Fig. 1

SPIRIT: overview of REFRESH. Superscript digit one (1) indicates the following: the Functional Assessment of Chronic Illness Therapy—Fatigue; superscript digit two (2) indicates the following: Perceived Self Efficacy for Fatigue Self-Management; superscript digit three (3) indicates the following: European Quality of Life 5 Dimension 5 Level; superscript digit four (4) indicates the following: Acceptability of Intervention Measure; superscript digit five (5) indicates the following: Intervention Appropriateness Measure; superscript digit six (6) indicates the following: Feasibility of Intervention Measure; superscript digit seven (7) indicates the following: Client Satisfaction Questionnaire; superscript digit eight (8) indicates the following: perceived improvements to personal, social and lifestyle factors (self-devised); superscript digit nine (9) indicates the following: perceived satisfaction with step 2 (self-devised). Asterisk (*) indicates the following: these measures will only be completed in the t2 questionnaire by those who have completed STEP 1 and STEP 2 of the intervention