TABLE 3.

Key Areas of Focus, Outcomes of Interest, and Data Sources for the SYMPA Intervention

Area of Focus	Description	The Study Asks …	Outcomes of Interest	Data Sources
Acceptability	How the intended individual recipients—both targeted individuals and those involved in implementing programs— react to the program.	To what extent is SYMPA suitable, satisfying, or attractive to program participants? To program facilitators?	Satisfaction Perceived appropriateness Intent to continue use	FGDs with youth after each session (n = 12) Evaluations post-session by facilitators (n = 6) FGD curriculum evaluation with facilitators (n = 1) IDIs post-intervention with facilitators (n = 3) Youth activity sheets (n = 13)
Implementation	The extent, likelihood, and manner in which an intervention can be fully implemented as planned and proposed, often in an uncontrolled design.	To what extent can SYMPA be successfully delivered to intended participants?	Degree of execution Amount, type of resources needed to implement Factors affecting implementation ease, efficiency, or quality	FGDs with youth after each session (n = 12) Evaluations post-session by facilitators (n = 6) FGD curriculum evaluation with facilitators (n = 1) IDIs post-intervention with facilitators (n = 3) Youth activity sheets (n = 13)
Adaptation	Changing program contents or procedures to be appropriate in a new situation including modifications made to accommodate the context and requirements of a different format or population.	To what extent does an existing intervention such as the Healthy Living Project perform when changes are made for a new format or with a different population?	Assessment acceptability and implementation factors specific to the intervention modifications	Adaptation workshop with health care providers Training of facilitators FGD curriculum evaluation with facilitators (n = 1) IDIs post-intervention with facilitators (n = 3)
Limited Efficacy	Test an intervention in a limited way with a convenience sample with intermediate rather than final outcomes.	Does SYMPA show promise of being successful with the intended population?	Evidence of trends in the predicted direction for better outcome compared to usual practice	FGDs with youth after each session (n = 12) Evaluations post-session by facilitators (n = 6) FGD curriculum evaluation with facilitators (n = 1) IDIs post-intervention with facilitators (n = 3) Youth activity sheets (n = 13)

Adapted from Bowen et al. (2009).