Development of the Technical Assistance Engagement Scale: A Modified Delphi Study

Development of the Technical Assistance Engagement Scale: A Modified Delphi Study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Development of the Technical Assistance Engagement Scale: A Modified Delphi Study Victoria Scott, Jasmine Temple, Zara Jilani This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4189554/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 29 Jul, 2024 Read the published version in Implementation Science Communications → Version 1 posted 5 You are reading this latest preprint version Abstract Background: Technical assistance (TA) is a tailored approach to capacity building that is commonly used to support implementation of evidence based interventions. Despite its widespread applications, measurement tools for assessing critical components of TA are scant. In particular, the field lacks a robust measure for examining relationship quality between TA providers and recipients. TA relationships are central to TA and significantly associated with program implementation outcomes. The current study seeks to address the gap in TA measurement tools by providing a scale for assessing TA relationships. Methods: We utilized a modified Delphi approach involving two rounds of Delphi surveys and a panel discussion with TA experts to garner feedback and consensus on the domains and items that compose the TA Engagement Scale . Results: TA experts represented various U.S. organizations and TA roles (e.g., provider, recipient, researcher) with 25 respondents in the first survey and 26 respondents in the second survey. The modified Delphi process resulted in a scale composed of six domains and 22 items relevant and important TA relationships between providers and recipients. Conclusion: The TA Engagement Scale is a formative evaluation tool intended to offer TA providers the ability to identify strengths and areas for growth in the provider-recipient relationship and to communicate about ongoing needs. As a standard measurement tool, it lends a step toward more systematic collection of TA data, the ability to generate a more coherent body of TA evidence, and enables comparisons of TA relationships across settings. technical assistance (TA) relationships TA engagement delphi measurement development formative evaluation Figures Figure 1 Contributions to the Literature The technical assistance (TA) provider-recipient relationship is central to TA. However, no robust measurement tool exists for assessing TA relationships. This article addresses gaps in TA measurement literature by developing the TA Engagement Scale . The TA Engagement Scale advances TA practice by providing providers and recipients with a robust, expert-informed instrument for monitoring TA engagement quality. The measure increases TA provider ability to make collaborative, data-informed adjustments to TA delivery. The scale advances TA by providing a standard measurement tool that aids systematic data collection, formation of more coherent TA evidence, and comparisons of TA relationships across settings. Background Evidence-based interventions and practices (EBIs/EBPs) are critical for advancing population health and community well-being. However, both uptake and quality implementation of EBIs/EBPs are a persistent challenge to improved health outcomes globally. A host of contextual factors contribute to implementation-related outcomes, including stakeholder perceptions of the EBI/EBP, setting capacity for EBI/EBP adoption, and general functioning and climate of the implementation setting ( 1 – 3 ). A growing body of literature provides evidence that technical assistance improves implementation outcomes ( 4 – 7 ). Technical Assistance (TA) is a tailored approach to organizational and community capacity building that is chiefly used to support implementation of EBIs/EBPs ( 8 ). TA involves tailored guidance by a TA specialist (or TA organization) to members of a setting (organization, community) regarding a specific practice area(s) (e.g., needs assessment, program monitoring, stakeholder engagement, sustainability planning). TA delivery frequently entails an assortment of activities (e.g., coaching, consultation, resource sharing; ( 9 )), that vary by recipient need, with direct TA provider-recipient interactions as a hallmark feature. Thus, the relationship between a TA provider and recipient(s) is essential for successful TA ( 10 – 12 ), particularly for intensive models of TA ( 13 ). Importantly, a provider’s ability to effectively build relationships with recipients is recognized as a core TA competency ( 14 , 15 ). In a research synthesis of the TA evidence base, TA relationships (defined broadly as “human encounters between TA providers and recipients”) were discussed in approximately 50% of articles (( 16 ), p.418). The synthesis affirmed the significance of provider-recipient relationships to TA, noting