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Table 1 Meeting manual contents, methods and implementation

From: Implementation and fidelity of a participatory learning and action cycle intervention to prevent and control type 2 diabetes in rural Bangladesh

Phase and meeting number

Discussion content

Supplementary methods (Discussion plus…)

N groups use method

Other methods (n groups & method)

Phase 1 Problem Identification

Meeting 1

Introducing the project

Game about working as a group

122

 

Meeting 2

Open discussion about diabetes & ways to prevent and control diabetes

Story telling about someone with diabetes

94

28 groups: a diabetic group attender told their story

Meeting 3

Care-seeking for diabetes

Village mapping of places were care about diabetes is sought

122

122 groups: used the existing social map (made to decide the venue for group meetings) and health facilities were added to this map.

Meeting 4

Balanced diet, ideal weight and healthy food

Sort food items brought by members

34 women’s groups brought cooked foods, 88 groups brought raw fruit or vegetables

58 groups: facilitator brought oily foods to identify unhealthy foods

  

Game using picture cards of food

122

12 groups: played food game using lottery as well as playing as stated in manual

Meeting 5

Physical Activity and exercise

Quiz using food plate (follow-up from meeting 4)

122

61 groups: group attenders also did the exercise

Facilitator demonstration of exercises

122

Meeting 6

Smoking

Game using cards

122

49 groups: facilitators told a story about a smoker

Experience sharing (smoker/smoker in the family)

73

Meeting 7

Stress

Story telling about someone suffering from stress

122

 

Meeting 8

Complications of Diabetes

Flip chart

122

 

Meeting 9

Prioritizing problems

 

122

 

Phase 2 Planning together

Meeting 10

Planning and preparation for community meeting

 

122

 

Meeting 11

Community meeting

Drama, Story telling, Song,

122

 

Phase 3 Strategy implementation

Meeting 12

Strategy Implementation & care seeking

 

122

 

Meeting 13

Strategy implementation & diet and smoking

Picture card game, nutritional plate demonstration

122

122 groups: group members brought fruit and vegetables

Meeting 14

Strategy implementation & physical activity and health

Exercise demonstration by facilitator

122

122 groups: watch a video of exercises on a laptop with demonstration from facilitator

59 groups: did the exercises

Phase 4 Participatory evaluation

Meeting 15

Community evaluation of strategies: planning

Evaluation game, role play of different methods of evaluation

122

 

Meeting 16

Community evaluation of strategies

Sub-committee evaluation and discussion

0

122 groups: discussion by whole group

Meeting 17

Sustaining strategies and planning handover to the community

Mapping of resources

122

122 groups: discussion about resources using map that was prepared initially

122 groups: nominated new facilitators

Meeting 18

Community meeting and group handover

Community meeting

0

122 groups: made a local committee responsible for continuing the intervention and monitoring strategy implementation, nominated facilitators were formally introduced, and given facilitation tools.