Table 1.
Description of Program Modules
| Module 1 Welcome | ▪ Introduction to the online program |
| ▪ Psycho-education about the effect of breast cancer on menopause, menopausal symptoms and the influence of relaxation. | |
| ▪ In-session assignment: making a schedule for reading the sessions and doing homework | |
| ▪ Homework: keeping a hot flushes and night sweats diary; practicing relaxation techniques | |
| Module 2 Hot flushes | ▪ Psycho-education about the physiology of HF/NS and the role of thoughts, feelings and behaviors |
| ▪ In-session assignment: recognizing patterns of and triggers for hot flushes; cognitive restructuring of unhelpful thoughts | |
| ▪ Homework: as before + monitoring triggers and applying helpful thoughts | |
| Module 3 From stressing to relaxing | ▪ Psycho-education about stress, the relationship between stress and hot flushes, cognitive and behavioral stress management techniques, relaxation. |
| ▪ In-session assignment: identification of stressful events, usual reaction to stress and goal setting to reduce stress | |
| ▪ Homework: as before + implementation of stress goal | |
| Module 4 Improving sleep | ▪ Psycho-education about sleep, sleeping problems and how to improve quality of sleep, cognitive and behavioral reactions to sleep problems/night sweats. |
| ▪ In-session assignment: sleep hygiene questionnaire, goal setting to improve sleep. | |
| ▪ Homework: as before + implementation of sleeping goals | |
| Module 5 My body and sexuality | ▪ Psycho-education about sexual problems and weight issues, cognitive and behavioral precipitants and consequences of sexual problems and weight issues. |
| ▪ In-session assignment: goal setting for sexual problems (if present) and weight issues (if present) | |
| ▪ Homework: as before + implementation of goals | |
| Module 6 Keep progressing | ▪ Psycho-education about the (benefits of) using an action plan. |
| ▪ In-session assignment: identification of helpful cognitive and/or behavioral strategies as discussed/learned throughout each module, goal setting for maintenance plan; identification of possible barriers and how to overcome them. | |
| ▪ Homework: as before + implementation of maintenance plan |