. 2021 Jul 17;2:78. doi: 10.1186/s43058-021-00183-0

Table 4.

Consultation strategy redesign decisions

Usability issues	Consultation redesign
Focus on barriers detracts from case presentation Unprepared to identify solutions to barriers Digressions derail barrier problem solving and engagement Case presentations exceed time allotted *Unfamiliar case update structure	Development of Troubleshooting Guide (guidelines, examples and tips) for consultants
Focus on barriers detracts from case presentation Unprepared to identify solutions to barriers Digressions derail barrier problem solving and engagement Case presentations exceed time allotted	Clearly defined call agenda, directions and expectations for call activities and participation
Focus on barriers detracts from case presentation Unprepared to identify solutions to barriers Digressions derail barrier problem solving and engagement Unprepared to articulate updated monitoring targets Case presentations exceed time allotted Unfamiliar case update structure *Difficulty articulating what is being measured	Provision of examples (e.g., case presentation) via multiple formats (i.e., modeled in vivo by consultant, discussion board, handouts)
Focus on barriers detracts from case presentation Digressions derail barrier problem solving and engagement Case presentations exceed time allotted Consultation call duration too brief	Opportunity to ask overflow questions/comments to continue via asynchronous discussion board with both consultant and call group participants
Focus on barriers detracts from case presentation Unprepared to identify solutions to barriers *Discomfort with assessments in case presentations	Consistent use of affirmation and positive feedback during call discussion, practice activities and discussion board use
Case presentations exceed time allotted Unfamiliar case update structure No continued access to resources Unaware of available follow-up supports *Unfamiliar language in consultation model	Development of participant handbook including information on all available resources and how-tos on accessing and utilizing technology (discussion board, training resources, calls), etc.
Distraction from multi-tasking online during calls Technological difficulties are disengaging	Consultant screen-shares appropriate resources, materials or examples during call
Inadequate on-site technology Technological difficulties are disengaging	Research team available to troubleshoot any technological issues or needs during consultation calls
Inadequate on-site technology Distraction from multi-tasking online during calls *Technological difficulties are disengaging	Additional technical training for consultants (e.g., learning dashboard, zoom videoconference, etc.)
Unaware of available follow-up supports Technological difficulties are disengaging	Orientation for participants on training platform during first call (i.e., discussion board, additional resources)
*Confidentiality concerns when reporting results	Promotion of collaborative, safe environment to share via introductions, profile photos and video during calls
Regular calls incompatible with time/availability Duration misaligned with preferences	Participants given one of top choices (rank order) of their preferred time for consultation calls
*Regular calls incompatible with time/availability	Offered brief make-up sessions if scheduled group calls were missed (based on their availability)
Rapid assessment misaligned with available time Regular calls incompatible with time/availability *Duration misaligned with preferences	Reduction of consultation call time from 1–1.5 h to 50 min
No continued access to resources Unaware of available follow-up supports	Allowed continued access to the training modules
Focus on barriers detracts from case presentation No continued access to resources Discomfort with assessments in case presentations Unaware of available follow-up supports	Development of supplemental MBC resources and reference materials (e.g., workflow tools, standardized assessments repository, MBC tip sheets, etc.)
Confusion over MBC terminology Unfamiliar language in consultation model	Revised language (e.g., reduced jargon, increased readability, clear definitions, etc.) across all project materials
Unprepared to articulate updated monitoring targets Case presentations exceed time allotted	Broke down MBC process into manageable steps (sequence of practice activities followed by feedback) to better align with call timeline