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Table 1 Sessions, contents, materials and procedures of “Sentir-nos Bé” community programme

From: Promoting self-management, health literacy and social capital to reduce health inequalities in older adults living in urban disadvantaged areas: protocol of the randomised controlled trial AEQUALIS

Session number Contents Materials and procedures
1 Health and self-care The instructor presents the programme to the participants and they introduce themselves to the group. Using photos of daily activities related to self-care, participants share judgements, views and ideas about self-care. Participants are invited to bring a personal object from home in the next session to introduce themselves. At the end of each session, participants create cooperatively a board with paintings, handcrafts, small writings and thoughts, etc.
2 Physical activity Participants explain briefly to the group the personal object brought from home. Participants set and share a specific goal related with their daily life to be fulfilled during the week. Using local maps, participants identify and share physical activity assets, discuss about benefits and limitations of doing physical activity and agree on a group walk in the neighbourhood for the next session.
3 First local trip The group does a round walk starting and ending at the primary care centre visiting interesting places where to do physical activity, e.g., parks or outdoor gyms.
4 Emotional health Participants share the fulfilment of their personal goal. If they do not succeed, the instructor carries out a problem solving technique (each session until the end of the programme, excepting the local trips). The group discusses and shares strategies to cope with emotions and feelings. A relaxation technique practice is carried out.
5 Healthy eating habits Participants share their nutritional habits and tips to eat cheaper and healthier. The group shares and discusses about the places in the neighbourhood where they normally buy. Participants agree upon the market or the supermarket to visit in the next session.
6 Second local trip The group visits a local market or supermarket. During the visit, participants share and discuss about their habits and preferences when buying. The instructor and the observers give advice about nutritional facts and reading labels.
7 Loneliness and social relationships Using a variety of photos, participants share their thoughts and perceptions about loneliness and social relationships. The group splits into subgroups that are asked to create a story based on key words related with social relationships.
8 Participation in the community A participant reads out loud the story of “La Lita”, an old woman engaged in the community of a low socio-economic neighbourhood. Using local maps, participants identify and share community assets, discuss about benefits and limitations of social participation and agree upon a group visit to a local community asset for the next session.
9 Third local trip The group visits a community asset. A volunteer from the centre explains to the group the activities carried out. Participants are invited to engage in social activities.
10 Personal autonomy The group shares their thoughts and beliefs about personal autonomy discussing practical cases presented by the instructor.
11 Communication with health professionals The group watches four short videos that explain how to prepare the medical encounter. Participants share and discuss their thoughts and feelings when visiting a health professional, as well as their personal knowledge about health and social resources.
12 Group discussion The group shares and discusses their thoughts and feelings about the programme. Participants are invited to make an imaginary gift to someone else from the group. The group shares a farewell meal.