Skip to main content
. 2022 Jul 8;6(7):e37211. doi: 10.2196/37211

Table 3.

Summary of changes in Friendship Bench (FB) manual.

Chapter Name of chapter Revision
N/Aa Cover page
  • Changed the illustration from Zimbabwean to Vietnamese

  • Changed the word “Lay health workers” to “Counselors” to suit both groups of counselors of the study in Vietnam

N/A Introduction
  • Rewrote the preface to fit the purpose of the program in Vietnam

1 Psychoeducation
  • Used the words “Common Mental Disorder” to refer to a collective term of depression, anxiety, and stress-related disorders instead of “kufungisisa” (Zimbabwean for depression and anxiety).

  • Removed information about tablets

2 Core competencies
  • Changed chapter title from “Lay health workers” to “Counselors”

  • Replaced the Zimbabwean CMDb screening SSQc with DASS-21d for research in Vietnam

3 Mental illness or mental neurological substance use disorders
  • Removed information about postpartum depression, fatherhood, sexual partners, and family

4 Epilepsy
  • Removed completely

5 Medication
  • Kept information about ARTe

  • Added information about MMTf

6 Belief in supernatural powers
  • Removed completely

7 HIV and mental health
  • Added information on HIV transmission through injection

  • Removed information about misunderstandings about church teachings

8 Substance use disorders
  • Added information on substance use disorders caused by injecting drugs

  • Added information about amphetamine-type stimulants

  • Removed the substance use chemicals that cause bronchodilators

  • Removed alcohol and pregnancy

9 Psychosis
  • Removed completely

10 Problem-solving therapy
  • Retained

11 Questionnaires
  • Replaced Screening CMD by SSQ in Zimbabwe by DASS-21 in study

12 Counseling skills
  • Retained

13 FB cards
  • Retained

14 Emotions
  • Retained

15 Stabilization
  • Retained

16 Strong emotional reactions
  • Retained

17 Men’s health-seeking behaviors
  • Retained

18 Suicide assessment
  • Replaced suicide assessment of SSQ by the suicide assessment of the study in Vietnam

19 Supervision
  • Changed monitor titles to the study staffs in Vietnam

20 Home visits
  • Removed completely

21 Group circle
  • Removed completely

22 Self-care
  • Retained

23 Proverbs
  • Removed completely

N/A Training overview
  • Changed training curriculum from 8 days to 5 days. Rewrote new training program according to the virtual format

N/A Shona training material
  • Removed completely

N/A Others
  • Rewrote the illustrative examples taking information from the qualitative research of step 3 and making it specific to the study population and Vietnamese culture

  • Removed the instructions for using the tablet from the original document because the study in Vietnam used paper-based manual materials

aN/A: not applicable.

bCMD: common mental disorder.

cSSQ: Shona Symptoms Questionnaire.

dDASS-21: Depression, Anxiety, and Stress Scale-21 items.

eART: antiretroviral therapy.

fMMT: methadone maintenance treatment.