Self-help Training Research Articles

Needs analysis for self-help training in the context of cochlear implant rehabilitation

Despite cochlear implantation, CI users experience difficulties in challenging listening situations. In German-speaking countries, there are no interventions to promote specific coping strategies for such situations. The present study examines persistent everyday limitations and the relevance of potential intervention content in order to develop a self-help program for CI rehabilitation. 56 CI users from three German CI centers were recruited and completed an online survey on demographic data, hearing biography, hearing handicap and potentially relevant intervention content. The intervention content presented included the following categories: Medical Aspects, Communication Improvement Aspects, Psychosocial Aspects, Technical Aspects, Specific Aspects. The hearing handicap was moderate to severe in this sample. The content categories presented for the design of a self-help program were all rated as "important". The duration of CI provision correlated significantly negatively with the assessment of the relevance of psychosocial aspects. Further significant correlations were found between the severity of the hearing handicap and the rating of the relevance of aspects for improving communication, psychosocial and technical aspects. A self-help program that takes into account the contents examined could provide promising support for the CI rehabilitation process and will be developed and evaluated subsequently.

START NOW WebApp—promoting emotion regulation and resilience in residential youth care and correctional institutions: study protocol for a cluster randomized controlled trial

BackgroundAdolescents and young adults in residential care and correctional institutions face various challenges, leading to negative life outcomes. Implementation barriers within these institutions, such as limited financial and spatial resources, pose significant hurdles to providing necessary support. Web-based approaches address these challenges by offering cost-effective, accessible solutions. This study aims to assess the efficacy of a newly developed web-based version of the existing evidence-based START NOW skills training in fostering emotion regulation and resilience among institutionalized adolescents and young adults. We present the study protocol (Version 5, August 2023) of the trial titled “Implementation of an e-version of the skills training START NOW for promoting emotion regulation and resilience in residential youth care and correctional institutions”.MethodsThe study is a monocentric, prospective, confirmatory randomized controlled trial with 150 institutionalized adolescents and young adults with a need to improve resilience (predefined cut-offs). Participating institutions will be randomized to one of three conditions: (i) 9-week web-based group training guided by a facilitator, (ii) 9-week web-based self-help training, (iii) and treatment as usual. The primary endpoint is the change in psychological flexibility, assessed by the Avoidance and Fusion Questionnaire for Youth score, from baseline to follow-up 12 weeks post skills training. Secondary objectives encompass assessing pre-post changes in psychological flexibility and other psychological health-related outcome measures in participating adolescents, young adults, and caretakers from baseline, to post training, and to 12- and 24-week follow-ups.DiscussionThis study evaluates the efficacy of START NOW as web-based training for institutionalized adolescents and young adults, providing valuable insights into web-based interventions and aiming to optimize support levels.Trial registration {2a and 2b}ClinicalTrials.gov NCT05313581. Registered on 6 April 2022.

Habit-reversal training: a psychotherapeutic approach in treating body-focused repetitive behaviour disorders.

Body-focused repetitive behaviours (BFRBs) are recurrent, compulsive, destructive behaviours directed towards the body. Although studies have demonstrated a 12-14% prevalence rate, researchers found that dermatologists and psychiatrists show a lack of knowledge regarding psychodermatology resources and information about BFRB disorders (BFRBDs) such as trichotillomania (TTM). There is limited research about treatments including ones investigating the clinical applications of various self-help training such as decoupling (DC) and DC in sensu (DC-is) as well as about habit-reversal training (HRT). HRT is a five-component behavioural intervention that aims to develop a competing response to a specific unwanted behaviour. Studies have found substantial support for HRT's efficacy in treating a variety of maladaptive repetitive behaviours including onychotillomania, TTM, skin-picking disorder and chronic cheek biting. Additionally, many psychotherapies can augmented HRT. Psychotherapies include acceptance and commitment therapy, dialectical behaviour therapy, psychodynamic psychotherapy, mindfulness mediation and the cognitive psychophysiological model. A recently investigated variant of HRT, DC-is, resulted in consistently satisfactory objective and subjective improvement for treating BFRBDs, and HRT showed good subjective but poor objective improvement compared with standard DC. HRT and HRT variants are effective therapeutic treatments for BFRBDs; however, further randomized double-blinded and placebo-controlled trials are required to examine HRT's therapeutic profile.

