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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