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Table 3 Primary study outcome definitions. All patient and facility-level outcomes refer to all patients attended in outpatient mental health services in target health facilities

From: Systems analysis and improvement approach to optimize outpatient mental health treatment cascades in Mozambique (SAIA-MH): study protocol for a cluster randomized trial

Outcome Indicator Definition
Patient-level clinical Primary: functional improvement Patients w/ ≥ 1 follow-up w/ score ≤ 10 or ≥ 50% reduction in baseline WHODAS 2.0
Secondary: medication adherence Patients returning for follow-up visit not missing a dose (patient report and pill counts)
Secondary: retention in care Patients attending scheduled follow-up appointments; and attending those appointments on time.
Patient-level process and quality Vitals recorded Patients with height, weight, and blood pressure recorded
Facility-level process and quality New patient diagnosis # of new MH patients diagnosed
Treatment initiation # of new MH patients starting medication
Total patient load # of MH patients with ≥ 1 follow-up visits in last 3 months
Implementation outcomes Acceptability % of facility staff reporting satisfaction with SAIA-MH and various strategy components
Adoption % of trained facility staff engaging in ≥ 1 implementation plan in first 3 months; # of SAIA-MH cycles completed in first 6 months
Fidelity % of teams following 5-step SAIA-MH process
Cost See economic evaluation section
Penetration % of trained facility staff engaging in ≥ 1 implementation plan during 1-year sustainment phase
Sustainability # of SAIA-MH cycles completed during sustainment phase; facility staff intent-to-continue-use; clinical, process, and quality outcome trends during sustainment