Barriers and Facilitators in the Implementation of the Systematic Medical Appraisal, Referral, and Treatment (SMART) Mental Health Digital Intervention in Rural India: Mixed Methods Process Evaluation Study

Ankita Mukherjee   ¹ , PhD ;   Mercian Daniel   ¹ , PhD ;   Sudha Kallakuri   ² , PhD ;   Siddhardha Devarapalli   ² , PhD ;   Sandhya Kanaka Yatirajula   ¹ , PhD ;   Amanpreet Kaur   ^{1, 3} , PhD ;   Praveen Devarsetty   ^{2, 4, 5} , MBBS, MD, PhD ;   Usha Raman   ⁶ , PhD ;   Beverley M Essue   ⁷ , PhD ;   Rajesh Sagar   ⁸ , MBBS, MD ;   Shashi Kant   ⁹ , MBBS, MD ;   Shekhar Saxena   ¹⁰ , MD ;   Graham Thornicroft   ¹¹ , MBBS, MSc, PhD ;   Anushka Patel   ^{4, 12} , MBBS, SM, PhD ;   Pallab K Maulik   ^{1, 4, 5} , MSc, MD, PhD

¹ George Institute for Global Health, New Delhi, Delhi, India

² George Institute for Global Health, Hyderabad, Telangana, India

³ Jindal School of Psychology & Counselling, OP Jindal Global University, Sonipat, Haryana, India

⁴ Faculty of Medicine and Health, University of New South Wales, Sydney, Sydney, New South Wales, Australia

⁵ Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India

⁶ Department of Communication, University of Hyderabad, Hyderabad, Telangana, India

⁷ Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada

⁸ Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, Delhi, India

⁹ Department of Community Medicine, All India Institute of Medical Sciences, New Delhi, Delhi, India

¹⁰ Harvard T H Chan School of Public Health, Harvard University, Boston, MA, United States

¹¹ Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, England, United Kingdom

¹² The George Institute for Global Health, Sydney, New South Wales, Australia