Strategies to improve adherence to interventions {11c}
Research coordinators will be assigned to monitor routine DIALOG+ appointments for all participants for the first 6 months of the intervention period. Researchers will actively assign appointments for the intervention/control sessions with participants and conduct reminder calls before a patient’s appointment to ensure maximum attendance.The research teams will record attendance for all meetings in a ‘Meeting Record Log’ and data from the DIALOG+ app will be extracted on a monthly basis to monitor the duration and other details of the meeting.To monitor further intervention fidelity, a random selection of sessions will be audio-recorded, and the DIALOG+ fidelity scale applied to measure adherence to the intervention and manual. Participants (both clinicians and patients) will be asked at the point of informed consent for additional consent to record sessions. It will be made clear to participants that this is optional, and consent will be confirmed prior to any sessions being recorded.