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Table 1 Overview of GET.ON Mood Enhancer lessons

From: GET.ON Mood Enhancer: efficacy of Internet-based guided self-help compared to psychoeducation for depression: an investigator-blinded randomised controlled trial

Session

Topic

Content

1

Psychoeducation

• Information about symptoms, causes and types of depression

• Role of motivation

• Introduction of the mood and activity diary

2

Behavioural activation (BA) I

• Relationship between activities and depression

• Introduction of daily activity scheduling

3

Behavioural activation (BA) II

• Reflection on experiences with newly acquired skills and on activities/behaviour that might have influenced the mood (from now on in every session at the beginning)

• Coping with difficulties with regard to daily activity scheduling

• Goal setting for the upcoming days

• Additional: sleeping problems

4

Problem-solving techniques (PST) I

• BA: reflection of goal attainment and goal setting for the upcoming days

• PST: distinction between solvable and unsolvable problems

• PST: introduction of 6-step PST procedure: (1) defining the problem, (2) defining the goal, (3) brainstorming about possible solutions and choosing the best one, (4) making a plan how to implement this solution, (5) putting the solution into practice, and (6) evaluating the outcome.

• PST: choosing one personal problem, filling out steps 1 to 4, step 5 as homework

5

Problem-solving techniques (PST) II

• BA: reflection of goal attainment and goal setting for the upcoming days

• PST: deepening the 6-step procedure: step 6 of the 6-step procedure: evaluating outcome; depending on the evaluation: coping with difficulties, revising steps 1 to 4 or choosing another problem

• Additional: stop-worrying techniques

6

Relapse prevention

• BA: reflection goal attainment and goal setting for the future

• PST: step 6 of the 6-step procedure: evaluating outcome

• Evaluation: summarising gains and learned strategies

• Developing an individual relapse prevention plan

• Information about further healthcare services