Pembuatan Minuman Herbal Kunyit Asam sebagai Pereda Dismenorea

Adolescence is a period of transition or transition from childhood to adulthood which is marked by changes both physically and psychologically, one of the physical changes in adolescents is menstruation. 98.8% of adolescents in Indonesia experience dysmenorrhea during menstruation. Herbal products or phytopharmaceuticals are currently the main alternative for adolescence girls in overcoming dysmenorrhea, one of which is turmeric sour herbal drink. Turmeric sour drink is a drink that is processed with the main ingredient of turmeric. The active compounds of turmeric and sour, namely curcumin and essential oils, have the potential as analgesics that will inhibit uterine contractions, thereby reducing dysmenorrhea. Turmeric is one of the spices that are widely cultivated in Pondok Meja Village. Even though they are known for their turmeric production, there are not many adolescence girls in Pondok Meja Village that produce turmeric and sour herbal drinks. The purpose of this community service is to increase the knowledge and skills of adolescence girls in Pondok Table Village in making turmeric and sour herbal drinks. This activity was carried out on 20 adolescence girls in the Hall of the Agricultural and Rural Self-Help Training Center (P4S) Karya Tama, Pondok Meja Village in June 2022. The methods used were socialization, demonstration and interactive discussion. Adolescence girls were given training and hands-on demonstrations for processing turmeric. Participants who took part in the activity were very enthusiastic and had many direct discussions related to the manufacturing process. The manufacture of turmeric sour herbal drink can be used as a dysmenorrhea reliever and can be developed into a commercial product and has a selling value.

CBT-based Online Self-help Training to Reduce Fear and Distress After Cancer (CAREST Randomized Trial): 24 Months Follow-up Using Latent Growth Models and Latent Class Analysis.

Psychological distress (PD) and fear of cancer recurrence (FCR) are common consequences of surviving cancer. Online self-help training could help many cancer survivors deal with PD and FCR at low costs. To evaluate the long-term effectiveness of the CAncer REcurrence Self-help Training (CAREST trial) to reduce PD and FCR. Moreover, to evaluate the relation between FCR and PD across time and identify subgroups representing different change trajectories in FCR over time and their predictors. This multicenter randomized controlled trial included 262 female breast cancer survivors, assigned to online self-help training or care as usual. Participants completed questionnaires at baseline and four times during the 24-month follow-up. The primary outcomes were PD and FCR (Fear of Cancer Recurrence Inventory). Latent growth curve modeling (LGCM) and repeated measures latent class analysis (RMLCA) were performed, both according to the intention-to-treat principle. LGCM showed no differences between the average latent slope in both groups for both PD and FCR. The correlation between FCR and PD at baseline was moderate for the intervention group and strong for the CAU group and did not significantly decrease over time in both groups. RMLCA revealed five latent classes and several predictors of class membership. We did not find a long-term effect of the CBT-based online self-help training in reducing PD or FCR, nor in their relation. Therefore, we recommend adding professional support to online interventions for FCR. Information about FCR classes and predictors may contribute to improvement of FCR interventions.

The Effect of Short-term Mindfulness-based Selfhelp Training on Anxiety State of College Students

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PENGEMBANGAN ASET KOMUNITAS DESA MELALUI PUSAT PELATIHAN PERTANIAN DAN PEDESAAN SWADAYA (P4S) BERBASIS AGRIBISNIS (STUDI KASUS DI P4S HIKMAH FARM KECAMATAN PARE, KABUPATEN KEDIRI)

One of the organizations that supports Indonesia's agribusiness sector, particularly the supporting sub-system, is the Agricultural and Rural Training Center Self (P4S). The researcher's goal is to examine how village community assets have grown at P4S Hikmah Farm. The study took place between April and August of 2022. At P4S Hikmah Farm in Tretek Village, Pare District, Kediri Regency, the research was conducted. analysis of research data using the Miles and Huberman interactive model. The findings revealed that: 1) the Agricultural and Rural Self-Help Training Center's (P4S) development of village community assets was excellent and took full advantage of every local village potential to enhance P4S performance;2) Due to P4S's emphasis on education, training, and the development of agricultural human resources, human resource assets are very important in organizing operations; 3) Social assets in P4S Hikmah Farm are also problematic since they are linked to community empowerment, particularly for farmers.