trust, collaboration, and a strengths-based orientation as most commonly reported relationship attributes. When TA providers establish rapport with recipients, recipients view providers as trusting, respectful, patient, and motivating, underscoring the importance of the recipient-provider relationship ( 17 – 19 ). Collaborative TA relationships are positively associated with implementation-related outcomes including implementation adherence ( 19 , 20 ), and high-quality team functioning - a proximal outcome linked to implementation effectiveness ( 21 ). The value of soliciting client feedback on a professional client-provider relationship is an established best practice across a variety of professional fields (e.g. clinical therapy/counseling, coaching, consulting). Most providers have access to robust measurement scales for this purpose. For example, clinicians and counselors can select from an assortment of field-tested measures to get patient feedback about the therapeutic relationship (e.g., Therapeutic Bonds Scale , Helping Alliance Questionnaire [Haq-I/II], California Psychotherapy Alliance Scale [CALPAS], Working Alliance Inventory [WAI] ( 22 – 25 )). Similarly, consultants can draw on the Consulting Effectiveness Survey ( 26 ) and coaches can use the Coaching Evaluation Survey ( 27 ) and Executive Coaching Survey ( 28 ) to assess client-provider relational quality. Akin to allied professional client-provider relationships, TA provider-recipient relationships are beneficial to assess for attaining desired outcomes (i.e., formative evaluation). However, TA providers have sparse options for existing measures for this construct. Heretofore, TA providers or TA centers interested in measuring relational elements of TA have resorted to developing their own measures. For example, Chilenski and colleagues ( 21 ) developed a 7-item instrument to measure collaboration - one specific and important feature of TA relationships. The field of TA is in need of an expert-informed measure of TA provider-recipient relationship quality, particularly an instrument that assesses the multiple dimensions of TA relationships. We aim to fill this need by developing a novel measurement tool for TA engagement. Purpose & Initial Scale Development The purpose of the current study was to obtain subject matter expert input and consensus for the domains and items on the TA Engagement Scale , a measure that assesses the quality of engagement (relationship) between TA providers and recipients. We began with a literature review (May - July 2022) to determine how previous research in TA and related fields (i.e. clinical therapy/counseling, consulting, coaching) measured provider-client relationship quality. We reviewed measures at the domain and item level and retained the most common domains and associated items across each field. For instance, the following constructs were common in coaching measures: benefits, relevance, expectations of coaching, value of coaching, satisfaction with coaching, communication, interpersonal skills, coaching outcomes, and investment. The measurement tool review generated an initial set of domains and items, which we categorized using the International Coaching Federation (ICF) Framework. We used the ICF framework to organize the domains and items due to similarities between coaching and TA; no equivalent framework exists for TA ( 29 , 30 ). Next, we solicited TA subject matter expert (henceforth, experts) input through four meetings. Experts were TA providers and researchers from three organizations identified via convenience sampling. These initial discussions with TA experts focused on the adequacy of the domains ( Did domains adequately reflect the most salient features of TA relationship quality? Were domain definitions sufficiently clear and precise? ). As we obtained feedback, we revised the pool of domains and items accordingly. For example, experts flagged items that measured effectiveness (outcome measure) rather than engagement (process measure), so we removed those items. Altogether, the literature review and initial expert input led to a preliminary, comprehensive set of 14 domains and 75 items. In what follows, we describe our approach to obtaining expert input and consensus on the domains and items on the TA Engagement Scale using a modified Delphi process. We used a combination of literature review, preliminary expert input, and Delphi process to develop a TA scale that is grounded in TA research and practice. Methods Participants The TA research team involved a university faculty member PI (VS) and two doctoral students (JT, ZJ). We utilized convenience and snowball sampling, wherein TA experts across the United States acquainted with the PI were invited to participate in the Delphi study. Additionally, we asked prospective experts to share contact information for any TA provider, recipient, or researcher who might be interested in participating. Participant inclusion