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. 2023 Jan 25;12:e44694. doi: 10.2196/44694

Table 1.

The program outline and session summary for the 10-week web-based and face-to-face relapse prevention program.

Session number Session subject
1: Understanding addiction
  • Introduces relapse prevention and what to expect from the course. The session explains what addiction is, including the symptoms, signs, consequences, and different types of addiction. Participants will create a SMART goal that they will try to achieve throughout the program. They will also share their personal experiences with addiction.

2: Exploring and strengthening your motivation
  • Focuses on the 5 stages of motivation and the role of motivation in relapse prevention. Helpful techniques are discussed to help them reflect on and boost motivation throughout their recovery journey. Participants will create a pros and cons list about stopping alcohol use and reflect on different aspects of their ability to stop using alcohol.

3: Triggers
  • Describes what triggers are and how to recognize them, including both internal and external triggers. This session also provides strategies to handle triggers through avoidance and careful planning. Participants will learn to identify their triggers and to be prepared for them if encountered.

4: Handling cravings and signs of relapse
  • Presents skills for dealing with cravings as well as identifying and preventing a potential relapse. For instance, applying distraction methods during stressful situations decreases their urge to consume alcohol. Participants will also identify their warning signs by reflecting on previous relapse experiences.

5: The 5-Part Model
  • The 5-Part Model will be explained, which highlights the importance of differentiating between our thoughts, feelings, physical reactions, and behaviors in stressful situations. Participants will complete the 5-Part Model using an example from their lives.

6: The Thought Record—Part 1
  • Introduces the thought record and its relation to cognitive restructuration to highlight the connection between feelings, behaviors, and thoughts. This session focuses on the first 3 columns of the Thought Record (out of 7 columns).

  • The first 3 columns include the situation, followed by the feelings and automatic thoughts associated with the situation. Participants are asked to complete the first 3 columns of a thought record for a stressful situation they experienced within the past week.

7: The Thought Record—Part 2
  • This session continues with the remaining 4 columns of the Thought Record, including gathering evidence in support of and against the identified automatic thoughts and finding alternative and balanced thoughts after examining the evidence. Participants will learn to challenge irrational thoughts using the thought record. They will also learn how to replace these irrational thoughts with more balanced and helpful ones. Participants have to complete a full thought record of a stressful situation related to their AUD within the past week.

8: Thinking errors and the Activity Record
  • Explores irrational thinking and common thinking errors. This session also presents and highlights the importance of the Activity Record, a tool designed to record and plan weekly activities. Participants are asked to complete an activity record for an entire week.

9: Mindfulness and breathing techniques
  • Presents mindfulness, breathing techniques, and other helpful skills to reduce urges and cravings associated with alcohol and to promote increased awareness. Participants are asked to incorporate one or more of these practices into their daily routines for a week and to reflect on how these practices made them feel. Participants will also identify which, if any, practices they found to be most effective.

10: Review
  • This session is a review of the program. It summarizes all of the useful tools and techniques for relapse prevention that were described throughout the program. Participants are asked to reflect on the activities that they found to be the most effective throughout the sessions.