Santri Delinquency From Social Psychology Perspective

Juvenile delinquency occurs anywhere and anytime, including in Islamic boarding schools. Several studies have shown that students’ problematic behavior is sometimes strange and deviates from the rules of the Islamic boarding school. Therefore, the researcher seeks to deeply examine the juvenile delinquency of students in the Islamic boarding school community. This research is literature research, descriptive research, qualitative research, and exploratory which examines in-depth literature based on General and Social Psychology on Islamic boarding schools to find new aspects related to juvenile delinquency of santri. The analysis used a content analysis study and an in-depth discussion of the written information contents. The results indicated that juvenile delinquency students stem from unhealthy behavior; among the causes; are psychic instability, superego deficiency, control, and defective perceptual function. The therapy for problem students is cognitive behavioral therapy or Cognitive Behavior Modification, which combines cognitive and behavioral approaches to solve problems. Some efforts were: first, initial assessment and diagnosis; second, looking for the root of the problem from negative emotions, thought process deviations, and central beliefs related to the disorder; third, an intervention plan prepared by the counselor to provide positive-negative consequences for counseling; fourth, status formulation, therapeutic focus, behavioral intervention, and fifth is relapse prevention and self-help training

The application of drip irrigation for the hydroponic cultivation of paprika (capsicum annum var. Grossum) at P4S Total Cantigi Farm

Paprika is a major horticultural commodity with high cultivating potentials, due to excess demand from both within and outside the country. Currently, farmers are unable to meet the existing market needs, because of limited planting and production. Therefore, extensive efforts are necessary to enhance the yield, including the use of hydroponic cultivation technique. The purpose of this study is to provide comprehensive information on the hydroponic cultivation of paprika, using a drip irrigation system. The information collection was carried out at the Agricultural and Rural Self-Help Training Center (P4S) of Total Cantigi Farm, Garut Regency, West Java, served as the research location. Meanwhile, data collection from interviews, mini-seminars, direct field observations, and literature studies was conducted between February 1st-28th, 2021 at the Agricultural and Rural Self-Help Training Center (P4S), situated in similar site. The results showed the processes of paprika cultivation, including seeding, planting, caring (watering, fertilization, embroidery, rope installation, twisting, wiping, branch selection, fruit collection, pesticide application and disease control), harvest, and post-harvest activities.

Analytical Study on Relationship Between Shg and Poverty Alleviation

Microfinance is showing great promise as a means of combating poverty in India. Although making significant contributions to the home and national economies, women's work is often undervalued or ignored. The rapid growth of SHGs and the Bank linkage model have sparked a nationwide campaign to increase women's economic independence. Many empirical investigations have demonstrated that the members of SHGs have been able to better their socioeconomic situation thanks to microfinance provided via SHGs and the Bank linkage model. Moreover, it empowers women to make better financial decisions for their families and boosts their self-esteem. The questionnaire serves as the primary data collector, while non-parametric tests (such as the chi-square and analysis of variance) are used for analysis and presentation. Self-help Training of Swarozgaris, infrastructure development, marketing and technology support, member communication, member self-confidence, reduction in family violence, increase in outsider contact, monthly savings by SHG members, monthly savings by SHG members as a whole, political participation, social harmony, social justice, and community involvement are just some of the areas where groups have made a significant impact.

An Exoneuromusculoskeleton for Self-Help Upper Limb Rehabilitation After Stroke

This article presents a novel electromyography (EMG)-driven exoneuromusculoskeleton that integrates the neuromuscular electrical stimulation (NMES), soft pneumatic muscle, and exoskeleton techniques, for self-help upper limb training after stroke. The developed system can assist the elbow, wrist, and fingers to perform sequential arm reaching and withdrawing tasks under voluntary effort control through EMG, with a lightweight, compact, and low-power requirement design. The pressure/torque transmission properties of the designed musculoskeletons were quantified, and the assistive capability of the developed system was evaluated on patients with chronic stroke (n = 10). The designed musculoskeletons exerted sufficient mechanical torque to support joint extension for stroke survivors. Compared with the limb performance when no assistance was provided, the limb performance (measured as the range of motion in joint extension) significantly improved when mechanical torque and NMES were provided (p < 0.05). A pilot trial was conducted on patients with chronic stroke (n = 15) to investigate the feasibility of using the developed system in self-help training and the rehabilitation effects of the system. All the participants completed the self-help device-assisted training with minimal professional assistance. After a 20-session training, significant improvements were noted in the voluntary motor function and release of muscle spasticity at the elbow, wrist, and fingers, as indicated by the clinical scores (p < 0.05). The EMG parameters (p < 0.05) indicated that the muscular coordination of the entire upper limb improved significantly after training. The results suggested that the developed system can effectively support self-help upper limb rehabilitation after stroke. ClinicalTrials.gov Register Number NCT03752775.

