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. 2020 Mar 2;7:e7. doi: 10.1017/gmh.2020.1

Table 2.

Study, depression intervention, implementation strategy, and implementation outcome descriptive statistics (N = 79)

Characteristic N (%), unless noted
Study characteristics
Published year, median (range) 2016 (2003–2019)
Region
East Asia and Pacific 8 (10.1)
Europe and Central Asia 2 (2.5)
Latin America and Caribbean 13 (16.5)
Middle East and North Africa 3 (3.8)
South Asia 23 (29.1)
Sub-Saharan Africa 39 (36.7)
Primary research study design
Mixed-methods 27 (34.2)
Qualitative 9 (11.4)
Quasi-experimental – controlled pre-post 3 (3.8)
Quasi-experimental – uncontrolled pre-post 17 (21.5)
Quasi-experimental – uncontrolled interrupted  time-series 0 (0)
Quasi-experimental – controlled interrupted time-series 0 (0)
Quasi-experimental – regression discontinuity 0 (0)
Quasi-experimental – other 0 (0)
Randomized controlled trial – cluster 7 (8.9)
Randomized controlled trial – individual 16 (20.3)
Phase of implementation researcha
Pre-implementation assessment 4 (5.1)
Hybrid Type-1 53 (67.1)
Hybrid Type-2 0 (0.0)
Hybrid Type-3 16 (20.3)
T3 2 (2.5)
T4-1 4 (5.1)
T4-2 0 (0.0)
De-implementation (any phase) 0 (0.0)
Implementation outcome characteristicsb
Proctorc implementation outcome reported
Acceptability 50 (63.3)
Adoption 4 (5.1)
Appropriateness 14 (17.7)
Feasibility 28 (35.4)
Fidelity 18 (22.8)
Cost 14 (17.7)
Penetration 4 (5.1)
Sustainability 3 (3.8)
Depression intervention characteristics
Stage of implementation of depression intervention
Pilot researcher-controlled implementation 59 (74.7)
Delivered in routine care 20 (25.3)
Undergoing de-implementation 0 (0.0)
Implementation location of depression intervention
Community 30 (38.0)
Health facility 47 (59.5)
Multi-level 2 (2.5)
Population implementing depression intervention
Community members 7 (8.9)
Non-specialist healthcare workers 36 (45.6)
Nurses 6 (7.6)
Primary care physicians 8 (10.1)
Psychiatrists 2 (2.5)
Psychologists 3 (3.8)
Technology-based delivery 8 (10.1)
Multiple implementers 9 (11.4)
Modality of depression intervention
Activity-based 3 (3.7)
Counseling 2 (2.5)
Education/information 1 (1.2)
Group counseling 1 (1.2)
Group psychotherapy 14 (17.3)
Individual psychotherapy 30 (38.0)
Medication 3 (3.7)
Multicomponent 27 (33.3)
Implementation strategy characteristics
ERICd classification of implementation strategy
Not testing implementation strategy – testing  intervention 58 (73.4)
Conduct ongoing training 3 (3.8)
Create new clinical teams 1 (1.3)
Develop a formal implementation blueprint 1 (1.3)
Distribute educational materials 1 (1.3)
Facilitate relay of clinical data to providers 3 (3.8)
Increase demand 1 (1.3)
Provide clinical supervision 1 (1.3)
Revise professional roles 10 (12.7)
Implementation location of implementation strategy
Not testing implementation strategy – testing  intervention 58 (73.4)
Community 6 (7.6)
Health facility 14 (17.7)
District 1 (1.3)
Focal population utilizing implementation strategy
Not testing implementation strategy – testing intervention 58 (73.4)
Community members 1 (1.3)
Non-specialist healthcare workers 11 (13.9)
Nurses 3 (3.8)
Primary care physicians 4 (5.1)
Policy makers 1 (1.3)
Multiple 1 (1.3)
a

Phase of implementation research is defined as per Fig. 1.

b

More than one implementation outcome possible, thus, total percentages exceed 100%.

c

Implementation outcomes were defined as per Proctor's implementation outcome framework (Proctor et al., 2011).

d

ERIC classification refers to the Expert Recommendations for Implementing Change project and the list of 73 distinct implementation strategies (Powell et al., 2015).