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. Author manuscript; available in PMC: 2023 Oct 1.
Published in final edited form as: Cancer. 2022 Aug 4;128(19):3541–3551. doi: 10.1002/cncr.34409

Table 2.

STRIDE Intervention Content, Targets, and Underlying Theoretical Frameworks

Session
Theoretical Framework
Behavioral Targets Topics
Session 1
MFMA
CMMS
AET psychoeducation
Optimize adherence
Relaxation training
  • Introduce program; assess AET adherence barriers/facilitators

  • Conduct Motivational Interviewing

  • Explain relaxation rationale; introduce diaphragmatic breathing

Session 2
CMAC
Cognitive reframing of AET-related thoughts/beliefs
  • Understand thoughts, feelings, behaviors cycle

  • Identify and challenge accuracy of automatic thoughts/beliefs

  • Cognitively reframe unhelpful and inaccurate thoughts/beliefs

Session 3
CMAC
CMMS
Coping effectiveness & mindfulness for AET distress
  • Teach coping effectiveness (problem- vs. emotion-focused)

  • Raise awareness of the present and intentional coping choices

  • Practice observing and describing thoughts non-judgmentally

Session 4
CMMS
MFMA
AET side effect self-management
Relaxation training
  • Identify interfering and prominent AET symptoms

  • Teach behavioral strategies to self-manage AET symptoms

  • Introduce Progressive Muscle Relaxation

Session 5
CMMS
CMAC
MFMA
AET side effect self-management
Acceptance skills
  • Identify interfering and prominent AET symptoms

  • Teach behavioral strategies to self-manage AET symptoms

  • Explore acceptance-oriented techniques for tolerating distress

  • Strategize how to communicate effectively with healthcare team

Session 6
CMMS
CMAC
AET side effect self-management
Coping w/ uncertainty
  • Identify interfering and prominent AET symptoms

  • Teach behavioral strategies to self-manage AET symptoms

  • Explore skills for managing fears of recurrence & uncertainty

Note: MFMA = Murray’s Framework for Medication Adherence; CMAC = Cognitive Model of Adjustment to Cancer; CMMS = Cognitive Model for Menopausal Symptoms