Table 2

Overview of the sessions in eSano BackCare-D

SessionDepression-specific topicsBack pain-specific topicsAssignments
1Psychoeducational information about depressionConnection between back pain and depression
Pain acceptance
To write down medical history and set goals
Homework assignment: mood diary
2Behavioural activation
Information on connection between behaviour and mood
Worrying about back pain-related complicationsTo create an activity plan
Homework assignment: to complete the activation plan.
3Problem solving I
Introduction in problem solving. Information on solvable and unsolvable problems
To work with the six problem-solving steps based on own problems
Homework assignment: to implement the problem-solving steps during the week
4Problem solving II
Information about techniques to reduce rumination. Introduction to mindfulness
Rumination about back painTo review the problem-solving steps and implement a technique to stop rumination
Homework assignment: to practise and track mindfulness exercises
5Behavioural activation, focus on physical activity and self-esteem. Connection between mood and movementPhysical activity and back pain. Connection between back pain and physical restTo raise awareness of successes and strengths. To learn to value oneself
Homework assignment: to implement physical activity in daily life
6Plan for the future
Collection of pleasant activities
Conversation with a general practitionerTo improve patient-physician relationship
Homework assignment: to implement positive activities and create a future plan
Additional (optional) sessions
aHealthy sleep
Information on sleep hygiene, sleep restriction and stimulus control
To implement the 10 rules for healthy sleep into daily life
bPartnership and sexuality
Information on communication skills, physical closeness and sexuality
To implement communication skills and massage exercises in daily life
cReturning to the workplace
Information on self-management and interpersonal competencies
Fitness exercises at the workplaceTo set priorities, to implement the six steps for problem solving at the workplace, and to review communication skills
Booster sessions (within 3 months after the regular sessions)
7Summary: behavioural activation; review; pleasant activities; problem solvingTo reflect on positive changes and update the activity plan; to practice the six steps for problem solving
8Summary of the key elements, behavioural activationChoice of the intervention topics (1–6 above)