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. 2020 May 19;22(5):e17824. doi: 10.2196/17824

Table 1.

Weekly topics, content, exercises, and activities included in the 6-week Help to Overcome Problems Effectively (where ‘i’ indicates digital version) program.

Session Examples of content Examples of exercises and activities (self-management tools)
Week 1: Introduction/instilling hope
  • Aims of the program

  • User guide to navigating the platform and setting up a profile

  • Introduction to self-management

  • The benefits of positive emotions

  • Video: positive emotions for a flourishing life

  • The power of gratitude

  • Personalized goal setting

  • Video: how to set achievable goals

  • Forum topic: reasons for joining the program

  • Further resources and links (eg, videos, podcasts, and websites) to gratitude, positivity, and goal setting

  • Interactive gratitude diary

  • SMARTERa goal setting

  • Assessment: positivity ratio test and positive and negative emotions test

Week 2: Stress management
  • Understanding stress

  • Managing stress

  • Videos: how to manage stress and how to make stress your friend

  • Coping with unhelpful thinking patterns

  • Mindfulness for stress management and meditation

  • Self-compassion and acceptance

  • Video: how to be kind to yourself

  • Forum topic: how do you deal with cancer-related stress?

  • Further resources and links (eg, videos, podcasts, and websites) to self-compassion, mindfulness, and stress management

  • Interactive gratitude diary

  • SMARTER goal setting and goal feedback

  • Guided relaxation and meditation exercise (podcasts)

  • How to cope with unhelpful thoughts (worksheet)

Week 3: Managing fatigue
  • Understanding the boom and bust cycle

  • Using the 3 Ps (prioritizing, planning, and pacing) for managing fatigue

  • Video: tips for managing fatigue

  • Sleeping better; podcast: tips to improve sleep

  • Forum topic: coping with fatigue

  • Further resources and links (eg, videos, podcasts, and websites) to sleeping better

  • Interactive gratitude diary

  • SMARTER goal setting and goal feedback

  • Fatigue and pacing diaries (worksheets)

  • Quiz: What are the main challenges faced by cancer survivors?

Week 4: Body image and communication
  • Body image

  • Video: body image and cancer

  • Sexuality and intimacy

  • Video: Cancer as a passport to emotional intimacy

  • Communication skills and tips for talking with the health care team and family

  • Forum topic: experiences of coping with body changes and experiences of communicating with the health care team

  • Further resources and links (eg, videos, podcasts, and websites) to sexuality, intimacy, and relationships

  • Interactive gratitude diary

  • SMARTER goal setting and goal feedback

Week 5: Physical activity and fear of recurrence
  • Coping with fear of recurrence

  • Videos: Moving forward while being worried about cancer returning and the regrets of those who are dying

  • Hopes and dreams for the future

  • Video: Before I die project

  • The benefits of physical activity

  • Video: Tips for becoming and staying active

  • Forum topic: Concerns about cancer coming back

  • Further resources and links (eg, videos, podcasts, and websites) to managing concerns about cancer coming back and getting more active

  • Interactive gratitude diary

  • SMARTER goal setting and goal feedback

Week 6: Character strengths and happiness
  • Understanding how using your strengths can lead to a more fulfilling life

  • Video: The science of character strengths

  • Tips for authentic happiness; managing setbacks and keeping going

  • Forum topic: Learning from the program

  • Further resources and links (eg, videos, podcasts, and websites) to Macmillan Cancer Support online communities and happiness resources

  • Interactive gratitude diary

  • SMARTER goal setting and goal feedback

  • Assessment: positivity ratio test and positive and negative emotions test and character strengths

  • Quiz: What contributes to happiness?

aSMARTER: SMARTER is an acronym used by many organizations for goal setting, and stands for: Specific, Measurable, Achievable, Relevant, Time-bound, Enjoyable, Reward.