Table 1.
Session | Title | Summary of content | Homework |
---|---|---|---|
1 | What is MS-related fatigue? | General introduction; expectations, icebreaker (quiz); types of fatigue; contributory factors; conceptual model of fatigue in MS | Activity/fatigue diary |
2 | Opening an ‘energy account’ | Rest (functions; barriers); relaxation types and techniques; sleep hygiene | Rest/sleep/activity planner; energy measure |
3 | Budgeting energy and ‘smartening up’ goals | Types of activity; balancing activity and rest; moderating activity; toolbox; lifestyle factors, (including exercise, diet); goal setting | Setting S.M.A.R.T. goals exercise |
4 | Stress and the CB model | Stress response; ways of coping with stress; introducing the CB model | ‘Unhelpful thoughts related to fatigue’ diary |
5 | Putting unhelpful thoughts ‘on trial’ | Unhelpful thought patterns; challenging unhelpful thoughts related to fatigue; levels of belief | Thought challenge sheet |
6 | Recapping and taking the programme forward | Revisiting expectations; introducing the ‘forcefield’; group activity to revisit programme themes; ‘Keeping on Track’ planner | ‘Keeping on track’ planner |
CB, cognitive behavioural; MS, multiple sclerosis; S.M.A.R.T., ‘Specific; Measurable; Achievable; Realistic; Time for review’.