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In the adaptation process of CST for Tanzania and Nigeria, the structure of sessions as described in the manuals had to be modified for logistical issues, as they would have not worked otherwise.
Although some participants felt able to express their views others were unable to do so because of the structure of sessions, the way in which they were facilitated and the settings in which the discussions took place.
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The explanatory mechanism for treatment effect offered to the patient focuses on the antidepressive effects of a supportive and understanding relationship, on the benefits of exploring and expressing emotions, the patient-directed structure of session and focus on personally relevant themes.
Tuckman's stages of group development [ 48, 49] guide the structuring of sessions within the programme.
Those who spoke positively about 12-step programmes described many of the elements of value described previously including structure, frequency of sessions and peer support.
These invitations expressed concern about the student's performance on the first exam and contained information about when the sessions would meet, the materials and structure of the sessions, and directions on how to sign up.
All participants present at each session completed structured end-of-session evaluation surveys (see Table 2) and on completion of the whole of THP Module One, all six participants and the local observers completed program evaluation questions (see Table 3).
Health promoters were trained in an initial 4 day workshop which focused on the overall structure of the sessions, communication style and skills, diabetes knowledge and the first two sessions.
Assessment: Quantitative assessment of such a program is difficult, but qualitative feedback was essentially built into the structure of the sessions.
Members say they've found that the group helps them to set aside quality writing time, and that the structure of the sessions enables them to make progress on their thesis even when they are struggling with motivation.
The subject areas and structure of the sessions were maintained.
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