Table 3 Implementation outcomes for delivery of PST

▪ Completion of PST activities (homework)

Clinical logs

Completion of homework (80%)

During intervention

▪ Practical administrative and resource challenges to conduct the study (e.g. budget requirements, time, space, staff, skill, intervention materials)

Semi-structured interviews with participants and healthcare providers, FGD with supervisors and research assistants

During intervention

▪ All adverse events, including both expected and unexpected (identification, documentation, referral and reporting)

Administrative data (notes in routine clinical data), participant self-report, identified if the woman drops out of the study.

5% or less report of Adverse Events

During intervention

Fidelity (adherence of therapist to contents, methods and ethical standards)

Audio rating using adherence/fidelity checklist, supervision records

More than 80% adherence

During intervention

• Participants’ satisfaction with therapeutic services

Helping alliance questionnaire (HAQ) [78]

After intervention

• Suitability of measures

Proceedings of weekly supervision meeting and FGD with research assistants

During intervention

▪ Provider and service user perception

In-depth interviews (participants and healthcare providers) [79]

After intervention

▪ Relevance of the intervention

In-depth interviews (participants and healthcare providers) [79], session records.

After intervention

▪ Retention and follow up rates, number and duration of sessions attended

Administrative data

50% or more women complete sessions

During intervention

Appropriateness and Sustainability of intervention

In-depth interviews (participants and healthcare providers) [79]

After intervention

Implementation costs

locally adapted Client Service Receipt Inventory (CSRI) [73]) and administrative data

During/post intervention

Implementation strategy (task-shared psychological intervention)

Therapist competence to deliver PST (ENACT scale [56, 57])

90% or more done well (3 points) on each item