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. 2017 Aug 17;12(8):e0183286. doi: 10.1371/journal.pone.0183286

Table 1. Structure and content of intervention programme.

Sessions Cognitive strategies Behavioural strategies
Session 1: Introduction and psychoeducation Education about PSF: Reassure the participant that impact of PSF is reversible Activity and sleep diaries: Identify targets to facilitate the improvement of PSF
Session 2: Goal setting and activity planning Goal setting: Set goals to develop a balance between daily activities, rest and sleep Activity planning: Divide goals into small and manageable steps; specify activities to work toward the goals
Session 3: Progress assessment and goal modification Goal modification: Modify goals according to participant’s progress and, where applicable, gradually increase participants’ activity levels Activity rescheduling: Adjust activity plan according to the new goals
Session 4: Cognitive restructuring Challenging unhelpful thoughts: Identify participant’s thoughts about PSF that invoke unpleasant emotions and relevant behavioural responses; discuss alternative, more positive and realistic thoughts Acting against unhelpful thoughts: Foster behavioural changes according to the alternative thoughts
Session 5: Dealing with blocks and setbacks Identifying factors that block progress: Discuss potential blocks to progress; reinforce the challenge of unhelpful thoughts Managing blocks and setbacks: Take action to overcome factors that block progress
Session 6: Overview and future planning Review of learned skills; summary of achieved goals; making future plans Providing worksheets for future use
Booster session Reviewing the progress in overcoming fatigue in the past month; negotiating plans to make further improvement