Table 1 Summary of content of the Fatigue Management Programme
Session | Title | Content | Homework |
|---|---|---|---|
1 | What is MS-related fatigue? | General introduction; expectations; icebreaker (quiz); types of fatigue; contributory factors, conceptual model of fatigue in MS | Activity/fatigue diary |
2 | Opening an "energy account" | Rest - functions; barriers; relaxation types and techniques; diaphragmatic breathing exercise; sleep hygiene | Rest/activity/sleep planner |
3 | Budgeting energy & smartening up goals | Types of activity; balancing activity & rest; moderating activity using the toolbox; goal-setting | Goal-setting exercise |
4 | The stress response; Introducing the cognitive behavioural model | The stress response (fight-or-flight); ways of coping with stress; introducing the cognitive behavioural model | 'Unhelpful thoughts related to fatigue' diary |
5 | Putting unhelpful thoughts on trial | Unhelpful thought patterns related to fatigue; challenging unhelpful thoughts; levels of belief | Thought challenge sheet |
6 | Recapping & taking the programme forward | Revisiting expectations; group activity to revisit themes of the programme; rationale of 'Keeping on Track' planner | 'Keeping on Track' planner |