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Table 1 Description of Program Modules

From: Design of a randomized controlled trial of Internet-based cognitive behavioral therapy for treatment-induced menopausal symptoms in breast cancer survivors

Module 1 Welcome

â–ª Introduction to the online program

â–ª Psycho-education about the effect of breast cancer on menopause, menopausal symptoms and the influence of relaxation.

â–ª In-session assignment: making a schedule for reading the sessions and doing homework

â–ª Homework: keeping a hot flushes and night sweats diary; practicing relaxation techniques

Module 2 Hot flushes

â–ª Psycho-education about the physiology of HF/NS and the role of thoughts, feelings and behaviors

â–ª In-session assignment: recognizing patterns of and triggers for hot flushes; cognitive restructuring of unhelpful thoughts

▪ Homework: as before + monitoring triggers and applying helpful thoughts

Module 3 From stressing to relaxing

â–ª Psycho-education about stress, the relationship between stress and hot flushes, cognitive and behavioral stress management techniques, relaxation.

â–ª In-session assignment: identification of stressful events, usual reaction to stress and goal setting to reduce stress

▪ Homework: as before + implementation of stress goal

Module 4 Improving sleep

â–ª Psycho-education about sleep, sleeping problems and how to improve quality of sleep, cognitive and behavioral reactions to sleep problems/night sweats.

â–ª In-session assignment: sleep hygiene questionnaire, goal setting to improve sleep.

▪ Homework: as before + implementation of sleeping goals

Module 5 My body and sexuality

â–ª Psycho-education about sexual problems and weight issues, cognitive and behavioral precipitants and consequences of sexual problems and weight issues.

â–ª In-session assignment: goal setting for sexual problems (if present) and weight issues (if present)

▪ Homework: as before + implementation of goals

Module 6 Keep progressing

â–ª Psycho-education about the (benefits of) using an action plan.

â–ª In-session assignment: identification of helpful cognitive and/or behavioral strategies as discussed/learned throughout each module, goal setting for maintenance plan; identification of possible barriers and how to overcome them.

▪ Homework: as before + implementation of maintenance plan