Table 2.

Summary of the qualitative feedback.

Theme	Details
Post-Intervention Feedback
Memory Improvement	Some participants mentioned improvements in their memory. In this regard, they were more satisfied with Module 1.
Increased Concentration	Several participants reported that they now have better concentration at school.
Reduction in Sadness and Depression	Many participants reported that after METRA they felt less sad and happier.
Improved Sleep	Several participants reported that they now fall asleep easily and no longer have nightmares.
Improved Decision-Making	Some participants noted they now have the ability to make better decisions.
Gender Influences	Several participants perceived METRA being for those who are weak and that boys do not do this type of programme, with one adolescent noting, ‘I think I am strong. I shouldn't tell anyone my story and I shouldn't show my feelings’.
School Context	Facilitators noted that several teachers were not supportive of the programme and that given the programme was run in school, some boys felt ashamed to participate.
Feedback at Follow-up
Greater Satisfaction after Three Months	All participants reported that they felt greater satisfaction after the three months than immediately following METRA.
Continued Use of Skill	Most participants reported that they had applied the techniques learnt in METRA to other similar traumas they had experienced. For instance participants noted that after the Kaj terrorist attack (September 2022) they used the techniques learnt during METRA (e.g. the Stop Technique in Module 1) to help them to face the trauma.
Taught Friends	Several participants noted that they had taught the skills learnt in METRA to their friends and their friends had noted that it was useful for them.
Initial Anger and Distress	Some participants noted that initially in Module 2, writing about the terrorist attack made them angry, upset and increased their heart rate. A few participants noted that they did not like it. However, now after the intervention and time passing, they are no longer afraid to remember and speak about the terrorist attack. They noted that they now easily remember details from their lives, talk to others about these memories and that it even feels good talking about these memories.
Remembering Positive Memories	For some participants they noted that a highlight of METRA was remembering specific positive events that had happened in their lives in Module 1.