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Appendix IV­ Modified SHOWeD instrument
Questions to be utilized to facilitate discussion for the Photovoice Project within the 
Support Groups: 
1. Tell the support group why you took this picture and what it means to you?
2. How does it relate to your health or your family’s health? 
3. How can the community improve services or resources that would be helpful?
4. How did you feel about taking the pictures?
Modified from the SHOWeD instrument used with the PhotoVoice methodology:
Hergenrather, K.C., Rhodes, S.D., Cowan, C.A., Bardhoshi, G. & Pula, S. (2009). Photovoice as
Community­Based participatory research: A qualitative review.  American Journal of 
Health Behavior, 3(6), 686­698.

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SHOWeD instrument for support group project