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Table 1 Content of the intervention by therapy session

From: Study protocol of the SWORD-study: a randomised controlled trial comparing combined online and face-to-face cognitive behaviour therapy versus treatment as usual in managing fear of cancer recurrence

Session Delivery Week Time (minutes) Session components
1 Face-to-face 1 90 • Case formulation: a patient’s story.
• Discuss therapy rationale.
• Establish therapy goals.
• Review FCR and complete a personal FCR model.
• Introduce at-home assignments.
2 Face-to-face 2 60 • Explain the basic tenets of CBT.
• Discuss and visualize the association between thoughts, feelings and actions.
• Review the concept of helpful beliefs.
• Practice in filling out thought records.
• Introduce mindfulness and relaxation exercises.
3 Face-to-face 3 60 • Review the completed thought record(s) to identify unhelpful thoughts and behavioural consequences of FCR.
• Differentiate realistic from unrealistic worries and establish more helpful thoughts.
• Explore and identify dysfunctional behavioural patterns.
• Create a ranked list of situations that induce FCR and propose a behavioural experiment.
• Practice a mindfulness or relaxation exercise.
4 E-consult (or telephone) 4 15 • Review of progress (troubleshooting).
• Encourage at-home skill practice.
5 Face-to-face 6 60 • Review therapy goals, discuss areas of concern and make future plans (beyond therapy).
• Discuss completed thought records and/or behavioural experiments.
• Identify personal strengths and resources of strength.
6 E-consult (or telephone) 7 15 • Review of progress (troubleshooting).
• Encourage at-home practice of skills.
7 E-consult (or telephone) 9 15 • Review of progress (troubleshooting).
• Introduce the relapse prevention plan.
8 Face-to-face 11 60 • Review therapy goals, progress made so far and discuss possible future pitfalls.
• Define and finalize the relapse prevention plan.
• Evaluate the therapy process.
• Schedule an appointment for the booster session.
9 Face-to-face (booster session) 24 60 • Review the FCR model and progress made during therapy.
• Discuss difficult situations and how to overcome them.
• Relapse prevention plan.