Table 1 Topics and information provided at each session of the behavioral modification (BM) intervention.

Week	Material Covered	Activities	Homework
1	Topic: Welcome to the SCORE study
	Introduction to behavioral modification Importance of sleep in relaxation and stress reduction Introduction to the sleep diary	Action plan: Start daily sleep diary	Daily sleep diary
2	Topic: Introduction to relaxation and healthy sleep habits
	Sleep stages and cycles Lifestyle habits that enhance or hinder sleep Review sleep hygiene questionnaire scores	Review of sleep questionnaires Review/discuss sleep diary Action plan: sleep hygiene changes	Action plan: sleep hygiene Daily sleep diary
3	Topic: Biological Sleep Need: Part 1
	Review other sleep questionnaire scores Learn about biological sleep need and spending the right amount of time in bed. Learn rationale for consistent sleep schedules	Review/discussion of sleep diary Action plan: daily sleep schedule	Action plan: sleep hygiene+sleep schedule Daily sleep diary
4	Topic: Biological Sleep Need: Part II
	Learn about the homeostatic sleep drive Learn about napping and sleeping Mindfulness strategies	Review/discussion of sleep diary Adjust sleep timing if needed Action plan: revise sleep schedule	Action plan: sleep hygiene+sleep schedule Daily sleep diary
5	Topic: The Circadian Clock
	Review circadian rhythm questionnaire scores Learn about circadian rhythms Adjust your sleep schedule if needed	Review/discussion of sleep diary Action plan: revise sleep schedule	Action plan: sleep hygiene+sleep schedule Daily sleep diary
6	Topic: Resetting the circadian clock
	Learn what impacts the circadian clock Learn how to adjust your sleep timing	Review/discussion of sleep diary Action plan: use strategies to adjust sleep timing, if needed.	Action plan: sleep hygiene+sleep schedule Daily sleep diary
7	Topic: Travel and Jet Lag
	Learn how travel across time zones can disrupt sleep Learn how to reduce sleep disturbance when traveling	Review/discussion of sleep diary Action plan: use strategies to adjust sleep timing, if needed.	Implement action plan (sleep hygiene+sleep schedule) Daily sleep diary
8	Topic: Summary and review of progress
	Discuss what you have learned so far Identify areas for more improvement	Review/discussion of sleep diary Action plan: continue with what is working, and identify other improvements	Action plan: sleep hygiene+sleep schedule Daily sleep diary
9	Topic: Stress impairs sleep and well-being
	Identify daily stress patterns Learn to “put the day to rest” Guidelines for technology	Bedtime routine Guidelines for technology	Action plan: sleep hygiene+sleep schedule+bedtime routine Guidelines for technology
10	Topic: Stress Reduction - Putting the mind to rest
	Techniques for stress reduction Learn to quiet the mind at bedtime Awareness, acceptance and letting go	Mindfulness and behavioral exercises to manage stress	Action plan: sleep hygiene+sleep schedule+bedtime routine+mindfulness Daily sleep diary
11	Topic: Relaxation - Separating from thoughts
	Techniques for relaxationObstacles to long-term prioritization of sleep	Thoughts as leaves on a stream	Action plan: sleep hygiene+sleep schedule+bedtime routine+mindfulness Daily sleep diary
12	Topic: Surfing the sleep wave
	Sleep as a priority health behavior	Letting go of worries about sleep	None