A Detailed Overview of ImpACT+ Supervision Components
| Component | Purpose | Team Member | Frequency |
|---|---|---|---|
| Process supervision | |||
| Fidelity checklists | Self-reported fidelity to session content | Nonspecialist health workers | After every session |
| Review of session recordings | Fidelity and mastery of intervention delivery; identify areas for improvement and training | Clinical supervisor | Weekly |
| Quality assurance ratings | Systematic, quantitative monitoring of clinical skills | Clinical supervisor | Weekly |
| Supervisor memos | Monitor intervention adaptations, successes, and areas for improvement | Clinical supervisor | Monthly |
| Discussion with intervention specialist | Fidelity to intervention design, grasp of key concepts, and case conceptualization for difficult cases | Intervention specialist | Monthly |
| Direct supervision | |||
| Logistic supervision meeting | Review recruitment, retention, and intervention delivery context | Project manager, senior research assistant | Weekly |
| Clinical supervision meeting | Session review, fidelity, and skill enhancement | Clinical supervisor | Weekly |
| Debriefing sessions | Containment and emotional support | Qualified mental health practitioner | Monthly |
| Need-based supervision | |||
| Daily communication | Ongoing informal support | Whole team | As needed |
| Peer support | Informal containment | Nonspecialist health worker | As needed |