Table 2 Results from Round 2: showing the variation in group agreement for each of the 15 proposed programme modifications (consensus level 80%)

The handbook should be divided into a separate facilitator guide and attendee workbook

The handbook(s) have the capacity to use artwork and images representative of different communities

The handbook(s) convey a progressive storyline of a person applying SMART Recovery meetings and program tools within their recovery journey

The handbook should include cultural symbolism (e.g. Aboriginal and Torres Strait Islander flags)

Include activities that incorporate family and community

Include activities that promote healthy cultural identities

Translate the core SMART Recovery tools and activities using Aboriginal validated and/or designed resources (e.g. The Stages of Change model developed from the NT Living with Alcohol program with artists from Titjikala community – Terry Simmons and Sophia Conway)

Use strengths-based wording

Use gender images respectfully (i.e. be considerate when presenting images of women within a men’s group)

Rewrite the handbook to accompany varying levels of literacy

Use language that is localised to different communities

The handbooks should be short

The handbook should have the capacity for each community to use locally relevant scenarios as examples of applying SMART tools and techniques^a

Creating an audio version of the handbook(s) would be useful for some people/communities^b