Table 5.

Qualitative feedback to improve the implementation strategies to address the change objectives with lower self-perceived achievement scores.

Change objective	How can we improve the MyGoals implementation strategies to help you achieve the change objective?
I understand the MyGoals evidence	• Provide empirical evidence (“I understand the evidence of MyGoals… obviously the principles behind it. You shared that and I understand that, but I feel like the evidence of MyGoals itself is still like in the works”)
I acknowledge that MyGoals is feasible	• Provide an electronic version MyGoals & streamline MyGoals (“I feel like if it was like electronic or accessible by computer through like smart phrase and also just it needs somehow has to be shortened or broken up into sessions”)
I expect delivering MyGoals will improve personally meaningful goal achievement in clients	• Promote tailored MyGoals intervention for each client (“I feel like for most people, it [MyGoasl intervention] would be really meaningful, but like one system does not work for every person… You have to look at your clients and see who will be really benefit from it and who needs a different approach…Anybody that is goal-oriented would really benefit from this depending on how they do, people that are less goal-oriented could do well from this or could not do well from this because some people either get stressed out by their goals”)
I expect delivering all MyGoals intervention components will improve personally meaningful goal achievement in clients	• Promote tailored MyGoals intervention for each client (“There are MyGoals intervention components that are super helpful with goal achievement, but I feel like using all of them all the time, like I was focused on the word “all” there, it is not like feasible all the time. Using the principles is great. I just don't think it's feasible to do this whole process with all the clients. But if it says, like just said “utilizing components from my goals in practice will be personally meaningful in goal achievement with clients” I would say 100 percent that would be like there are so many good components”)
I am confident in my ability to deliver all MyGoals intervention components	• Improve MyGoals manual adaptability (“I don't think any of it was like very complicated, necessarily. I just think like I may have gotten a little confused trying to follow the script and use the handouts. Maybe… the way that that packet is organized. It might be helpful to kind of like reorganize it a little bit…So I think that was probably why I put a little bit lower on my confidence”)
I am confident in my ability to deliver all MyGoals activities by using 4 communication strategies*	• Clarify the communication strategies and provide a cheat sheet (“I wasn't really quite sure the other four communication strategies, exactly what those were…Provide a cheat sheet for clinicians to implement communication skills”) Provide more role-playing (“Having more role playing or being able to like, you know, look at that stuff a little”)
I understand all MyGoals intervention components	• Provide more practice and role-playing sessions (“That's just like my skills, I'm not great at… open-ended. That's more like me making my brain do something that it's not like that. I don't know if that's necessarily a problem with the tool…I feel like it was the actual role-playing. Just being able to like maybe do more of that because I even felt like during my the second client, it was like this is at least a little easier than the first time doing it.”)
I have skills for delivering all MyGoals intervention components completely	• Provide more practice and role-playing sessions (“That's just me being bad at open-ended things”)