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Table 2 Details about the sessions

From: A resource-oriented intervention addressing balance in everyday activities and quality of life in people with advanced cancer: protocol for a feasibility study

Mandatory sessions and form

Day

 

Time and provider

Session 1 Introduction to activity, balance and everyday life: group based

1

This session provides an overall introduction to the intervention and the significance of everyday activities for people’s daily life, health and well-being. Furthermore, the session also provides knowledge about the importance of having appropriate balance of different types of everyday activities in daily life

The contents consist of the following:

 • Introduction to the residential stay

 • Introduction to the concept of everyday activities, i.e. activity, health and well-being and balance in activities

45 min

Occupational therapist

Session 2 Introduction to “Walk to get happy” — activities in nature: group based

1

This session aims to provide the participants with knowledge about walking and physical activity as important factors to improve physical and mental health. In addition, it adds that nature as context can increase happiness/enjoyment and well-being

The contents consist of the following:

 • Introduction to walk as an activity and the use of nature as a source for obtaining increase energy and happiness/enjoyment

 • Provide knowledge about physical activity in nature and how to prioritise this in daily life to achieve happiness/enjoyment and well-being

 • Provide knowledge about how to integrate physical activity in daily life

45 min

Physiotherapist

Session 3 My everyday routine and activities — introduction to diaries: group-based

2

The session introduces the participants to diary as a method to get insight into their everyday activity pattern

The contents consist of the following:

 • Introduction to diary and its usefulness

 • In pairs, they discuss their filled-out diary during 1 day of activities

 • Plenary discussion about the diaries

Material: time-geography diary method during 1-day activities

60 min

Occupational therapist

Session 4 Balancing resources, fatigue and energy — how to? Group based including lectures, discussions and individual assignments

2

The session provides the participants with strategies to better balance resources and energy in everyday life

They get knowledge about the following:

 • Fatigue: use of breaks, activity adaptation and positioning

 • How to plan and prioritise activities bringing meaning and enjoyment: introduction to energy schema and score

 • Assistive devices: guidance in application hereof

Material: energy schema and score

60 min

Nurse

Session 5 My everyday life — balance, challenges and enjoyment: group based

2

The session combines the achieved knowledge from sessions 3 and 4 and provides the participants with more in-deep knowledge about ways in which to improve their activity balance, i.e. change their activity pattern so that it includes a mix of activities regarding chores, social activities and relations, physical activities, creative activities and general activities bringing enjoyment

The contents consist of the following:

 • Reflections upon the participants’ activity balance — are they satisfied?

 • Use activities to better achieve activity balance

 • Introduction to and work with activity wheel as method to achieve activity balance

Material: The activity wheel is a circle illustrating which activities the participants have performed and how much time they have usted on those activities. It is a visual around the clock illustration of their everyday activity balance

60 min

Occupational therapist and nurse

Session 6 “Walk to get happy” — activities in nature: group based

2

In this session, the participants engage in doing different movements and physical activities in the form of games, indoor and outdoor in nature

The contents consist of the following:

 • Doing physical activities in nature, walk and movement games

 • Doing physical activities indoor

75 min

Physiotherapist

Session 7 Life in movement: group and individual based

3

The session explores and starts a reflection among the participants on what contributes to a meaningful life and involves them in brainstorming on ideas to implement these meaningful aspects in their daily life

The contents consist of the following:

 • Introduction to sources of meaning

 • Individual work where the participants choose 3–5 cards that symbolise important and meaningful things

 • Group discussion based on the cards

 • Ideas on how sources of meaning can be a larger part of their daily life

Material: Sources of meaning card method

150 min

Psychologist

Session 8 Yoga: group based

3

The session introduces the participants to yoga and try out breathing and relaxation exercises. The participants will obtain more knowledge about how yoga can be used to experience stress relief both physically and mentally

The contents consist of the following:

 • Warm-up focusing on movement and breathing

 • Doing meditation and breathing exercises

 • Doing yoga exercises

 • Stress relief

90 min

Physiotherapist and certified yoga instructor

Session 9 Meaningful activities; what makes you happy? Group based

4

The session provides knowledge of and starts a reflection among the participants about how meaningful activities have changed during their course of life, for instance because of illness. The participants get insights into their meaningful activities and what contributes enjoyment and happiness. They will also reflect upon which everyday activities should be part of their future daily life

The contents consist of the following:

 • Short presentation about the meaning of everyday activities through phases of life

 • The participants engage in reflective teams where they discuss and present which everyday activities should be part of their future narrative using a timetable filled out before the session

 • They get peer-to-peer support based on their narrative with new everyday activities

Material: Timetable with the participants meaningful activities

60 min

Occupational therapist

Session 10 Creative expression: group based

4

The session introduces the participants to creative activities as means of alleviating suffering and diverting attention from illness and problems

The contents consist of the following:

 • Doing simple mindfulness exercises in preparation for the creative activity

 • Doing collage of important aspects of their daily life

150 min

Medical trained artist and mindfulness coach

Session 11 Relaxing massage “Be good to yourself”: individual based

4

This session offers relaxing massage to provide rest, well-being and more energy to the participants

The contents consist of the following:

 • Relaxing massage using soft and dynamic grips

45 min

Massage therapist

Session 12 Values and action plan: group based

5

This session introduces a plan of action to implement the new strategies and everyday activities into their daily life when returning home. They will also return to what they value and how this can be a larger part of their daily life

The contents consist of the following:

 • Discuss values

 • Set goals and define wishes for their daily life

 • Group discussions about the plan of action

60 min

Social worker and occupational therapist

Session 13 “Developments since the previous session”: group based

6

This session follows up on session 12 regarding how the participants have worked with and succeeded with their goals and changes after the 5-day residential stay

The contents consist of the following:

 • Group discussions about achieved goals and changes in their daily life

 • How have these goals and changes affected their quality of life

60 min

Social worker

Session 14 Life in movement — family, friends and network: group and individual based

6

This session focuses on social relationships and particularly on belonging as an important part of experiencing meaning in life. The session therefore supports the participants in being beware of their social network of family, friends and other kind of persons in their lives

The content consists of the following:

 • Introduction to social relationships and changes after life-threatening illness

 • The participants individually brainstorm on which persons should be in their social network and how to be closer to them in their daily life

 • Plenary discussion of advice and actions that may be taken to accomplish a more fruitful social network

90 min

Psychologist

Session 15 Body and movement: group based

7

In this session, the participants again engage in doing physical activities that bring enjoyment and happiness

The contents consist of the following:

 • Doing physical activities indoor and outdoor

30–90 min

Physiotherapist

Optional session

7

In this session, the contents are determined by the participants

90 min

Evening activities

 Music and singing

1

 

90 min

Professional singer

 Everyday life and existence

2

 

90 min

Priest