Table 1 Prioritization of consultation tasks
Task | Importance mean rating | Likelihood of error mean rating | Prioritization |
|---|---|---|---|
Access digital materials (obtain internet access, access/navigate modules or message board | 5.0 | 4.0 | Selected for testing |
Present 1st MBC case (succinctly summarize case features/MBC plan, select assessment instrument OR describe results of initial assessment, describe rationale for ongoing assessments, articulate what a positive response would look like OR describe results of ongoing assessments, describe next steps for MBC with the case) | 5.0 | 4.0 | Selected for testing |
Articulate possible barriers/concerns with MBC for identified cases (identify barriers, articulate likelihood of each barrier, problem-solve barrier with consultant: generate solutions, select a solution to apply) | 4.8 | 3.5 | Selected for testing |
Plan for maintenance of behavior change (articulate additional barriers to MBC, problem-solve barriers with consultation group: generate solutions, select a solution to apply) | 4.5 | 4.0 | Selected for testing |
Login to message board (access user name/password info, type user name/password successfully) | 4.5 | 3.0 | Deprioritized (entirely digital process) |
Revise planned MBC steps with case based on feedback/discussion (change monitoring target for MBC cases: revisit goals/select alternative targets/articulate plan to present alternative targets to case, select alternative cases for MBC) | 4.0 | 3.3 | Selected for testing |
Navigate to message board from 1+ location | 4.0 | 3.3 | Deprioritized (entirely digital process) |
Articulate questions/problems encountered RE: MBC skill application (identify specific MBC step where assistance is needed, respond to consultant questions clarifying details about skill application: what have they tried/what are they trying to achieve/what has been problematic, *role play MBC conversation | 4.0 | 2.5 | |
2nd or 3rd case presentation (succinctly summarize case features/MBC plan, select assessment instrument OR describe results of initial assessment, describe rationale for ongoing assessments, articulate what a positive response would look like OR describe results of ongoing assessments, describe next steps for MBC with the case) | 3.8 | 3.0 | |
Navigate to appropriate discussion thread | 3.8 | 3.0 | |
Read trainee and consultant posts within a thread | 3.8 | 2.8 | |
Discuss non-completion of practice activity (generate reasons, problem solve: generate solutions, select solution to apply) | 3.5 | 3.3 | |
Complete values activity (articulate professional values, articulate barriers, articulate if/then plan linking barriers to correction actions) | 3.5 | 3.3 | |
Post practice activity results | 3.3 | 3.7 | |
Schedule make-up calls | 3.3 | 3.3 | |
Identify/post cases to serve as MBC targets (review cases to identify those appropriate for MBC, post succinct case examples on message board) | 3.3 | 2.3 | |
Give Introduction (wait turn/speak at appropriate time, present info, report practice activity, summarize practice activity) | 3.3 | 2.0 | |
Record new practice/homework assignment to be posted to message board | 3.0 | 2.8 | |
Other practice/homework activities | 2.8 | 2.8 | |
Provide feedback on others’ posts/MBC application questions (identify relevant BOLT map steps) | 2.5 | 3.0 | |
Email consultants with questions | 2.5 | 2.0 | |
Revise an existing MBC script to tailor to personal style/student population | 2.5 | 1.8 | |
Provide constructive feedback to other trainees (wait turn/speak at appropriate time, describe ideas about MBC application) | 2.3 | 2.8 | |
Document questions/concerns as they arise | 1.8 | 2.3 |