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Table 1 Summary of content of the Fatigue Management Programme

From: Multi-centre parallel arm randomised controlled trial to assess the effectiveness and cost-effectiveness of a group-based cognitive behavioural approach to managing fatigue in people with multiple sclerosis

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