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. 2024 Nov 5;12:626. doi: 10.1186/s40359-024-02057-1

Table 1.

Content of the SMILE intervention

Session Content
Session 1

Introduction – Sleep education and hygiene

- Biology of sleep, effects of sleep deprivation, importance of sleep in physical and mental wellbeing

- Sleep hygiene (behaviours that promote healthy sleep), e.g., sleep schedule, avoiding daytime napping, and limiting coffee and substance use

- Stimulus control (strengthen the bed as a cue for sleep)

- Sleep restriction (limiting the hours in bed)

- Homework: Applying the sleep hygiene rules and adjusting the sleep schedule based on sleep restriction if necessary

Session 2

The Mind – Dealing with negative thoughts

- Concept of cognitive arousal and its impact on sleep

- Cognitive behavioural techniques (e.g., thought records)

- Dysfunctional thoughts about sleep or non-sleep related

- Constructive worrying and positive refocusing

- Homework: To complete the thought record exercise and/or the constructive worrying exercise

Session 3

The Body – Relaxation and Mindfulness

- Dealing with stress and arousal

- Deep (diaphragmatic) breathing

- Progressive muscle relaxation

- Mindfulness practice directed at challenging automatic reactions to stress, increasing awareness to the present moment, and letting go of negative thoughts associated with sleep

- Homework: Practicing a mindfulness or relaxation exercise at least once a day through one of the suggested exercises. Filling out the mindfulness worksheet and the relaxation worksheet

Session 4

The Whole – Lifestyle Issues

- Cognitive and behavioural patterns influencing sleep

- Dysfunctional coping, such as substance use (alcohol, drugs, smoking) and emotional eating

- Lifestyle topics such as flexibility and planning, perfectionism, burnout, diet, self-acceptance

- Emotion focusing and processing

- Summary and relapse prevention plan

- Homework: Applying the knowledge and exercises of this intervention in daily life and using the relapse prevention plan