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Table 1 Intervention components and goals of the side-effect prevention training

From: Optimizing expectations to prevent side effects and enhance quality of life in breast cancer patients undergoing endocrine therapy: study protocol of a randomized controlled trial

Intervention components Goals
Session 1  
- Psychoeducation about AET - Knowledge about AET and nocebo effect
- Guided imagination and visualization of positive treatment aspects - Strengthen control and benefit expectations
- Psychoeducation about nocebo and non-specific side effects - Integration of positive aspects of AET into daily routines
Homework  
- Practice relaxation and imagination (anchored by CD)  
- Further creative work with imagination, e.g., painting  
Session 2  
- Develop individual problem-solving scheme for the three most important side effects - Optimize coping expectations
- Create an action plan for behavioral and cognitive strategies - Reduce specific concerns
Homework  
- Complete and modify the personal problem-solving scheme  
- Create an individual “tool box”  
- Practice relaxation and imagination (anchored by CD)  
Session 3  
- Psychoeducation about doctor-patient communication - Optimizing coping expectations
- Develop distraction strategies of for the time of AET intake - Improving patient-physician communication
- Summing up and outline treatment goals  
Homework  
- Practice relaxation and imagination (anchored by CD)  
- Complete and modify the personal problem-solving scheme and the tool box  
Telefone booster calls  
- Compare expected and occurred side effects - Maintain optimized expectations
- Check practicability of the coping strategies and the “tool box” and modify if necessary  
  1. Notes: AET = Adjuvant endocrine therapy