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Table 1 Overview of course content

From: Evaluation of the online-based self-help programme “Selfapy” in patients with unipolar depression: study protocol for a randomized, blinded parallel group dismantling study

Module

Content

Exercises

Your beginning

A questionnaire is used to collect general data about this person and his/her problems.

Lifeline; problem cakes; miracle question

Target selection

 First insights

In this module, the user is brought closer to the connection between thinking, feeling and acting. Based on this triangular connection, our course concept is explained to him/her.

Your personal triangles

 Resources

Power sources are explained and gathered. Different methods are introduced to assist users in collecting power sources. Behavioural activation is prepared.

Evaluation daily protocol; power source images; treasure chest; resource walk

 Behavioural activation

How to actively plan power sources during the day is explained.

Activity plan

 Automatic thoughts

Automatic thoughts and thinking patterns are addressed.

Automatic thoughts; core beliefs

 Realistic thoughts

The content of this module focuses on thinking about reality and thinking realistically.

Think realistically

 Self-esteem

A positive self-concept is important for overcoming problems. The user learns how the concepts of self-confidence and self-acceptance can help to develop a positive self-image.

Positive self-image

 Self-efficacy

The user is made aware of recent successes. This will enable him or her to better allocate his or her power reserves and increase confidence in his or her abilities.

“Your personal achievements—be proud of yourself”

 Solve problem

Training to perceive a specific problem, gather potential responses in a problematic situation and develop the competence to implement a particular course of action to solve this problem optimally is introduced.

Problem-solving training

 Mindfulness + excursus: pleasure training

In this module, mindfulness is the focus. A mindful approach is cultivated to improve stress management.

Mental note; mindfulness in everyday life; sitting meditation; body scan; your enjoyment moments

 Social environment + stigma + social support

The focus of this module is on the environment and the social environment of the user. How social support can help to deal appropriately and successfully with stress is clarified.

“Difficult communication—your backing”

 Relapse cases

Finally, a tool is introduced to help the user recognize when stress increases and becomes too much and how to handle it when the stress cannot be avoided.

Risk situations; early warning symptoms; first aid plan; relapse protocol