Effectiveness of a guided ACT-based self-help resilience training for depressive symptoms during pregnancy: Study protocol of a randomized controlled trial embedded in a prospective cohort

BackgroundDuring pregnancy, about 10 to 20% of women experience depressive symptoms. Subclinical depression increases the risk of peripartum depression, maternal neuro-endocrine dysregulations, and adverse birth and infant outcomes. Current treatments often comprise face-to-face psychological or pharmacological treatments that may be too intensive for women with subclinical depression leading to drop-out and moderate effectiveness. Therefore, easily accessible, resilience enhancing and less stigmatizing interventions are needed to prevent the development of clinical depression. This paper describes the protocol of a prospective cohort study with an embedded randomized controlled trial (RCT) that aims to improve mental resilience in a sample of pregnant women through a self-help program based on the principles of Acceptance and Commitment Therapy (ACT). Maternal and offspring correlates of the trajectories of peripartum depressive symptoms will also be studied.MethodsPregnant women (≥ 18 years) receiving care in Dutch midwifery practices will participate in a prospective cohort study (n ~ 3500). Between 12 and 18 weeks of pregnancy, all women will be screened for depression with the Edinburgh Postnatal Depression Scale (EPDS). Women with an EPDS score ≥ 11 will be evaluated with a structured clinical interview. Participants with subclinical depression (n = 290) will be randomized to a 9-week guided self-help ACT-training or to care as usual (CAU). Primary outcomes (depressive symptoms and resilience) and secondary outcomes (e.g. anxiety and PTSD, bonding, infant development) will be collected via online questionnaires at four prospective assessments around 20 weeks and 30 weeks gestation and at 6 weeks and 4 months postpartum. Maternal hair cortisol concentrations will be assessed in a subsample of women with a range of depressive symptoms (n = 300). The intervention’s feasibility will be assessed through qualitative interviews in a subsample of participants (n = 20).DiscussionThis is the first study to assess the effectiveness of an easy to administer intervention strategy to prevent adverse mental health effects through enhancing resilience in pregnant women with antepartum depressive symptomatology. This longitudinal study will provide insights into trajectories of peripartum depressive symptoms in relation to resilience, maternal cortisol, psychological outcomes, and infant developmental milestones.Trial registrationNetherlands Trial Register (NTR), NL7499. Registered 5 February 2019.

China’s Mental Health Interventions during the COVID-19 Outbreak

Background. The COVID-19 outbreakhas threatened both the physical healthof individualswho contracted the virus, and the mental health of everyone directly or indirectly associated with or concerned about it. Objective. As telecommunication technologies and online mental health apps become more available and affordable, they allowbehavioral and mental health professionalsto provide quality care by handling problems arising from the COVID-19 outbreakvirtually. The aim of the current article is to summarizethe online psychological assistancesupported by the Chinese governmentduring the epidemic. Design. Several measures, policies, action plans, and programs that have been underway in China during the COVID-19 outbreak epidemicare listedto provide guidance formental health interventionpractices around the world. Results. A total of seven types of mental health services and supports developed in China were listed andintroduced: 1) online psychological assistance;2) online psychological self-assessment and self-help; 3) a “Peace ofMind” self-help counseling camp; 4) a “Peace ofMind” self-help training camp; 5) mental health training and lectures; 6) psychological assistance to Hubei; and 7) collaboration with social workersin“Thousands of Institutions Send Peace ofMind.”Moreover, several areas forthe organization and management of psychological intervention activities in the futurewere identified. Conclusion. Mental health interventions helped peoplecopewith their mental health concerns duringthe outbreak of COVID-19. They couldfacilitatethe development of Chinese public emergency interventions, and eventually improve the quality and effectiveness of emergency interventions in China.

No effect of CBT-based online self-help training to reduce fear of cancer recurrence: First results of the CAREST multicenter randomized controlled trial.

