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Table 1 Topics and elements of palliative care covered by ENABLE-SG sessions

From: ENABLE-SG (Educate, Nurture, Advise, Before Life Ends for Singapore) as a proactive palliative care model: protocol for a hybrid type 1 effectiveness-implementation randomized wait-list controlled trial

Patients

Caregivers

Topics covered

Elements of palliative care

Session 1

Maintaining positivity

Session 1

Maintaining positivity

• Handling problems with a positive attitude

• A problem-solving attitude

• The seven steps of problem-solving

• Improving symptom relief and function

• Psychosocial and spiritual care

Session 2

Self-care

Session 2

Self-care

• Healthy eating and nutrition

• Exercise

• Quitting smoking

• Sexuality

• Work and family

Improving symptom relief and function

Session 3

Coping with

stress

Session 3

Coping with stress

• Coping with stress

• Spirituality

• Getting the support you need

Psychosocial and spiritual care

Session 4

Managing symptoms

Session 4

Managing symptoms

• Managing symptoms

• Common symptoms in cancer

• Common thoughts and feelings

Improving symptom relief and function

Session 5

Talking about what matters most and making choices

-

• Talking with your family and healthcare providers

• Core values: what matters most

• Decision aids: making choices that are right for you

Enhancing communication, values-based treatment, and goals of care conversations

Session 6

Life review

-

• Starting a conversation about your journey

• Looking at today, looking at tomorrow

• Creating a legacy

Psychosocial and spiritual care