We understand that some group sessions will run
smooth and conform to the intervention manual, while other sessions (for
whatever reason) will not.We also
understand that the intervention may need to be changed to reflect
exercises or materials that might work better.As the facilitator of the sessions you will have firsthand
experience that is very valuable to document the fidelity of the
Please use this form to document your thoughts
and ideas about the SHAPE intervention, the intervention manual and the way
in which you facilitate the group sessions.Sharing your insights and techniques about what worked and
what did not work during the session is very important.By sharing your ideas with other program
staff the SHAPE intervention, manual and the facilitation skills of the 3C
staff will become better and more standardized.Please document anything you would like to share to better
1a) How well did this session conform to the
Completely Mostly Somewhat A
little Not at all
5 4 3 2 1
1b) If this session did not completely conform
to the manual, what changes were made, and why?
2) Did you have technical difficulties during
this session (video, temperature, food, lights, etc)?
3) Should this session be changed?Why? How?
4) Should the manual be changed?Why? How?
5) What did you learn about facilitating this
session that you would like other 3Cs to know?
6) Do you have any ideas that might be helpful
for the other interventions (MSM, Heterosexual Men, Women)?
During the survey and interview you completed
before attending the groups, you answered several questions regarding your
experiences and your feelings. Below is a list of things that were stated
as most stressful.
Going on disability Major loss of
income Telling family member
Death of friend Telling a friend
Telling a partner
Starting a relationship Ending a
Unsafe sex Accessingtreatment Waiting for test results
Starting new treatment Being
hospitalized Increase in CD4
Increase in viral load Decrease in
CD4 Decrease in viral load
Changing my doctor
About disclosing your status... Below is a
summary of your responses to some of the survey and interview questions.
You said you have disclosed your status to
___family members and __ friends.
You said that you have told __ people your
status in the past 3-months, and that of those experiences ___ were
supportive when you told.
You said that there are __people in your life
that you have not told your status to, but would like to.