Table 1.

Summary of the content of the BReF manual

Chapter	Content	Between sessions task
ReF explained	Understanding ReF and alternative explanations A model for ReF Assessment of fatigue	Fatigue self-monitoring
Finding balance in activities and rest	Patterns of rest and activity and its effects on the body Planning activity and rest Exercise	Activity difficulty task Activity and rest goal sheet
Improving sleep	Sleep hygiene Maladaptive sleep patterns Improving sleep	Sleep, activity and rest goal sheet
Learning to relax	Diaphragmatic breathing Progressive Muscle Relaxation (PMR) Relaxation training: step-by-step	Relaxation diary
Coping with emotions	Strategies to cope with negative emotions Self-assessment of negative emotions Expressing emotions	Coping with negative emotions goal sheet
Managing stress	General tips to reduce the impact stress has on your life Managing controllable and uncontrollable stressors Mindfulness	Managing stress goal sheet
Making use of your social support	Creating a support network Disclosure versus keeping it to self Social comparisons	Social support goal sheet
Becoming aware of your thinking	Common unhelpful thoughts Identifying unhelpful thinking	Thought record
Changing your thinking	Identifying alternative thoughts	Alternative thoughts goal sheet
Preparing for the future	Sustaining and building on improvements Developing future goals Tips for everyday life	Long-term goals worksheet

BReF, cognitive-behavioural therapy for renal fatigue; PMR, progressive muscle relaxation; ReF, renal fatigue.