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Table 6 Themes summary

From: Evaluating the role of levels of exposure to a task shared depression counselling intervention led by behavioural health counsellors: outcome and process evaluation

Themes Counselling sessions
0 1 to 4 5 to 8
Referral process and intervention uptake
How the referral process was handled was linked to the number of counselling sessions received
Did not take up the intervention because they didn’t know what to expect
Did not meet with the counsellor on day of referral
Had other pressing things to attend to
The referral process was not explained for four of the participants while four participants asked to be referred to the counsellor Four of the five service users interviewed reported having the referral explained to them and informed on what to expect from the counselling sessions
Introduced or walked to the counsellor
Benefits of enhanced dosage    Reported improved interpersonal relationships, being more socially active, reduced internalised stigma, improved sleep and increased self-confidence
Improved self-reliance and self-efficacy
Design of the counselling manual Helped service users feel safe and not exposed while sharing their experiences
Vignettes presented depression factors in a way that was relatable for the service users
Reasons for dropping out and not taking up intervention Not knowing what to expect from the counselling intervention
Contextual factors
Feeling better
Ill health
Job opportunities and
Contextual factors
 
Motivation to continue with sessions   Self-observed improvement of symptoms provided an incentive for participants with expectation for further improvement Self-observed improvement of symptoms provided an incentive for participants with expectation for further improvement
Counsellor qualities: as empathetic, able to contain participants’ emotions, explained structure of the intervention, displayed competency, set appointments and followed up service users