Table 4 Feasibility Outcomes

Initial 50 surveys

Less refusal to participate in study when we allowed postal codes to be used.

RAs community engagement actions successful in further recruitment efforts.

Recruitment of 25 participants at Site A, and Site B completed in 1 month.

50 participants recruited in 2 months.

Use postal codes in survey with SAs.

Community engagement is essential in SA communities. Spending time in setting is required for 1 month before recruitment begins to connect with leaders.

Recruitment

Reinforced confidentiality and anonymity resulted in participants more willing to participate in study.

125 participants for site A and 125 for site B to be recruited in 4 months.

Sample size of 300 participants to be recruited.

278 participants recruited in 6 months from both site A and site B.

Total sample recruited was 328.

Community-based recruitment using snowball and network sampling takes more time within SA communities.

Recruitment target times should be more realistic to the population.

Data collection

RA reinforced rationale for items that were perceived to be similarly worded.

Some participants believed the survey took longer to complete than it did, although, it was not a deterrent from participating.

Some participants reported too many response categories; and, most felt the midpoint response was acceptable.

Items within each subscale acceptable.

Participant survey to be completed within 30 min.

All items in subscales completed during data collection.

The average time to complete survey was 15 to 30 min.

Survey administrators need to explain a priori that items may seem to be similar, but they are tapping different aspects of a construct.

Reinforce to participants survey length and rationale prior to administration.

“I neither agree or disagree” response category is a good midpoint response to use in a Likert Scale with SAs.

CAPI software & resources

The computer/tablet functionality and handling issues were problematic during initial recruitment.

Data collected on computer/tablet is seamless.

Visual aids and honorariums acceptable.

RAs used paper-pencil administration alongside CAPI after initial round.

Visual aids well received, and honorariums acceptable.

To allow more seamless administration, a better-quality tablet (i.e. enhanced font) would be required for CAPI software use.

Use visual aids and provide honorariums for SA participants.