Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care system

Table 2 Measures of feasibility and acceptability and their benchmarks

Measure	Minimum benchmark
Feasibility
Feasibility questionnaire (FIM) among MOH participants	Median ≥ 3.5^a
Reasons for perceptions of feasibility/infeasibility	N/A
Number of patient participants with diabetes enrolled per health district^b	25
Number of patient participants with hypertension enrolled per health district^b	25
Acceptability
Acceptability questionnaire (AIM) among MOH participants	Median ≥ 3.5^a
Proportion of patient participants with subsequent follow-up visit within 3 months (among those enrolled with ≥ 3 months remaining in pilot)	75%
Reasons for perceptions of acceptability/infeasibility among patient and MOH participants	N/A
Reasons for dropouts among patient participants	N/A

Abbreviations: AIM, Acceptability of Intervention Measure, FIM, Feasibility of Intervention Measure, MOH Ministry of Health
Primary outcomes in this pilot study are feasibility and acceptability as defined in the Implementation Outcomes Framework
^aThe FIM and AIM scales range from 1 to 5 with higher values implying greater feasibility or acceptability, respectively; the participant’s mean score across the four questions will be used
^bEnrollment is defined by a patient having at least one clinic visit entered in the DHIS2 or equivalent longitudinal medical record system; a given patient may have both diabetes and hypertension and thus count toward each benchmark

ISSN: 2662-2211