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Table 1 Content of the web-based stress management program STREAM

From: Web-based stress management for newly diagnosed cancer patients (STREAM-1): a randomized, wait-list controlled intervention study

Module

Psychoeducation

Reflection on status

Strategies

1.

Introduction: What is stress?

Nature of stress in general and in specific cancer-related situations

My individual stressors

Diaryb

Stress protocol

Body scana

Stress protocol b

2.

Body stress reduction

Bodily sensations during stress and side effects of anticancer treatment

Relaxation protocol

Progressive muscle relaxation a

Beach promenadea

Relaxation protocolb

3.

Cognitive stress reduction

Thoughts and their interaction with emotions and bodily sensations

My negative thought patterns

Negative thought cyclea

Relationship of body position and thoughtsb

Thinking styles and reflectionb

Thoughts on cloudsa

4.

Emotional stress reduction

Feelings and cancer-related emotions as anxiety and worries were explained

My feelings and worries

Mountain meditationa

Emotional emergency kita

5.

Mindfulness and acceptance of thoughts and emotions

Meaning of mindfulness and acceptance and their implementation in daily life in contrast to the active strategies learned in modules 1–4

My definition and experiences with acceptance

Acceptance story a,b

Body scana,b

Integration of mindfulnessb

Winter walka

Spring awakeninga

6.

Activation of resources: quality of life and pleasure

Introduction of models of the balance between burden and resources

My individual resources

Health-cycle b

Planning activitiesb

Week planner b

Friendly feelings with our own bodya

Enjoyment trainingb

7.

Activation of resources: social network and communication skills

Social network and the role of a supportive environment

My individual social network and current needs

Communication skillsb

Beach promenadea

Winter promenadea

Spring awakeninga

8.

Summary

Concluding an overview and documentation of the last 7 weeks

My experiences with the program

Four seasonsa

  1. aAudio file: story, relaxation or guided imaginary exercise, bInstructions and worksheets