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Table 3 Breakdown of intervention content with BCTs

From: Improving the health-related quality of life of adult Nigerians living with cancer and their family caregivers: intervention development

Sessions Goal(s) Group processes Incorporated BCTs
Session 1 To appreciate the experience and common concerns of people affected by cancer across the cancer journey
To describe the strategies employed in the local setting to promote approaches to care
Help participants share fears and concerns about cancer and its treatment
Educate about illness and treatments and caregiving according to identified knowledge gaps and misconceptions based on participant feedback
Encourage optimistic thinking
Communicate and demonstrate a range of possible therapies such as relaxation, massage
Encourage healthy coping and lifestyle behaviours
Instruction on how to perform the behaviour, credible sources, information about emotional consequences
Session 2 To encourage the expression of feelings and ideas
To assess verbal and nonverbal client communication needs
To respect the client’s personal values and beliefs
Ask participants to write down their concerns and fears about cancer prognosis
Discuss results among the group
Promote open communication
Encourage mutual support and teamwork
Promote approaches to helping dyad work within the limits of their new limitations
Instruction on how to perform behaviour, action planning, demonstration of the behaviour, behavioural practice/rehearsal, framing/reframing, social support (physical and emotional)
Session 3 To provide relief from suffering, manage symptoms, help reconcile relationships, and assist in the transition between this life Help dyad to stay hopeful in the face of death through honest conversations with family and close friends
Social connections; link between the past and present
Help dyad deal with overwhelming stress by talking to someone they trust, exercising, and making time for activities they enjoy
Social (physical, emotional) support, problem solving, restructuring of physical and social environment, verbal persuasion about capabilities
Session 4 To recognise family’s positive attributes
Develop family coping during challenging times
Identify family strengths
Use reflective writing to deepen insights and reflect on life changes and what is essential in life
Discuss the use of spiritual coping with health challenges
Consider what provides a sense of inner peace for the individual
Explore the views of each other and come to a new shared understanding
Social (physical, emotional) support, behavioural practice/rehearsal, graded tasks, verbal persuasion about capabilities, feedback on outcomes of behaviour
Wrap-up and instructions Address any unresolved issues/questions
Provide encouragement and motivation
Review the weekly reflection notebook and consider progress
  Social support (emotional), review goal (behavioural), verbal persuasion about capabilities