Trial design {8}
To test DIALOG+ within routine healthcare settings in India and Pakistan we are conducting a cluster RCT. The design of the cluster RCT was finalised after incorporating the results of a pilot study which informed local adaptation of the intervention.The unit of analysis for the cluster RCT will be the mental health professionals, who will be recruited from outpatient clinics at three included clinical sites (two in Pakistan and one in India). The caseloads of the mental health professionals will be screened by researchers to identify potentially eligible patients. The clinician along with their enrolled patients will form individual clusters and will be allocated on a 1:1 basis to either the control (DIALOG scale) or the intervention arm (DIALOG+).Assessors will be blinded to participant allocation for all data collection.