Table 1.
The Assessment-Decision-Adaptation-Production-Topical Experts-Integration-Training-Testing (ADAPT-ITT) model [25] applied in the study.
| Phase | Method | Version |
| 1: Assessment of new study population | Assessed needs of people living with HIV on MMTa for CMDsb | Completed in 2019 |
| 2: Decision on choosing EIPc for adaptation | Reviewed EIPs for CMDs then decided to choose FBd counseling CMDs for community people of Zimbabwe to adapt for counseling CMDs for people living with HIV on MMT | Completed in 2019 |
| 3: Adaptation | Conducted IDIe with 12 people living with HIV on MMT, 5 family members and caretakers, 4 clinic directors, and 2 FGDsf with MMT health care providers (each group had 5 people); analyzed results by themes and reported results | Original manual |
| 4: Production | Presented results of phase 3 to 2 creators of FB and 2 investigators and 1 expert in HMUg; recorded and reported comments of 2 investigators and topical experts for production; reviewed original FB manual to modify per results above and received investigators’ agreement on adaptation into the first draft manual | First draft |
| 5: Topical experts | Sent the first draft manual to 3 topical experts and 2 investigators for comments and revision | First draft |
| 6: Integration | Integrated experts’ and investigators’ comments to make the second draft, added Vietnamese illustrations to make the third draft in English, and sent the third draft to experts and investigators again for comments; translated the third draft to Vietnamese; sent the Vietnamese version of the third draft to a Vietnamese topical expert for revision and to ensure conceptual equivalency | Second draft |
| 7: Training | Creators of FB trained for trainers in Vietnam; trainers trained for counselors | Third draft |
| 8: Testing | Piloted the third draft for 5 people living with HIVs on MMT and having CMDs; revised third draft to make final manual | Final |
aMMT: methadone maintenance treatment.
bCMD: common mental disorder.
cEIP: evidence-informed program.
dFB: Friendship Bench.
eIDI: in-depth interview.
fFGD: focus group discussion.
gHMU: Hanoi Medical University.