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Table 1 Outline of the ten Participatory Action Group meetings for widows of IDUs

From: A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention

Session Outline Expected Outcome Data Collection
1 Introduction to the PAG process
• Introductory activity
• Developing ground rules
• Identifying members' expectations
• Activity to highlight individual strengths and skills
• Administering baseline questionnaires
• Promote understanding of the purpose of the intervention
• Establish ground rules and expectations
• Highlight focus on value of group process and strength based approach
• Identify participants' skills and strengths and how these skills might be used to develop strategies to address future challenges.
• Baseline questionnaires:
- GHQ12
- Health Risk Questionnaire
• Meeting summary report
2 Concepts and determinants of mental health
• Conducting FGD 1: Concepts and determinants of mental health for widows of IDUs
• Naming the group
• Finishing with a fun activity
• Learn about the participants perspectives on mental health and well-being
• Enhance group cohesion
• End session with sense of enjoyment
• FGD transcripts
• Meeting summary report
3 What is mental health?
• Energising activity
• Conducting a facilitator-led group discussion on mental health and illness
• Mapping exercise – how to promote mental health of widows of IDUs
• Free discussion time
• Develop awareness of mental health and illness
• Create understanding of factors that promote mental health
• Meeting summary report
4 Positive futures and support from family, friends and community – a focus on social inclusion
• Energizing activity
• Envisioning a positive future activity
• Brain-storming activity on promoting support from family and friends
• Free discussion time
• Participants to identify factors that contribute to a positive future for individuals and the group
• Introduce concept of social inclusion
• Develop understanding of connection between social inclusion and mental health
• Develop ideas to promote support from family, friends and community
• Meeting summary report
5 A focus on stigma and discrimination
• Energizing activity
• Brain-storming activity on stigma and discrimination
• Teaching relaxation techniques
• Identify common sources of stigma and discrimination
• Develop ideas to address stigma and discrimination
• Develop understanding of the connection between stigma and discrimination and mental health
• Participants to gain skills in coping with stressful situations and techniques to relax
• Meeting summary report
6 A focus on access to economic resources
• Energizing activity
• Conducting small group activities: reading 2 stories based on women and income generation. Discuss lessons learnt and develop group and individual ideas for income generation
• Activity to identify group priority areas for income generation
• Additional information provided for research officers and facilitators on income generation
• Free discussion time
• Identify relationship between access to economic resources and mental health
• Develop understanding of and ideas for income generation for groups and individuals
• Encourage solutions that are not dependent on external funding
• Identify group priority areas for income generation for further development next sessions
• Meeting summary report
7 Development of action plans
• Conducting a discussion about the nature and benefits of the action planning process for groups and individuals
• Develop vision and mission statements for action plan
• Discussion of strategies for achieving action plans
• Create understanding of benefits of action plan
• Develop group ideas on how to promote mental health
• Develop capacity of groups to take action to improve their own mental health
• Encourage sustainability of group process
• Meeting summary report
8 Most Significant Change and action plan development
• Collection of stories for MSC
• Further development of action plans
• Free discussion time
• Learn about the impact of the intervention from the participants perspectives
• Increase capacity of groups to take action to improve their own mental health
• MSC stories
• Meeting summary report
9 Mental health and HIV
• Conducting FGD 2: links between mental health and HIV
• Feedback on MSC story selection process
• Learn about participants perspectives on links between mental health and HIV
• Develop awareness of relationship between poor mental health and engagement in HIV risk behaviours
• Highlight MSC stories selected as significant by participants and compare with those selected by NGOs
• FGD transcripts
• Meeting summary report
10 Bringing it all together
• Finalising action plans
• Administering post intervention questionnaires
• Celebration
• Capacity to take action plan forward
• Highlight achievement of groups
• Post intervention questionnaires:
-Health Risk Questionnaire
• Meeting summary report