Fig. 2

Connecting BPS Theory and Program Design in ComSA CD. Design of the ComSA CD program. Program components (SCOPE, GAB, SWING) are mapped onto respective BioPsychoSocial target outcomes, and hypothesized to work using respective mechanisms as the change pathway, as demarcated by the arrows. Trainer mechanisms refer to implementation strategies used by program trainers based on literature review of similar programs. Participant mechanisms refer to individual-level determinants of change, which were the most significant change barriers from ComSA CD formative assessment