Table 2.

Self-Management for Acute Respiratory Failure (SMARF) Intervention.

SMARF Session	Session Description
1. Education & Goal Setting	Learning the relationship between medical events and changes in anxiety level; education about structure and format of sessions; set goals for SMARF treatment
2. Elicit Concerns & Problem Solving	Eliciting concerns about medical care (focusing on concerns within patient control); develop problem-solving skills & established approaches, including SMART (Specific, Measurable, Attainable, Relevant, Time-sensitive) goals
3. Thought Restructuring	Identifying the relationship between thoughts and anxiety, identifying & challenging maladaptive thoughts and beliefs
4. Relaxation training	Identifying the relation between anxiety and physiologic response, and acquiring relaxation skills (e.g., guided imagery, body scan, and breathing retraining)
5. Exposure	Understanding fear-avoidance patterns; providing in-vivo exposure to anxiety provoking events
6. Transition out of Hospital	Providing education about anxiety and discharge from hospital; identifying “red flags” about levels of anxiety; discussing how to find help in the next settings