Fear of cancer recurrence (FCR) is a common consequence of surviving cancer; therefore, easily accessible self-help training could help many cancer survivors deal with FCR at low costs. The CAncer REcurrence Self-help Training (CAREST) trial evaluates the effectiveness of an online-tailored self-help training on the basis of evidence-based cognitive behavioral therapy principles in breast cancer survivors. Also, possible predictors for benefitting from the online self-help training were examined. This multicenter randomized controlled trial included 262 female breast cancer survivors, randomly assigned to either online self-help training (n=130) or care as usual (CAU; n=132). Participants completed questionnaires at baseline (T0), 3months (T1; after intervention), and 9months (T2). The primary outcome was FCR (Fear of Cancer Recurrence Inventory Severity subscale). Both effectiveness and predictors were analyzed with latent growth curve modeling (LGCM) according to the intention-to-treat principle. LGCM showed no differences between the average latent slope in both groups (χ21 =.23, P=.63), suggesting that the treatments did not differ in their change in FCR over time. Moreover, no differences were found in the effects of the predictors on the latent slope in both groups (χ21 =.12, P=.73), suggesting that no significant predictors were found for the effect of the intervention on FCR. There was no effect of the CBT-based online self-help training "Less fear after cancer" in the current study. Therefore, we recommend adding professional support to online interventions for FCR.

INTERGENERATIONAL EMPLOYEE NETWORK AGEISM: COLLABORATIVE INTERVENTION TRAINING CREATES ATTITUDE MODIFICATIONS

Lack of positive attitudes towards aging has shown to cause challenges within intergenerational networks in employment situations. These can include job satisfaction, intrinsic motivation to work, and ageism subjectivity as underlying determinants and consequences. The collaborative intervention pilot training program goals were two-fold: 1) To expose and understand ageism as a discriminatory action. 2) To create a more positive social dynamic network in a diverse workplace in regard to general expectations of ageism. Two team-based learning intervention programs were created in order to increase collaborative awareness of ageism and were presented to a medium size intergenerational department staff (N=64) as part of a professional development series on equity, diversity and inclusion. Through three multidimensional self-help training activities, learning was done individually, within similar age employee groups, and within intergenerational employee groups. Participants were able to discuss and express general understandings and expectations of aging and learning tools such as intergenerational reactivity and emotion regulation strategies were presented. Within survey responses at the completion of the trainings, key findings showed that respondents had a better understanding of ageism (76%) and felt better equipped to work within an employment team of diverse ages (71%). Additionally, the subject matter of this pilot training program resulted in re-conceptualized positive aging (61%). Future implications and goals for the program include interventions to further increase positive intergenerational understanding and workplace generational inclusiveness.

Attention Deficit Hyperactivity Disorder Outcomes Following Remotely Administered Self-Help Training for Parents.

BACKGROUND: Attention deficit hyperactivity disorders (ADHD) is a neurodevelopmental disorder that affects up to 7% of children, with consequences lasting into adulthood for an indeterminate number of people. Children with ADHD need special interventions that start with effective parenting. Yet parent-education programs are often inappropriate for low-income or single-parent families who lack transportation, availability, or resources to attend. AIMS: We evaluated a remotely administered, 6-week, Six-step Parenting Program (SsPP) at two community health centers in Trenton, New Jersey. METHODS: Eight low-income, single-parent families were selected for participation. The parent/teacher rating scale of ADHD symptoms (SNAP-IV [Swanson, Nolan, and Pelham-IV questionnaire]) was administered pre- and post-application. RESULTS: Six out of 8 (75%) participating parents/guardians perceived improvements in children's symptoms. Completion of SsPP resulted in reduced SNAP-IV values by an average of 12.4% (n = 8), with improvements in 16 of 18 variables. CONCLUSIONS: The remotely administered SsPP may hold promise for parents unable to attend training and deserves further consideration and evaluation.

ISupport, an online training and support program for caregivers of people with dementia: study protocol for a randomized controlled trial in India

BackgroundDementia has a huge physical, psychological, social and economic impact upon caregivers, families and societies at large. There has been a growing impetus to utilize Internet interventions given the potential scalability, and presumed cost-effectiveness and accessibility. In this paper, we describe the design of a randomized controlled trial (RCT) aiming to study the impact of online self-help programs on caregivers of people with dementia in India. The experimental group will receive an interactive training and support program and the comparison group will receive an education-only e-book. It will be among the first online support intervention RCTs for a mental health condition in a lower-middle income country.Methods and designTwo hundred and eight participants are expected to be recruited via several strategies (email, Internet and social media, telephone and face-to-face) starting in the Bangalore region of India. The inclusion criteria for participation in the trial are: (1) being 18 years or older, (2) being a self-reported caregiver of a person with dementia, (3) self-report that a family member has a diagnosis of dementia (AD8 ≥ 2), and experience caregiver distress (≥ 4 on a 1-item burden scale ranging from 1 to 10 or ≥ 4 or < 20 on the Center for Epidemiologic Study-Depression (CES-D) scale (10-item) or ≥ 4 or < 15 on the Generalized Anxiety Disorder Scale (7-item).The intervention group will be offered iSupport, an online self-help training and support program, enabling a personalized education plan with a maximum of 23 lessons. These modules present a range of topics from “what is dementia?” to “dealing with challenging behaviors like aggression.” The comparison group will receive an education-only e-book containing similar content. The outcomes of this trial are: caregiver burden as measured by the 22-item Zarit Burden Scale, depressive symptoms, anxiety symptoms (primary outcomes), quality of life, person-centered attitude, self-efficacy and mastery (secondary outcomes).DiscussionBased on the findings of this trial, we will examine the potential use and scale up of iSupport for caregiver distress in India. This style of online self-help programs could be expanded to other regions or countries or to other suitable caregiver groups.Trial registrationClinical Trials Registry—India (CTRI), ID: CTRI/2017/02/007876.

