Table 3 Overview of the modules of the E-nergEYEze intervention
Module titles and content of E-nergEYEze intervention | |
|---|---|
Module title | Content and assignments; |
Introduction Understanding vision-related fatigue | Psycho-education on visual impairment and its association with fatigue, including perpetuating factors of chronic fatigue. |
Module 1 Dealing with a visual impairment | Emotional impact of vision loss, concerning processing feelings of grief and coping strategies. |
Module 2 Replacing dysfunctional fatigue-related thoughts | Understanding the effect of beliefs on fatigue and fatigue maintaining behavior, exercises to formulate helping beliefs, and shifting attention away from fatigue. |
Module 3 Graded activity program | Practical exercises to distribute activities in a balanced way e.g. for patients with a boom-bust activity pattern, followed by a graded activity program. |
Module 4 Communication and social support | Understanding how verbal and non-verbal communication has a role in the association between visual impairment and fatigue, but also exercises to express independence from others, changes in social relationships, and being assertive. |
Module 5 Relaxation | Recognizing experienced stress and learning how to release tension by relaxation exercises. |
Module 6 Improving sleep | Understanding the importance of a fixed sleep-wake cycle, obtaining a personalized optimal sleep-wake cycle, and useful strategies to sleep or stay awake. |
Module 7 Work optimization | Balancing work-related stressors and energy sources, exercises to improve self-efficacy and work resumption |
Module 8 The future | Letting go the “rules” of E-nergEYEze, achieving personal goals for the future, recognizing signs of relapse, and experiencing healthy levels of fatigue |