| Adult learning |
Leader lacked experience in facilitation and behavior change Training did not sufficiently emphasize adult learning, did not provide enough opportunity for leader to practice with feedback Sessions had too much content; leader may not have understood to prioritize adult learning principles Manual and training did not sufficiently emphasize importance of establishing trust in session one Site appointed person to be leader; leader may have lacked motivation Leader had other roles at site; may have lacked time to prepare
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| Program |
Too much content for education level and frailty of group Group size too large for frailty of group Training and manual did not emphasize which activities and elements were key Handouts were overemphasized in manual and training Too many handouts; manual lacked guidance on which were required vs. optional Leader and site coordinator had other demands on time and may not have communicated well regarding preparation of handouts Training and manual did not clearly explain about communication with site coordinator Site did not understand time required to run program Program may not have been good fit related to site’s mission
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| Exercise and upgrading exercisea
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Training and manual did not emphasize leader mastery of practice and advancement of exercises; leader not required to demonstrate mastery Leader may have lacked belief in importance of advancing exercise Participants may have been too frail for group exercise and advancement Manual and training did not explain how sites should screen participants Program had no criteria for who would be too frail to participate Training and manual did not emphasize key elements related to exercise Site coordinator did not adequately explain program to participants; participants may have had too high expectations at outset Leader did not stress safety and slow advancement (at your own pace) Leader lacked sufficient training to have self-efficacy to prompt invited physical therapist to manage time and stress key elements Site coordinator did not sufficiently prepare invited physical therapist ahead of time
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| Leader role |
Leader lacked prior experience in behavior change group facilitation Goals of storytelling were not clearly articulated; leader training and manual did not emphasize, and training did not provide practice in storytelling Manual did not indicate which elements/activities were key Manual lacked cues to prompt invited expert Training lacked sufficient emphasis on, and practice with feedback on how to work with guest expert, facilitate group, engage in reflective listening Too much program content may have prevented facilitation, reflective listening, storytelling
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| Leader background |
Site managers not briefed sufficiently on importance of facilitation experience and motivation for potential leader Site manager not briefed sufficiently on amount of leader time needed to accomplish workshop
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| Peer coleader |
Site and leader did not have sufficient knowledge before workshop on how to select peer coleader Training and manual did not emphasize how to train peer coleaders, importance of, and how to debrief with peer coleader after each session Training did not provide practice on how to give feedback to peer coleader
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