Table 2.

Examples of weekly cues to action sent to family medicine graduate medical residents at a teaching medical center in South Carolina.

Stage of change	Theoretical targets	Message objective	Message
N/Aa	N/A	Introductory text	Hi! Thank you for taking part in the POTENTIAL Project to improve teach-back during virtual visits. We’ll send you weekly text reminders to use teach-back in your clinic. If you have questions or concerns, plz text XXX or XXX. The POTENTIAL Team.
Preparation to action	Self-efficacy to try using teach-back during remote visits	To demonstrate that the use of teach-back won’t hinder providers ability to stick to time constraints of visits	Did you know teach-back only adds a minute or two to a patient visit when done properly?
Preparation to action	Self-efficacy to try using teach-back during remote visits Building Teach Back skills	To demonstrate the use or understanding of small steps to implement teach-back into practice To understand how to use the 5Tsb of teach-back	Don’t forget the 5Ts for Teach-back! The first one is Triage. Focus on one topic for teach back during today’s patient encounter
Action to maintenance	Skills	To demonstrate the implementation of teach-back and the use of remote tools	When in a virtual care visit be sure to use the chat, share screen, and whiteboard features! Interactive visits can help keep patient engaged!
Action to maintenance	Self-efficacy Outcome expectations	To encourage self-evaluation to overcome setbacks during teach-back encounters To encourage modification of teach-back practice until desired comfort level with the technique is achieved and maintained	Practice makes perfect! With a little time and frequent use, teach-back will feel less awkward and have no impact on the length of a patient visit.

^aNot applicable.

^b5Ts: Triage, Tools, Take Responsibility, Tell Me, and Try Again.