Table 1. Research questions and corresponding methods at different study stages for the evaluation of each process domain.
Domain | Research question | Method | Study stage for data collection |
Context | What is the wider context in which the trial is being conducted?What are the main health needs of migrants visiting primary care centres' (PCCs) facilities? | Focus group discussions (FGDs) with migrants and HC professionals | Preintervention |
Recruitment of clusters | How are clusters sampled and recruited?Who agrees to participate?Why do clusters agree to participate (or not)? | Documentation of the recruitment process by the research teamQuantitative and qualitative comparisons of recruited and non-recruited clusters | Preintervention |
Delivery to clusters | How intervention is actually delivered for each cluster? | Real-time technical monitoring by data manager | Early intervention |
Response of clusters | How is the intervention adopted by clusters? | Observations and field notes by study coordinators about how clusters adopt the interventionReal-time technical monitoring by data manager | During intervention |
Reach to healthcare (HC) professionals and delivery to migrant patients | To what extent is the software tool used by HC professionals and how is the intervention applied in each setting? | Quantitative comparison of those applying versus not applying the screening toolMeasurement of intervention fidelity across its componentsMini-survey of monitoring | During intervention |
Response of HC professionals to the intervention | How does the HC professional respond?Can the use of the tool be sustained over time (or not)? | Surveys to HC professionals at intervention arm; interviews with PCC managersFGDs with HC professionalsInterviews with migrants who have been screened with the tool | Postintervention |
Unintended consequences | Are there unintended changes in processes and outcomes related to the trial intervention? | Surveys, interviews (as above) | During intervention and postintervention |
FGDsfocus group discussionsHChealthcarePCCprimary care centres