학교폭력예방을 위한 태권도장의 지역사회 공헌활동과 경영성과

The purpose of this study was to explore the effects of the school violence prevention program on the management performance of Taekwondo gym. To accomplish the purpose of this study, the following research methods were used. Taekwondo gymnasium in Seoul and Gyeonggi area was set as a population. And 3 Taekwondo gymnasiums that operate a school violence prevention program were selected as a sample of this study. Each Taekwondo gym manager participated in this study as an in - depth interview. The contents of the in – depth interviews were analyzed through expert consultation. Therefore, it is good enough to be used as a means of preventing school violence in our society. In addition, the program types of Taekwondo that are used as a prevention program for school violence are categorized as follows. First, self-help training for non-members and non-practitioners. Second, support for participating in the campaign to prevent school violence in the region. Third, the leader supports the school violence perpetrator and victim student counseling. The performance of the Taekwondo gymnasium through the school violence prevention program activities is as follows. First, raise the image of Taekwondo chapter of local residents. Second, inducement of continuous training through inspiration of students

PATIENT ENGAGEMENT WITH E-COUNSELLING PROMOTES SELF-CARE IN HEART FAILURE

Sustained adherence to self-care behaviour is problematic among patients with heart failure (HF). The main objective of this study was to evaluate adherence to self-care associated with patient engagement with our multifunctional e-counselling platform over the initial 16 weeks of a 12-month e-counselling program. To that end, we initially examined the longitudinal pattern of patient engagement with the e-counseling program, which proactively contacted patients weekly. Each e-counseling session included (i) self-care information, (ii) films (self-help training, dramatic vignettes, focus group), and (iii) interactive e-tools and e-trackers.

Study protocol of the CAREST-trial: a randomised controlled trial on the (cost-) effectiveness of a CBT-based online self-help training for fear of cancer recurrence in women with curatively treated breast cancer.

BackgroundOne of the most prevalent long-term consequences of surviving breast cancer is fear of cancer recurrence (FCR), which is associated with higher (mental) healthcare costs and lower surveillance rates. The majority of breast cancer survivors report a need for professional help in dealing with FCR. An easy-accessible and cost-effective evidence‐based psychological intervention for reducing FCR is lacking. In the current study an online self-help training to reduce FCR will be evaluated. In addition, the secondary aim of this study is to identify factors that predict whether women can benefit from the online self-help training or not.Methods/DesignA multi-centre, parallel-groups, randomised controlled trial will be conducted to evaluate the (cost-) effectiveness of the CAREST-trial. A sample of 454 women with curatively treated breast cancer will be recruited from 8 hospitals in the Netherlands. Participants will be randomised to the intervention or usual care group (1:1). Self-report measures will be completed at baseline, 3 (post-intervention), 9, and 24 months. Primary outcome is FCR severity; secondary outcomes are healthcare costs, health status, and psychological distress. The online tailored self-help training “Less fear after cancer” is based on cognitive behavioural therapy and consists of 2 basic modules (psycho-education; basic principles of cognitive behavioural therapy) and 4 optional modules (rumination; action; relaxation; reassurance) to choose from. Each module consists of an informative part (texts, videos, audio files) and a practical part (exercises). For every patient, the intervention will be available for three months. Personal online support by an e-mail coach is available.DiscussionOnline self-help training may be an easy-accessible and cost-effective treatment to reduce the impact of FCR at an early stage in a large group of breast cancer survivors. A strength is the 24 months follow-up period in the health economic evaluation. The results of the study will provide information on the possible strengths and benefits of online self-help training for FCR in breast cancer survivors.Trial registrationThis study is registered at the Netherlands Trial Register (NTR4119, date registered: August 15, 2013).