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Table 1 Outline of mandatory, flexible and prohibited elements from the Activity Management protocol

From: Investigating the effectiveness and cost-effectiveness of FITNET-NHS (Fatigue In Teenagers on the interNET in the NHS) compared to Activity Management to treat paediatric chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME): protocol for a randomised controlled trial

Mandatory Discussing different types of activity (cognitive and physical) which vary according to age
Finding a baseline level of activity (physical activities vary according to severity)
Discussing different types of high-energy cognitive activities which require concentration, e.g. time at school, school work, reading, some crafts/hobbies, socialising and screen time (phone, TV, computer, other devices)
Discussing physical activities, which vary according to severity (e.g. severely affected – sitting up in bed; mildly affected – running)
Using paper/electronic diaries (including iPhone/iPad app ‘ActiveME’) to record time spent each day doing high-energy cognitive activities
Increasing activity by 10–20% each week [4, 16]
Problem solving
Managing setbacks
Flexible Advice on exercise
Discussing a diagnosis and treatment of anxiety and/or depression
Advice on medication (if required)
Advice on symptom control (if required)
Prohibited Detailed discussion of feelings, beliefs and how they change
Diaries on feelings and their relationship with behaviour