Treatment content in the psychoeducational program and cognitive behavioral therapy program in the PARACHUTES trial.

	Intervention
Treatment content	iPP	iPP + Fluoxetine	iPP + iCBT
Module 1
Perspectives on how psychoeducation can support behavioral change	X	X	X
Information about treatment with fluoxetine		X
Presentation of the overall treatment goals	X	X	X
Introduction to CBT			X
Worksheets:
Registration of problematic sexual behaviors			X
Identifying issues and setting goals			X
CBT triangle			X
Reflection exercise:
Reflect on issues highlighted in the module	X	X
Module 2
Description of SIC and other paraphilias/paraphilic disorders	X	X	X
Information about the consequences of victimization of sexual abuse	X	X	X
Information about why children can never give consent to sexual activity	X	X	X
Information about Swedish laws that criminalize the sexual abuse of minors	X	X	X
Worksheets:
Identify and challenge distorted beliefs about children’s sexuality			X
Registration of problematic sexual behaviors			X
Reflection exercise
Reflect on issues highlighted in the module	X	X
Module 3
Description of compulsive sexual behavior disorder	X	X	X
Information on the importance of consent for sexual activities between adults	X	X	X
Information about psychiatric comorbidity	X	X	X
Information about self-care interventions	X	X	X
Worksheets:
Registration of problematic sexual behaviors			X
Reflection exercise:
Reflect on issues highlighted in the module	X	X
Module 4
Identification of surpluses and deficits of sexual and non-sexual behaviors			X
Motivation			X
Perspectives on self-care, setbacks, and “when to ask for help”	X	X
Worksheets:
Pros and cons of behavioral change			X
Inventory of behavioral surpluses and deficits			X
Registration of problematic sexual behaviors			X
Reflection exercise:
Summary of interventions	X	X
Module 5
Introduction to functional behavior analysis			X
Presentation of “chain analysis” as a tool for behavioral change			X
Worksheets:
Chain analysis			X
Registration of problematic sexual behaviors			X
Module 6
Psychoeducation about sexual urges			X
Psychoeducation about emotions			X
Psychoeducation about negative thought patterns			X
Worksheets:
Cognitive restructuring			X
Observing emotions			X
Registration of problematic sexual behaviors			X
Module 7
Mindfulness: techniques and practices			X
Information on how to create a personal risk card			X
Worksheets:
Risk card			X
Registration of problematic sexual behaviors			X
Module 8
Introduction to values and value-based goals			X
Introduction to behavioral experiments			X
Worksheets:
Identification of values “bullseye”			X
Goals based on values			X
Behavioral experiment			X
Registration of problematic sexual behaviors			X
Module 9
Social needs, social anxiety, and impairment in social functioning			X
Assertiveness and commonly used communication behavior styles			X
Social skills training			X
Worksheets:
Assessment of assertive communication skills			X
Behavioral experiment – “alternative communication style”			X
Registration of problematic sexual behaviors			X
Module 10
Perspectives on setbacks, relapse, and “when to ask for help”			X
Introduction to design a personal maintenance and relapse prevention program			X
Worksheets:
Maintenance and relapse prevention program			X
Summary of treatment			X
Registration of problematic sexual behaviors			X

iPP, internet-delivered Psychoeducational Program; iCBT, internet-delivered Cognitive Behavioral Therapy; SIC, Sexual Interest in Children.