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Table 1 Summary of intervention components

From: ACTIVE - a randomised feasibility trial study protocol of a behavioural intervention to reduce fatigue in women undergoing radiotherapy for early breast cancer: study protocol

Time Content Behaviour change technique/construct/label
Call 0
After randomisation
Brief scene setting telephone call
Introduce counsellor. Prepare for sessions and agree dates for future sessions
Session 1
Within first few RT treatments
Assessment of current energy state
Clarify patterns, causes and impacts of fatigue
Identify individual goals and concerns and the meaning of fatigue for this person’s life during RT
Assess readiness to change
Consider barriers to change
Set three ‘SMART’ goals
Activity and sleep diaries and booklet
• Education about fatigue and radiotherapy
• Emotional support and encouragement
KNOWLEDGE—of antecedents and health consequences
EMOTION—self-assessment of affective consequences
BEHAVIOURAL REGULATION—self-monitoring of behaviour
BELIEFS ABOUT CAPABILITIES—verbal persuasion to boost self-efficacy
Goal setting (outcome and behaviour)
Action planning (including implementation intentions
Session 2
Week 2 of radiotherapy
Review of fatigue state
Review of diary
Guidance with how to manage fatigue and meet goals
Prioritisation of activities
Best utilisation of upcoming radiography review clinic
GOALS—review of outcome and behaviour goals
BEHAVIOUR REGULATION—self-monitoring of behaviour
BELIEFS ABOUT CONSEQUENCES—comparative imagining of future outcomes
GOALS—review of outcome goals
Increased self-efficacy, control and positive mood
Session 3
Week 3 of radiotherapy
Looking to end of treatment and beyond
Weekly planner and diary review
Modification of activity and goal scheduling
Social support
BEHAVIOUR REGULATION—self monitoring of behaviour
GOALS—review behaviour goals
Goal setting—outcome and behaviour goals
Encourage self-monitoring and modification of goals;
Identification of ambivalent/unhelpful thoughts about end of treatment and beyond; enhancement of approach coping by adopting alternative thoughts
Incremental increase in activity levels to achieve goals; normalisation after treatment
OPTIMISM—verbal persuasion to boost self-efficacy
EMOTION—reduce negative emotions
SOCIAL INFLUENCES—social support or encouragement (general)