Table 5.

Evaluation of Intervention Components, Timing, and Delivery

Intervention Components	Challenges	Benefits
Values Clarification (Card-Sort Exercise) (Ciarrochi & Bailey, 2009)	“Um for that particular one [Values] not really. I think it’s a good practice, um, something to think about if, you know, going through a illness.” “No, not for me… Yeah, there was one or two that was painful to think about…”	“And the other one [values clarification] I thought was interesting, too… thinking about the values that you have and like how would you in a sense make a road map to- to get to those goals… ” “Even though I have values, I never thought about it before… I wanted to, um, be mindful of those so I could practice those every day… You know, those things are very important to me…”
Attention Training Technique (ATT) (Skills practice) (Wells, 1990)	“The sounds… annoyed me greatly,… Um, it’s just like when I go in and take a hearing test… And then < they got a sound coming over top of this sound, and a sound coming in this direction to the other ear …. it was like okay, um, my mind just can’t jump around like that… ” “… that was challenging for me. But I got better as time went by. You know, passed -listening through it. Sometimes I’d listen to it twice a day ‘cause the first time I’d think, gosh, my mind just wandered too much. So later on in the evening before I’d go to bed, I’d listened to it.”	“I think the ATT probably is the one that, you know, has helped me a little bit the most. I think that just knowing its- its purpose and its intention,…” “I do feel that if I keep practicing it, when I do start getting worse, I do feel that that is going to help me not dwell on that particular incident so much”
Detached Mindfulness (Skills practice) (Wells, 2005; Wells 2008))	“I mean, that’s kind of the works in progress, I think you have to train yourself--and that’s a big buzz word these days to be mindful and all. And it’s sort of a new concept… And so I’m working on that and I don’t … think that happens overnight. So that’s something for me to you know, continue to work on--how to be mindful and- and snap out of some of these negative thoughts. “No, I- I did not find that [detached mindfulness] helpful. Yeah, no, I don’t think it was hard to understand. I think it was the relating part.”	“… like the cloud metaphor… so that they [thoughts]aren’t running me. I felt that was very helpful to… put it in perspective with the rest of my life and see it as, that doesn’t define me. All of the cancer or the worries and the, you know, what’s going to happen in my future. Um, just to be more in the moment.” “Okay, it’s a thought. Let it- let it go by…Put it in a train… so I learned how to do that … yeah it helped me refocus myself into uh, not being so worried, or tense, uptight about it I guess…”
Worry Postponement (Skills practice) (Wells, 2008)	“That- postponement, yes… I never… really found a time where I could … get back to it. “Put it aside and then come back to it. So that- I found that challenging and- so since I didn’t do it, it wasn’t helpful to me.” “I think worry postponement is a fallacy… “Oh! Okay, I’m terrified, I’m worried, but I’ll think about it, you know, at 7 o’clock tonight.”… I think worry postponement, maybe for people that are real OCD can do that, …just seems Strange to me… … Well, no I wouldn’t try it, because I think it’s silly….”	“The worrying component when it… tried to kind of get those worries and try to focus on something else and then have like a set time where you allow yourself to have those worries. Um, that’s something that stuck with me. It’s not something that I can put into practice today. but I feel that it’s something that I can put into practice going forward.” “I was telling (nurse) that’s- comes natural to me, so you kinda-- procrastinate things. Um, but that was a good, you know, like set a time aside for you to- to do that.”
Metacognitions (Fardell et al., 2016)	(only 1 person commented)	“But it was good to… look at each and every one of those things…about how you organize your thoughts. Breaking it down like that ‘cuz I don’t think people normally would think about those things, but I thought that was useful to go through that.”
Home Practice	“I think picking it up on my own to-to do the work. I had some fear there that I didn’t- maybe there were things that I didn’t want to see. Or didn’t want to address. So that was always: oh, I can do it later.” “Because due to personal issues that’s been a challenge to execute the goals.”	“No, I didn’t have any difficulties…. I thought the pamphlet was very helpful. I thought the exercises were very helpful… I would go back and read and read, and then okay, so that’ s good that it’s … written down in the booklet” “No, I- I didn’t mind doing them at all… I enjoyed them … and I feel that the way that it’s being done, you know, having a conversation about the homework and having to do the homework and reading, I think it was just a combination of all three.”
Session Delivery and Timing	Feedback/Suggestions
Method of Delivery	In-Person: “But I think that having the session with you, and you explained it, brought it to life, made it real, made me face it more… When I read it, it’s just more intellectual than emotional… I think the in person or face-to-face was much more effective.” “… you have to think of things generationally. I’m 73. I hate texting. I had to learn software for my work, but I think maybe for younger people they might feel a whole lot differently than I do, but I’m a very face-to-face person.” Zoom: “Zoom worked just fine. Well it’s two-way vis- visuals, you can get some visual contact not just a phone- It was just sit up and use… I’d keep it the same.” Phone: “But I also feel that, um, the phone one works for somebody who’s maybe going back and forth and not feeling well or feeling- you know, that doesn’t really want to get out of the house maybe. I think the phone conversations were really good.”
Timing	“I think they were a good time to get the information. I mean, it was enough to explain things uh, and go over things, and seems right.” “Seven sessions was just … I think it was about right …. the time of- I think thirty minutes would be a nice- for me, it- it would be a better period… Maybe… than let’s say 40 minutes or something like that.” (Timing and Duration) “I think I- it seemed like the study went beyond what it should have, because I was just so miserable…. because I was just so uncomfortable.”
Number of Sessions	“Just what I told you that, you know, maybe a few more sessions--would have been more helpful for me” “…I don’t think they were long enough! I thought they were a little too short to cover everything that needs to be covered… Um, probably increase the number of sessions… ” “… some of the shorter ones we coulda probably condensed. Put them into, um, like one.”