Table 2.

Group-directed CBT health improvement intervention

	Content	Aim
Week 1	Introduction to programme. Ice-breaking exercise Information on CPPS (Consultant Pain Specialist) Set goals	Facilitate group to bond. Validates pain experience Promote re-engagement with valued activities
Week 2	Education re Gate Control Theory Identify gate openers Review goals Homework re goals Homework re gate closers	Validate pain experience Foster a sense of some control Increase valued activities/quality of life
Week 3	Education re Hot Cross Bun (CBT) Introduce Thought Records Homework: complete Thought Records	Introduce cognitive behavioural Principles Begin to identify automatic thoughts
Week 4	Thought Records Homework: complete Thought Records	Identify automatic thoughts and unhelpful behavioural response. Link to emotional state
Week 5	Challenging Thoughts Homework: Thought Challenging	Challenge unhelpful thoughts. Identify more appropriate thoughts Problem-solving strategies
Week 6	Communication Skills	Problems solving strategies Identify and reduce solicitous behaviour

A programme of group-directed cognitive behavioural therapy designed specifically for men with CP/CPPS.