Fidelity assessment
An MA&R fidelity scale was developed to assess the delivery of the intervention. Fidelity was assessed by individual structured interviews with the providers and focus group interviews with participants All participants in MA&R were invited to the interviews. The MA&R fidelity scale covered six major components, all considered essential for successful intervention delivery: staffing, organization, group sessions, individual sessions, contact, and individual support. The scale ranged from 0 to 41. A fidelity score of 25 or more indicated that MA&R was delivered. Higher scores reflected higher degree of fidelity in the delivery of MA&R.