Table 1

Description of the five telephone-based sessions with a psychologist

Telephone sessionSession goalsScheduleDuration
Booking session
  1. Psychologist introduction

  2. Check that both booklets have been received

  3. Check the person’s understanding of the intervention and what is involved to ensure informed consent

  4. Answer any questions the participant may have about the intervention and what can be offered

  5. Discuss confidentiality and psychologists’ duty of care

  6. Discuss the audiotaping of sessions and request the person’s permission

  7. Schedule and assist the person in preparing for Session 1

One week before the first session
One week before patients’ 6-monthly dermatological appointment at the high-risk clinic
Up to 10 min
Up to 90 min
Session 1
  1. Allow the participant an opportunity to begin the session

  2. Begin to establish a therapeutic relationship

  3. Carry out a psychological assessment, including an assessment of the person’s supportive care needs in relation to melanoma

  4. Assist the participant in setting goals for their involvement in the programme

  5. Assist the participant in using the booklets and tools provided

  6. Explore the participant’s thoughts and feelings about their upcoming high-risk clinic appointment and assess and discuss any concerns regarding appointment

  7. Check to see how the participant experienced the session and if any modifications need to be thought about together

Session 2
  1. Allow the participant an opportunity to begin the session

  2. Explore the participant’s experience of their dermatological appointment and whether they used the booklets in the consultation with their doctor

  3. Continue to explore participant’s goals, difficulties or concerns

  4. Respond to any new difficulties or concerns

  5. Check to see how the participant is experiencing the sessions and if any modifications need to be thought about together

One week after patients’ 6-monthly dermatological appointment at the high-risk clinicUp to 50 min
Session 3
  1. Allow the participant an opportunity to begin the session

  2. Continue to build on the relationship with the participant

  3. Continue exploring the participant’s identified goals, difficulties or concerns

  4. Respond to any new difficulties or concerns

Three weeks after patients’ 6-monthly dermatological appointment at the high-risk clinicUp to 50 min
Session 4*
  1. Allow the participant an opportunity to begin the session

  2. Continue to build on the relationship with the participant

  3. Summarise what has been explored during the three previous sessions

  4. Explore the participant’s thoughts and feelings about their upcoming high-risk clinic appointment and, if appropriate, how they could use their booklets in the consultation

  5. Continue exploring the participant’s identified goals, difficulties or Respond to any new difficulties or concerns. Explore the participant’s feelings about coming to the end of the programme and prepare for the final session

One week before patient’s subsequent 6-monthly dermatological appointment at the high-risk clinicUp to 50 min
Session 5*
  1. Allow the participant an opportunity to begin the session

  2. Summarise what has been explored during the four previous sessions

  3. Explore the participant’s experience of their high-risk clinic appointment

  4. Respond to any new difficulties or concerns

  5. Explore the participant’s feelings about coming to the end of the programme and prepare for the final session

  6. Provide referral pathways for psychological treatment or psychosocial support, as needed

One week after patient’s subsequent 6-monthly dermatological appointment at the high-risk clinicUp to 50 min
  • *The fourth and fifth sessions were omitted for participants who chose three sessions.