TABLE 1.
Standard operating procedures informed by the formative phase of this study.
| Study component | Challenges | Solutions |
| Consenting | Hesitancy due to unfamiliarity with EEG | Showing the EEG equipment to families and allowing them to hold and examine the device |
| Showing small video clips of sample EEG assessments to family members | ||
| Hesitancy in the mother to provide consent before consulting with other family members, especially the father | Ensuring that all available family members were involved in the consent process | |
| Leaving a collage of images illustrating the EEG assessment (see Supplementary Figure 1) in the household so absent family members could be informed about the assessment | ||
| Child engagement strategies | Children were intimidated by the headset | The EMOTIV EPOC device was decorated with stickers to make it colorful and attractive (see Figure 1B) |
| Children hesitated to wear the headset | The animated video on the DEEP cognitive assessment tool (Bhavnani et al., 2019) contained a scene in which the protagonist (the child) wears a helmet-like headset before starting an exciting journey (see video snapshot in Figure 1B). Assessors played the video to engage the child, and paused it when the protagonist wore the helmet to encourage the participating child to wear a headset like the character in the video. They were told they could continue on their journey through the cognitive assessment game after wearing the headset | |
| The assessors wore the headset themselves, or requested the mother to do so briefly | ||
| Data collection protocols | Children were reluctant to close their eyes | Children were allowed to cover their eyes using their hands, or the caregiver or assessor could do so for them |
| Due to the uncontrolled nature of the setting, disturbances were anticipated during data collection | Data collection was conducted in a separate room with only the primary caregiver(s) and the child in the household to minimize disturbances | |
| Assessors were trained to record the time stamps of any disturbance that led to visible changes in the EEG signal recording (example trace in Figure 2) |