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Table 2 Application of learning evaluation principles to PRIME

From: Making complex interventions work in low resource settings: developing and applying a design focused implementation approach to deliver mental health through primary care in India

Learning evaluation principles Ways to assess principle PRIME evaluation activity
Principle 1 Gather data to describe types of changes made by healthcare organizations, how changes are implemented, and the evolution of the change process Interview with healthcare organizations to establish detailed understanding of the plan for implementing change at baseline by engaging organizational leaders Theory of change workshops to gain inputs and consensus about how the PRIME model will be implemented
  Use mixed methods to monitor how this plan evolves Use of monitoring, observational and focus group data to track Mental Health Care Plan execution strategy
Principle 2 Collect process and outcome data that are relevant to healthcare organizations and to the research team Track performance on selected measures at regular time intervals throughout implementation Monitoring system to track patients diagnosed, treated and referred throughout the implementation
Principle 3 Assess multi-level contextual factors that affect implementation, process, outcome, and transportability Collect qualitative and quantitative contextual data in real time Situational analysis to understand the local service delivery context and barriers in Sehore district
  Conduct rigorous analysis to identify key contextual factors affecting outcomes Case study to understand how the contextual factors affected the quality of implementation
Principle 4 Assist healthcare organizations in applying data to monitor the change process and make further improvements Assist organizations in learning from their own data to refine their innovations with a focus on continuous learning Data used for iterative improvements to the PRIME model and for process improvement
Principle 5 Operationalize common measurement and assessment strategies with the aim of generating transportable results To conduct internally valid cross-organization mixed methods analyses Common outcome indicators across the five countries of the PRIME consortium enabling cross-country comparison of outcomes and implementation strategies