Actors |
The OT research team |
The OT research team member who observed and evaluated the OT participant's MyGoals intervention sessions in real-time |
Actions |
Before MyGoals clinician education
First 2-h 1 : 1 zoom MyGoals clinician education
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1.
Introduced MyGoals intervention concepts, importance, activities, strengths & evidence, relative advantages, flexibility
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2.
Educated on knowledge and skills necessary to deliver MyGoals completely and competently
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3.
Provided audio-recording of an experienced OT delivering MyGoals to learn ideal MyGoals practice, gain awareness about one's practice, and perceive the potential benefits of using MyGoals
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4.
Discussed the audio-recording of the experienced OT's MyGoals sessions
During the 2nd 2-h zoom MyGoals clinician education
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1.
Role-played to practice how to translate their knowledge and skills into practice, improve one's self-efficacy to deliver MyGoals, and provide a chance to perceive the relative advantages and strengths & evidence of MyGoals
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Audit
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1.
The research team audited OT's in-person MyGoals intervention sessions with clients in real-time
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2.
During the observation, the research team evaluated the adherence and competence of OT-delivered MyGoals intervention sessions using the observer-rated MyGoals fidelity assessment - Competence and Adherence Scales
Feedback
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1.
The research team encouraged the OT to share self-reflection on their MyGoals intervention delivery and encouraged them to ask questions
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2.
The research team discussed the OT's self-reflection and answered questions
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3.
The research team verbally debriefed the MyGoals fidelity assessment results. The research team made sure to provide positive reinforcement by emphasizing the well-implemented components and communication strategies
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4.
The research team asked the OT to share their reflections and questions regarding the Fidelity assessment results
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5.
The research team nonjudgmentally and interactively discussed with the OT ways to improve their knowledge, skills, and performance. The research team helped the OT improve their knowledge, skills, and performance
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6.
The research team suggested clear target intervention components and communication strategies that can or need to be improved to adhere to the MyGoals manual
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7.
The research team verbally provided tailored action plans for each OT to help them adhere to the MyGoals manual and improve intervention quality
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8.
The research team reminded the OT that they now have the necessary knowledge and skills and supported them to enhance their self-efficacy to deliver MyGoals completely and competently
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Action target |
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•
OT's knowledge, awareness, skills, outcome expectancy, self-efficacy
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•
MyGoals intervention’ strengths & evidence, and relative advantages
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Temporality |
Two 2-h zoom sessions provided before the OT delivers MyGoals to clients |
Provided between the 1st and 2nd MyGoals intervention sessions with each client (2 sessions per OT participant) |
Dose |
Two 2-h zoom sessions |
Two 0.5-h sessions |
Implementation outcomes affected |
Acceptability, appropriateness, feasibility, MyGoals intervention fidelity |
Acceptability, appropriateness, feasibility, MyGoals intervention fidelity |
Justification |
We developed the tailored strategies to target the MyGoals implementation determinants, which we identified through a rigorous process (21) including Implementation Mapping (11), a taxonomy of behavior change (14), CFIR (13), and social cognitive theory (15) and based on the existing literature such as ERIC-recommended strategies (22). |