Table 1.

Cognitive-behavioral & exercise techniques presented at each class.

Session	Cognitive-behavioral content	Exercise/other content
1	Pain theories; Introduction to goal setting	Importance of exercise overview; Learn warm-up stretches
2	Goal setting – making specific plans to achieve goals Relaxation – Diaphragmatic breathing	Practice stretch exercises; Learn new set of stretches
3	Recognizing automatic thoughts and emotions	Review importance of body posture, Learn walking exercises, Learn technique(s) to monitor exercise intensity
4	Evaluating automatic thoughts; Use of positive thoughts; Visual imagery	Review body mechanics, Review and practice above exercises, introduce strength/balance exercises
5	Pleasant activity scheduling	Practice exercises listed above
6	Time-based pacing, Progressive muscle relaxation	Learn about importance of adequate hydration, Practice exercises listed above
7	Sleep hygiene	Practice exercises listed above
8	Overall review; Present strategies for program maintenance	Relapse prevention, Managing future pain flares, Practice exercises listed above