Table 1.

Challenges for clients to engage with therapy homework between sessions and approaches to tailor homework in response to challenges

Challenges in engaging with homework	Approaches to tailoring homework
Homework difficulty Client lacked skill or knowledge Client did not feel challenged Client lacked motivation	Adjust magnitude of homework Reduce duration, timing, frequency of behavior Adjust homework to client knowledge Examples, activities that provide a challenge and engagement
External barriers Chores, lack of support, work, caregiving, finances, health Basic needs Emerging priorities	Alternatives with a similar role, backup plan Alternative in anticipation of barriers Resources for how to address barriers
Homework is uncomfortable Feelings of vulnerability, shame, physiological negative feelings, fear, anxiety Unfamiliar activities Timing of homework might not be conducive to engagement	Creating comfortable space Preparing for challenging moments Surfacing homework benefits and connecting with client values