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Self-help protocols have been developed also for insomnia, and in a recent meta-analysis, Van Straten & Cuijpers concluded they are effective for individuals with primary insomnia [ 17].
To improve the availability of effective psychological treatments, self-help protocols have been developed for a number of problems, including anxiety, depression, and tinnitus [e.g. [ 18]].
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We aimed to examine fidelity to the guided self-help protocol.
There is growing evidence that mental health nurses or social workers can effectively deliver self-help treatment protocols for depression, particularly in chronic care models [ 30, 31].
We have adapted the protocol and self-help materials originally developed by Hunt et al 19 at the University of Pennsylvania USA, while working in collaboration with service users to maximise the quality and suitability of our nursing intervention.
The FSM group (n = 37) received two sessions of a nurse-delivered, fatigue self-management protocol and a self-help book and the usual care group (n = 36) received regular medical care.
During these telephone contacts the nurse explores how the patient fares with the self-help treatment according to a strict protocol.
As an indicator of the extent to which self-help coaches worked according to the protocol, an average of 10 out of 13 components were utilised (range 8 12) for each of the sessions.
The guided self-help intervention was delivered according to the protocol detailed earlier.
A standardized protocol was developed for the self-help treatment, which consisted of three short and three long linear strokes on the quadriceps muscle (QM) followed by three short and three long linear strokes on the iliotibial band (ITB).
The use of a self-help course as a second step in the protocol has numerous advantages.
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