Table 2 Weekly themes and main content of CBT sessions
Week | Weekly theme |
|---|---|
1 | Introduction and briefing on the aims of the rehabilitation program • Introduction to group • Introduction of the concept of self-efficacy • Information on post-stroke balance self-efficacy and rehabilitation |
2 | Understanding the relationships between thoughts, emotions, and behavior • Introduction to the CBT model • Understanding fear, fear of falling, fall risks, and actual falls • Understanding the automatic thoughts and emotional and behavioral reflection associated with fear of falling |
3 | Exploring thoughts and maladaptive responses • Identifying maladaptive thoughts leading to physical inactivity • Adapting realistic views of fall risk and the consequences of falls • Recognizing risky behavior • Overcoming barriers to physical activity |
4 | Exploring adaptive thoughts and behavioral responses • Fall prevention strategies and safety issues • Recognizing and minimizing fall risk |
5 | Implementing and reviewing behavioral changes related to ADL • Setting personal goals for ADL • Planning to achieve personal goals in small stages • Recognizing potential hazards and planning for safety |
6 | Implementing and reviewing behavioral changes related to social activities • Setting personal goals for social activities • Planning to achieve personal goals in small stages • Recognizing potential hazards and planning for safety |
7 | Reviewing and advancing individual therapeutic goals • Reviewing personal goals for ADL and social activities • Establishing a regular exercise plan |
8 | Consolidating the experiences of the rehabilitation program • Sharing attitudes and experiences of fear of falling before and after the group • Sharing experiences of applying cognitive-restructuring skills • Establishing the long-term personal goals of regular exercise, ADL independence, and social engagement |