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Table 1 Summary of the content of the Acceptance and Commitment Therapy (ACT) component of the combined intervention

From: Exercise combined with Acceptance and Commitment Therapy (ExACT) compared to a supervised exercise programme for adults with chronic pain: study protocol for a randomised controlled trial

Session Content
1 Introductions and basic foundations of treatment, present the goal of ACT – shifting focus from pursuit of symptom reduction to improving function
2 Review of previous treatment history – creative hopelessness exercise including primary and secondary suffering
Introduce openness as a skill area – acceptance as an alternative to avoidance
3 Recap of acceptance and continued focus on enhancing openness. Introduce process of defusion. Passenger on the bus experiential exercise
4 Focus on engagement: values awareness and assessment
Experiential values exercise
5 Further values clarification work
Committing to action that improves and enriches one’s life
6 Focus on awareness – contact with the present moment, perspective taking and self-awareness as distinct from fusion with thought content and perception of self
7 Treatment review
Walking mindfulness exercise
8 Wrap up and conclusions
Relapses and set-backs: preparation not prevention