Implementation outcome | Definition (Proctor et al. 2011) | Example from included studies |
---|---|---|
Acceptability | The perception of stakeholders that the intervention is agreeable or satisfactory | Peers seen as acceptable providers for the ‘Thinking Healthy Programme’ by service users due to their similar experience and interpersonal skills (Atif 2016) |
Adoption | The process of putting an intervention to use | Adoption was facilitated by perceived usefulness of ‘Problem Management Plus’ to service users, providers and the community (Khan 2017) |
Appropriateness | The fit, relevance or compatibility of the intervention for the setting, service provider or service user | CBT components were appropriate as part of the ‘Common Elements Treatment Approach’ as they reflected cultural practices among the Burmese refugees receiving the intervention (Bolton 2014) |
Feasibility | The extent to which an intervention can be successfully carried out | The “highly structured format” of CBT was found to make it feasible for delivery by paraprofessionals (Papas 2010) |
Fidelity | The extent to which the intervention was implemented according to its original design | Motivated, well-trained lay health workers followed the manual more closely to deliver the intervention as intended (Munodawafa 2017) |
Implementation cost | The overall cost of delivery of an intervention | An economic assessment suggests that ‘Counselling for Alcohol Problems’ is likely to be cost-effective in terms of recovery from alcohol-use disorders (Nadkarni 2017) |
Penetration | The integration of the intervention into a routine service or a measure of how many those eligible are receiving it | ‘The Friendship Bench’ has provided care to 7000 individuals between 2006 and 2011 (Chibanda 2017) |
Sustainability | The maintenance of an intervention and its continued use | The lay health workers have continued to deliver the intervention following the completion on the randomised trial (Chibanda 2017) |