Table 2.

Description of Psychoeducational Support Intervention Sessions

	Session Theme	Didactic Teaching	Invited Sharing	Readings & Home Practice
1	Orientation	Explain purpose of group Group guidelines Overview of 8 sessions Provision of FSI and scoring instructions to track CRF over time	Experiences living with CRF	Read “Fight Fatigue” Read ASCO handout on common side effects/late effects of treatment Complete FSI on regular basis to track CRF over time (optional)
2	Fatigue & Lingering Effects of Cancer	CRF and other lingering and late effects of treatment Strategies for symptom management	Steps taken to manage fatigue and related symptoms How symptoms have affected daily living	Read “A Good Night’s Rest” Practice at least 1 strategy from “The Rules of Good Sleep Hygiene”
3	Restorative Sleep	Sleep and sleep problems Relationship between sleep disturbance and CRF Sleep hygiene	Factors that improve and interfere with sleep quality	Read “Monitor Your Mood” Read ACS “Getting Help for Fatigue” Sleep problems survey (optional) Complete 7-night sleep log (optional)
4	Mood	Common emotional responses to cancer, treatment, side effects, and survivorship Monitoring mood and distress triggers Strategies for improving moods	How emotions have varied from diagnosis, through treatment, and during post-treatment survivorship Effective strategies for coping with difficult emotions	Read “Nourishing Your Body” Keep food diary Notice patterns between intake and energy level
5	Nutrition	Eating to maximize energy and maintain healthy weight (e.g., healthy food choices, eating small/frequent meals/snacks, adequate protein, limiting concentrated sweets, staying hydrated) Risks of eating in response to emotional triggers	Patterns of food choices and the impact of daily activities and stress on these Challenging cultural and societal influences on food intake	Read “Love and Be Loved”
6	Relationships	Impact of CRF on relationships Caring for others and oneself	Positive and negative changes in relationships since cancer diagnosis New things learned about self and others while dealing with fatigue and other aspects of the cancer experience	Read one article per day from CURE magazine
7	Exercise & Survivorship Care	Link between lack of exercise and fatigue Review of evidence supporting exercise as an effective intervention for fatigue Starting and maintaining a safe exercise program Survivorship care plans Cancer surveillance	Potential benefits of and barriers to increasing physical activity Being healthfully responsible for continued well-being as a cancer survivor	Daily practice at least one skill learned from previous group sessions
8	Conclusion/Wrap-up	Provision of clinical practice guidelines for CRF, with encouragement to discuss with medical team if fatigue persists Summary of key points of sessions Suggestions on how to maintain progress made during the course	Discussion of what was most helpful/memorable and what each participant hopes to continue practicing Final comments and feedback about the group experience

Note. Abbreviations: FSI=Fatigue Symptom Inventory. CRF=cancer-related fatigue. ASCO=American Society of Clinical Oncology. ACS=American Cancer Society.