Table 1

Bowen’s acceptability framework (adapted)

Area of focusDefinitions according to Bowen et al 30 Outcomes of interest from results from the current NEO feasibility study
1. Acceptability

  • To what extent will participants accept the new idea?

  • Acceptability of video recordings with a Likert acceptability scale question for all women and health workers

  • Acceptability interview with mothers and health workers

2. Demand

  • Is there a demand?

  • Is it fit within the organisational culture?

  • Perceived demand for focus on neonatal resuscitation (NR) by health workers

  • Appropriate within the organisational culture

  • Desperate need for improvement of NR practice

  • Exploratory and participatory meetings and workshops with staff before the design of the study

  • Exploratory meetings with stakeholders, policymakers and officials from the Ministry of Health

3. Implementation

  • Can the new idea be successfully implemented?

  • Recordings of NR can be implemented

  • There is an ability of the study team to carry out and implement the study at the health facility

4. Practicality

  • Implementation with existing means, resources and circumstances?

  • Awareness of technical challenges

  • The extent where the video recordings are possible in the context

  • Efficiency, speed, and quality of implementation setting with an unstable power source and unstable internet

5. Adaptation

  • To what extent can a new idea perform when changes are made for a new format?

  • Degree to which similar outcomes are obtained in a new format?

  • The extent where video recordings are possible when a non-consent woman is in the delivery room

  • The extent to which video recordings can be implemented without effect on clinical work

6. Integration

  • To what extent can it be integrated into the existing system?

  • Fit within existing infrastructure

  • Video recordings work in a local context with no influence on workflow

7. Expansion

  • To what extent can the method be expanded?

  • Positive effects on the health system explored

  • Possible expansion with all practical factors considered

  • The extent to which video recordings of NR can be scaled up in more facilities

8. Limited-efficacy testing

  • Does the new idea show promise of being successful in the intended populations?

  • Intended effects on key intermediate variables

  • The added value of video recordings to assess the quality of NR

  • Small-scale analysis of NR videos and development of a thematic template scoring system