title: Process evaluation of a psychosocial intervention addressing women in a disadvantaged setting.
abstract: OBJECTIVE
  This paper presents the process evaluation of a community-based randomized psycho-social trial aimed to enhance reproductive and mental health outcomes of disadvantaged women living in the southern suburb of Beirut-Lebanon. Process evaluation of public health interventions involves the monitoring and documentation of interventions' implementation to allow for better understanding of planned outcomes and of intervention effectiveness.
  
  
  METHODS
  A community-based randomized trial was conducted. The intervention consisted of 12 sessions (of combined 30 minutes of relaxation exercises and 75 minutes of structured support groups) delivered twice per week over a period of six-weeks. A process evaluation was conducted during the implementation of the intervention. This process evaluation aimed to ensure that the intervention was delivered and implemented as planned, as well as to monitor women's satisfaction and attendance. The main components of the process evaluation included: dose delivered, dose received, and reach. Closed ended questionnaires were administered before/after/during each intervention session. Data was entered and analyzed using SPSS. Analysis revolved around simple frequency distribution for categorical variables and means (SD) for continuous variables. Limited bivariate analysis (using CHI Square and Anova) was done.
  
  
  RESULTS
  RESULTS indicated that the delivery, implementation, and reach of the intervention were favorable. Participation was acceptable and satisfaction rates were very high.
  
  
  CONCLUSIONS
  These favorable findings pertaining to intervention satisfaction, reach and participation highlight a number of lessons for future intervention studies in the context of disadvantaged settings. They also support the importance of involving the local community members in intervention planning, implementation and evaluation early on. We believe that the community involvement in this trial directly and significantly contributed to the results of this process evaluation.
authors.affiliation: American University of Beirut, Beirut, Lebanon.
authors.forename: Rima
authors.initials: R
authors.lastname: Nakkash
authors.forename: Loulou
authors.initials: L
authors.lastname: Kobeissi
authors.forename: Zeina
authors.initials: Z
authors.lastname: Ghantous
authors.forename: Maya Abou
authors.initials: MA
authors.lastname: Saad
authors.forename: Brigitte
authors.initials: B
authors.lastname: Khoury
authors.forename: Nasser
authors.initials: N
authors.lastname: Yassin
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D003153:Community Health Services / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007861:Lebanon / Q000453:epidemiology; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology*; D008875:Middle Aged; D017060:Patient Satisfaction; D017064:Process Assessment, Health Care; D012064:Relaxation Therapy; D012944:Social Support; D013383:Suburban Population; D011795:Surveys and Questionnaires; D019522:Vaginal Discharge / Q000453:epidemiology* / Q000523:psychology*; D035862:Vulnerable Populations