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Table 3 SilverCloud Space from Depression i-CBT modules, topics, goals, and activities

From: The Appalachia Mind Health Initiative (AMHI): a pragmatic randomized clinical trial of adjunctive internet-based cognitive behavior therapy for treating major depressive disorder among primary care patients

Modules

Topics

Goals

Activities

1. Getting Started

• Introduction to CBT model

• The CBT Cycle

• Personal stories

• Learn about CBT

• Introduce the Mood Monitor

• Introduce the CBT Cycle

• Learn how thoughts, emotions, physical sensations & behaviors affect each other

• Connect with the present moment

• Mood Monitor

• My CBT Cycles

• Staying in the Present (Breathe)

2. Understanding Depression

• Psychoeducation

• Applying CBT to depression

• The cycle of depression

• Personal stories

• Improve understanding of depression

• Learn about role of thoughts, emotions, physical sensations and behaviors in depression

• Reflect on own personal circumstances

• Depression Myths & Facts Quiz

• Understanding My Situation

• Staying in the Present (Body Scan)

3. Noticing Feelings

• Understanding emotions

• Managing emotions

• Physical sensations & mood

• Lifestyle choices

• Changing physical sensations to improve mood

• Personal stories

• Learn about emotions and role in CBT Cycle

• Recognize emotions that are difficult to cope with

• Recognize physical sensations

• Identify activities to target distressing physical sensations associated with depression

• Explore the impact of lifestyle choices on depression and well-being

• Emotions & Your Body Quiz

• My CBT Cycles

• Mapping Lifestyle Choices

• Staying in the Present (Progressive Muscle Relaxation)

4. Boosting Behavior

• Psychoeducation

• Behavioral traps

• Increasing activity level

• Helpful/unhelpful supports

• Getting motivated

• The importance activities

• Personal stories

• Learn about the link between mood & behaviors

• Improve knowledge of common behavioral traps & how to beat them

• Learn tips on how to get motivated during periods of low mood

• Recognize the importance of pleasurable activities & achievements in boosting mood

• Mood & Behavior Quiz

• Your Backup & Support Network

• My Motivational Tips

• My Activities

• Your Mood & Your Body

• Activity Scheduling

• Staying in The Present (Mindful Eating)

5. Spotting Thoughts

• Automatic thoughts & mood

• Thinking traps

• Catching unhelpful thoughts

• Personal stories

• Learn about the role of thoughts in depression within the CBT Cycle

• Recognize negative automatic thoughts

• Understand & recognize thinking traps

• Me & My Thoughts Quiz

• My CBT Cycles

• Staying in the Present (Watching Thoughts)

6. Challenging Thoughts

• Hot thoughts

• Challenging thoughts

• Tackling thinking traps

• Coping with situations

• Personal stories

• Learn about hot thoughts & how to recognize

• Learn to challenge negative thoughts

• Learn how to overcome specific thinking traps

• Recognize situations where it is necessary to use thoughts to cope

• Your Thinking Style Quiz

• My Helpful Thoughts

• My CBT Cycles

• Staying in the Present (Watching Thoughts)

7. Core Beliefs

• What are core beliefs

• Where do they come from

• Identifying core beliefs

• Challenging core beliefs

• Balancing core beliefs

• Personal stories

• Improve understanding of core beliefs & where they come from

• Improve knowledge on how to recognize hot thought themes & underlying core beliefs

• Learn to challenge core beliefs by finding evidence

• Balance core beliefs using balanced alternatives

• Gain insight into experiences of core beliefs

• Core Beliefs Quiz

• Core Beliefs: (identifying, challenging, balancing, and strengthening)

8. Bringing it All Together

• Finishing up

• Warning signs & planning

• Social support

• Preparing for the future

• Preparing for relapse

• Personal Stories

• Preparation for coming to the end of the program

• Recognize the importance of social support in staying well

• Identify warning signs

• Planning for staying well

• Set goals for the future

• Your Backup and Support Network

• Staying Well Plan

• Goals

• Taking Stock

• Staying in the Present (Sounds)