Table 1 Summary of the CBPT treatment by session
Topics | Major content and activities |
|---|---|
All Sessions include: Graded Activity; Goal Setting; Problem-Solving | Each session builds upon the content of the previous session. Format includes: 1) review of previous session personally tailored activity and walking goals and skills homework, 2) problem-solving barriers to completing goals, 3) introduction of new content through discussion and worksheets, and 4) review of homework assignment to be completed before next session. |
Session 1: Goal Setting | Review purpose of the program, conduct semi-structured patient interview, complete a graded activity plan and fear hierarchy, set activity goals based on hierarchy, explore walking history and set walking goals, introduce deep breathing as pain management strategy. |
Introduction; Establish a Graded Activity Plan and Fear Hierarchy; Deep Breathing | |
Session 2: Your Mind and Recovery | Check graded activity plan, review activity and walking progress and set new goals, problem-solve barriers to completing goals, introduce distraction as pain management strategy and complete worksheet, introduce progressive muscle relaxation CD. |
Distraction Techniques; Progressive Muscle Relaxation | |
Session 3: Balance your Thinking | Review activity and walking progress and set new goals, problem-solve barriers to completing goals, introduce event-thoughts-feeling-action handout, identify negative thoughts that effect activity using worksheet, practice replacing negative thoughts with positive self-talk and complete worksheet. |
Identify Negative Thoughts; Positive Self-Statements | |
Session 4: Rest and Activity | Review activity and walking progress and set new goals, problem-solve barriers to completing goals, review activity types handouts, explore pacing strategies for pain management and complete worksheet, identify benefits of program so far and complete worksheet. |
Activity Types; Pacing; Benefits of Program | |
Session 5: Managing Setbacks | Review activity and walking progress and set new goals, problem-solve barriers to completing goals, review relapse cycle handout, complete managing setbacks worksheet. |
Relapse Prevention Plan | |
Session 6: Staying Healthy | Review activity and walking progress, problem-solve barriers to completing goals, complete pain management plan worksheet, reinforce importance of regular exercise and follow-up visits with surgeon and other health care providers. |
Pain Management Plan; Wrap-up |