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Table 2 Summary of stages, activities, and session plans for the proposed study

From: Participatory action research to pilot a model of mental health service user involvement in an Ethiopian rural primary healthcare setting: study protocol

StagesCyclical activitiesDescriptionsSessions
Stage 1: Formation of stakeholders Groups, and Consultative WorkshopPlanningIdentify and establish cross-stakeholder groups that services as a reference group, and working group together with Sodo district health office
Getting stakeholder groups and agree on time and place for regular sessions
Develop summary of findings from foundational studies
Identify and prioritize top thematic concerns
1
ActionPresent and discuss on foundational studies in a consultative workshop with stakeholder groups
Systematically identify thematic concerns through small homogenous groups and heterogeneous group discussions, prioritize thematic concerns using Nominal Group Techniques
2
ObservingCollect key thematic concerns and priorities generated in small group and plenary sessions, through audio-recording, capture minutes, field notes
A research assistant will record field notes on group dynamics and interactions and on the context surrounding the discussion.
1–2
ReflectionDiscuss on and reach consensus on priority areas
Reflect within homogeneous groups, heterogeneous; compare the reports of each group
The stakeholder groups make sense of what has happed through thinking about how it fits with their experiences and local contexts using criteria
2
Stage2: Planning of actionPlanningReach common understanding between RPG and the researchers and assistants what the research involves and ensure consent to participate
RPG agree on time, place, number of sessions per week and duration of the sessions at primary health facility level
Review the thematic priorities identified in Stage 1, discuss, select and prioritize two thematic concerns for action as trial of proof of concepts
Generate set of solutions and design intervention strategies
3
ActionWork with RPG and develop viable and realistic change strategies taking into account their local realities; set evaluation strategies for actions4
ObservingObserve and document the process through notes, and audio-recordings
Evaluate participation and representation
3–4
ReflectionContinuous reflection throughout the action planning phases on data from observation, field notes and reflect on the action options
Examine whether the proposed improvement methods is feasible in terms, time, additional resources availability, and local experiences
3–4
Stage3: Implementation and evaluationPlanningReview of the plan action with RPG and reach agreement about the way strategies would be put into operation and how to document observations
Designing implementation strategies and action
Discuss about and set implementation indicators
Discuss and research consensus how the RPG will continue with the PAR processes on own
5
ActionImplementation meeting with RPG
Reach agreement about the way the program would be put into operation and how to document observations
Select few interventions and commence as trial of proof of concept
Discuss and research consensus how the RPG will continue with the PAR processes on their own
6
ObservingDocument the trial process through taking detailed field notes, observation and discussion with RPG
Preliminary analysis and findings of the process will be collected
Conducted in-depth interviews with RPG to ascertain their perceptions and experiences of the process of PAR
6
ReflectionConduct evaluation meeting with RPG and collect feedback about the process of the PAR process, and reflect on the process of implementation
Identify options for further PAR and action with or without academic researchers
7