Table 1.

Overall changes to Positive Minds intervention from original CERED intervention

General remarks	Decision to avoid sessions at participant’s home Addition of reminder call before session Addition of questions at each session on: 1) motivation to change, 2) confidence in making changes, and 3) barriers to changes More instructions for the Community Health Worker (CHW), including examples of scripts Integration of the Strong Bodies intervention as part of the behavioral activation strategies Greater variety of breathing exercises and inclusion of mindfulness exercises Addition of follow-up call 2 weeks after session 10 to see how self-care plan is working
Session 1	Longer session to get to know participant (1.5-hour session) Emphasis on establishing rapport, asking more questions about current and past situation Focusing on engagement between CHW and participant Changes in psychoeducation and anxiety for easier understanding Emphasis on registering participant’s understanding of their symptoms
Session 2	Clarification of differences between thoughts and feelings
Session 4	Cultural adaptation of the devil and the angel example to “good friend” and “bad friend” More examples
Session 6	New example for thoughts evaluation
Session 7	Communication skills expanded to two sessions	Effective communication skills Speaker-Listener technique practice: speaker component & assertive communication More role-plays and practice to improve participant’s understanding
Session 8		Importance of communication Speaker-Listener technique practice: listener component
Session 9	Expansion of psychoeducation component New exercises and handouts for patient to review
Session 10	1.5-hour session Former session 9 and 10 condensed Reorganized self-care plan for easier understanding Table of program strategies to summarize and review the intervention “Certification of completion” provided to increase awareness and motivation