Table 1.

Select feedback from first CAB meeting, May 2014

Topic	CAB Feedback	Revision
Questions asking for firsthand perspective (E.g. How much alcohol do you drink?)	Phrase question such that it is depersonalized. Participant can share observations while still protecting their status or reputation.	From your observations, how much alcohol do people drink in your community?
Clinical interview style. Reading questions verbatim.	Too stiff and formal. Participants may feel afraid, distrustful or nervous.	Use a more conversational interview style. Establish rapport and give assurance of confidentiality during consent.
Who should conduct interviews?	Trained church community/CAB members. Existing trust and level of comfort.	Six members of CAB volunteered to be interviewers and conducted a total of 53 interviews.
Terminology	CAB Feedback	Revision
“Mental”	Term associated with severe mental illness; psychosis, very abnormal, stigmatized. Use term “emotional.”	“What are the most common emotional problems in your community?”
“Anxiety”	Too clinical and stigmatized. Use “worry” or “stress.”	“Have you felt worried or stressed? Has this affected your sleep, eating, daily activities?”
“Depression”	Too clinical and stigmatized. Use “down” or “sad.”	“Have you felt down or sad? Has this feeling affected your sleep, eating, daily activities?”
“Psychiatrist”	Too clinical and stigmatized. Use “mental health provider” or just “doctor.”	“Have you ever talked to a mental health provider? Have you ever asked your doctor about emotional problems?”
“Traditional medicine”	“Traditional medicine” is discouraged in some Christian denominations so participants may not endorse usage, especially within a church. Ask about “natural” or “herbal” remedies instead.	“How do you or others in your community use natural or herbal remedies?”