Table 1.

Treatment Plan for CBTi.p. and PE

	CBTi.p.	PE
Session 1
Topic/Skill	• Psychoeducation about sleep, pain, and mood in context of cancer • Sleep hygiene • Stimulus control	• Relationships during cancer treatment • Home healthcare • Employment issues
Relaxation	• Diaphragmatic breathing
Homework	• Sleep diaries
Session 2
Topic/Skill	• Review of prior week’s session and homework • Sleep restriction • Activity pacing	• Evaluating health information • Healthcare teams and settings • Effective communication and problem resolution
Relaxation	• Progressive muscle relaxation
Homework	• Sleep diaries
Session 3
Topic/Skill	• Review of prior week’s session and homework • Adjust sleep prescription, as needed • Identifying negative thoughts about sleep and pain secondary to cancer	• Physical concerns of treatment • Common treatment side effects • Coping with treatment side effects • Practical changes to treatment
Relaxation	• Mindfulness meditation
Homework	• Sleep diaries
Session 4
Topic/Skill	• Review of prior week’s session and homework • Adjust sleep prescription, as needed • Cognitive therapy for insomnia and pain secondary to cancer, Part I	• Late effects of cancer treatment • Developing survivorship care and healthcare follow-up plans • Recommendations for screening • Fear of cancer recurrence
Relaxation	• Visual imagery relaxation
Homework	• Sleep diaries
Session 5
Topic/Skill	• Review of prior week’s session and homework • Adjust sleep prescription, as needed • Cognitive therapy for insomnia and pain secondary to cancer, part II	• Education on cancer epidemiology, risk, symptoms, evaluation, treatment, and survivorship specific to the participant’s diagnosis
Relaxation	• Participant’s choice
Homework	• Sleep diaries
Session 6
Topic/Skill	• Review of skills and long-term maintenance	• Reliable and accurate cancer-specific resources
Relaxation	• Participant’s choice
Homework	• Sleep diaries