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Table 2 Module titles and specific subparts of the web-based CBT for patients with CFS

From: Testing the efficacy of web-based cognitive behavioural therapy for adult patients with chronic fatigue syndrome (CBIT): study protocol for a randomized controlled trial

Module title

Content of module

Getting started and goal setting

Psycho education about the cognitive-behavioural model of CFS and CBT, signing treatment contract and establish goals that if attained implies that a patient no longer has CFS.

Regulate sleep-wake cycle

Regulating sleep-wake cycle i.e., fixed bedtimes, no sleeping or lying down during the day

Helpful beliefs about fatigue

Formulate helpful beliefs

 

Divert attention away from fatigue towards other activities and the environment

How to communicate with others about CFS

Change the communication about CFS with significant others

Gradually increasing my activities

Determine activity pattern

 

Graded activity program for relative active patients (first spread activities evenly, followed by graded activity)

 

Graded activity program for low active patient

 

Pain: helpful beliefs for dealing with pain during graded activity

 

Solve problems with the graded activity program

Reaching my goals step by step

Work resumption

 

Increase mental activities

 

Increase social activities

 

Achieve my goals step by step

Evaluation and the future

Letting go of the rules of therapy (e.g., sleep in late, do a lot of activities from time to time)

 

No longer being a CFS patient

 

Having healthy levels of fatigue and learn how to stay healthy