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Table 1 Primary and Secondary Outcome Measures and Data Collection

From: Implementation research for public sector mental health care scale-up (SMART-DAPPER): a sequential multiple, assignment randomized trial (SMART) of non-specialist-delivered psychotherapy and/or medication for major depressive disorder and posttraumatic stress disorder (DAPPER) integrated with outpatient care clinics at a county hospital in Kenya

Variable

Description

Frequency of Assessment

Primary Outcome Measures

 Major Depressive Disorder (MDD)

MINI v. 5.0 MDD module [70]

Prior to enrollment (inclusion criteria), 1.5, 3, 6, 9, 12, 18, 24 and 30 months

 Posttraumatic Stress Disorder (PTSD)

MINI v. 5.0 PTSD module

Prior to enrollment (inclusion criteria), 1.5, 3, 6, 9, 12, 18, 24 and 30 months

Secondary Outcome Measures

 Suicidality, mania/hypomania (exclusion-referral)

MINI v. 5.0, suicidality, (hypo) mania modules [70]

Prior to enrollment (exclusion criteria)

 Detailed alcohol use (exclusion-referral)

Alcohol Use Disorders Identification Test (AUDIT) [71]

Prior to enrollment (exclusion criteria)

 Pregnancy and breast-feeding (exclusion-referral)

Self-report

Prior to enrollment (exclusion criteria)

 Drug use (exclusion-referral)

Drug Abuse Screening Test (DAST-10) [72]

Prior to enrollment (exclusion criteria)

 Demographics

Age, gender, marital status

Baseline

 Highest education

(1) None; (2) primary; (3) secondary; (4) tertiary and beyond

Baseline

 Time and cost of transport to KCH

Minutes and KSH for transport between residence and KCH

Baseline

 Trauma history

Trauma History Screen (THS) [73]

Baseline

 Depression symptoms

Beck Depression Scale (BDI) [74]

Baseline, 1.5, 3, 6, 9, 12, 18, 24 and 30 months

 PTSD symptoms

Posttraumatic Stress Checklist (PCL) [75]

Baseline, 1.5, 3, 6, 9, 12, 18, 24 and 30 months

 Emotional Reactivity

Self-Assessment Manikin (SAM) [76]

Baseline, 1.5, 3, 6, 9, 12, 18, 24 and 30 months

 Domestic violence

Revised conflict tactics scale (CTS2) [77]

Baseline, 1.5, 3, 6, 9, 12, 18, 24 and 30 months

 Social Support

Multi-dimensional Scale of Perceived Social Support [78]

Baseline, 1.5, 3, 6, 9, 12, 18, 24 and 30 months

 Individual and household income

Assessment of individual and household formal and informal income in the last 30 days

Baseline, 1.5, 3, 6, 9, 12, 18, 24 and 30 months

 Health co-morbidities

HIV, Malaria, HTN, DM

Baseline, 1.5, 3, 6, 9, 12, 18, 24 and 30 months

 Health-related disability

World Health Organization Disability Assessment Schedule (WHODAS) [79]

Baseline, 1.5, 3, 6, 9, 12, 18, 24 and 30 months

 Mood symptoms

PHQ-2

Every IPT and Fluoxetine treatment visit

 Risk assessment

Suicidality and homicidality

As needed and if PHQ-2 increases

 Adverse events

Any untoward medical occurrence that does not necessarily have a causal relationship with the study intervention

As needed

  1. Diabetes Mellitus (DM) Human Immunodeficiency Virus (HIV) Hypertension (HTN) Kisumu County Hospital (KCH) Kenyan Shillings (KSH) Major Depressive Disorder (MDD) Mini International Neuropsychiatric Interview version 5.0 (MINI 5.0) Posttraumatic Stress Disorder (PTSD).