Table 2. Interview timing by each adaptation stage and stakeholder.

Stage	Stakeholders Interviewed	Type of Interview	Purpose
Stage 1: Information gathering	Mental health professionals, Community experts, Patients	Semi-structured (qualitative)	Needs assessment: Identify prevalent diagnoses and emotional experiences to guide treatment selection
	Local Sources	Semi-structured (qualitative)	Identify cultural discrepancies or aspects requiring adaptation to better suit the target population’s needs
Stage 2: Preliminary adaptation design	Mental health professionals, Community experts, Patients	Likert scale (quantitative) & 1 Open-ended question for additional feedback (qualitative)	Assess cultural appropriateness and potential need for further adaptation of the UP protocol
Stage 3 and 4: Preliminary adaptation testing and refinement	Patients (N = 15)	Likert scale (quantitative) & Semi-structured interviews (qualitative)	Evaluate participant experience with the culturally adapted UP modules. Assess clarity, cultural relevance, effectiveness of exercises, and overall program perception