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Table 2 Session structure of individual CBT

From: AYA ‘Can-Sleep’ programme: protocol for a stepped-care, cognitive behavioural therapy-based approach to the management of sleep difficulties in adolescents and young adults with cancer

Session

Content

1

• Conduct an evaluation of sleep history

• Further education around sleep hygiene

• Introduce the rationale for sleep restriction and stimulus control and address any potential barriers

• Discuss cancer-related late effects and medications that impact sleep function

• Provide education on completion of a sleep diary

2

• Review of sleep diary

• Provide education on the calculation of sleep efficiency

• Schedule sleep-wake schedule based on sleep diary

• Introduce arousal and how this affects sleep

• Discuss counter arousal methods

3

• Review of sleep diary

• Discuss sleep expansion

• Explore participant’s beliefs about sleep

• Identify and address cognitive factors that impact adherence to ‘Can-Sleep’ programme and sleep function

4

• Review progress

• Discuss sleep-related cognitive arousal

• Review of goals

• Create a relapse prevention plan (if appropriate)

• Discuss follow-up options