criteria included: i) having a minimum of one year experience with TA, and ii) English speaking. TA providers, researchers, and recipients from six organizations participated in the Delphi process. The TA research team did not participate in the Delphi surveys and were not included in the data analysis. Procedures The Delphi method is a systematic approach for eliciting and aggregating opinion on a topic from a panel of experts ( 31 ). Developed by the Research and Development Corporation (RAND) in the 1950s, researchers have used the Delphi method to garner and consolidate expert feedback and generate consensus. This method has commonly been used to identify the current state of knowledge on a subject, come to a resolution on controversial topics, and develop measurement and indicator tools ( 32 – 34 ). The Delphi method has been utilized across disciplines, including health sciences, business, and educational settings ( 4 , 35 , 36 ). Typically, respondents engage in several rounds of surveys in which they share feedback on a series of questions. Between rounds of surveys, the researcher analyzes experts’ feedback and consolidates it for the following round so that items with more consensus proceed to the next round of surveys and items with less consensus are eliminated. In prior literature, consensus has been defined as 50–97% or more of subject matter experts in agreement about a subject matter, with a 75% median threshold for defining agreement ( 33 ). The Delphi method reduces group influence on responses since experts are often asked to provide feedback asynchronously and confidentially, which reduces status effects on which items are retained (e.g., everyone has equal say ( 37 )). The TA research team utilized the Accurate Consensus Reporting Document (ACCORD) for a Modified Delphi process ( 38 ) to ensure accurate and systematic reporting of the Delphi method. The completed ACCORD document is provided in supplementary material. In the current study, the Delphi consensus building process consisted of two surveys administered to subject matter experts (i.e., TA providers, recipients, and researchers) using Qualtrics, a web-based survey platform. Surveys were not piloted prior to administration to TA Delphi experts, however feedback about the survey content was received during discussions with TA experts (see Initial Scale Development section). The two-round survey design was informed by the research team’s pre-existing work (preliminary feedback from TA experts). Before administration of the first Delphi survey, the team hosted two orientation sessions with prospective experts to introduce the goals of the national study and communicate expectations for participation. An orientation session was recorded and shared with prospective experts who were unable to attend a live session. Each round of the TA Engagement Scale survey was emailed to interested experts (described below), who then consented to participate in the study. For Survey Round #1 and #2, we asked experts, “ To what extent are the following domains (and items) and their respective definitions relevant to interactions between TA provider and recipient? ”. Response options ranged from 1 ( not at all relevant ) to 4 ( completely relevant ). After each domain and item, we provided a comment box for experts to leave an open-ended response regarding any comments, suggestions, and concerns related to each domain and item. Additionally, an open-comment box was included at the end of the survey for any other input (e.g. comments about the measure overall, any suggested items, any general questions). The inclusion of open-ended text boxes is a common practice in Delphi surveys ( 39 ). Survey responses were confidential but not anonymous. The first survey was administered over a three week period from August 21st, 2023 to September 8, 2023 and reminder emails were sent on a weekly basis. After we received feedback on survey #1, the TA research team summarized survey results into a report that was shared with the experts. We then held a one hour discussion with the panel of TA experts to discuss their Survey Round #1 feedback and to clarify questions on September 22, 2023. The second TA Engagement Scale survey was administered to the experts over the course of two weeks from October 6, 2023 to October 20th, 2023. Reminder emails were sent on a weekly basis. In Survey Round #2, we again asked experts to rate the relevance of the refined scale domains and items. We increased the consensus threshold to 85% to increase confidence around the relevance of retained items ( 40 ). Additionally, we asked experts to prioritize the items within each domain based on relative importance to the domain reflecting TA relationships. This national TA Delphi study was approved by the University of North Carolina at Charlotte Institutional Review Board (IRB-23-0463). A study protocol for this research is unregistered. Data Analysis Data for Round #1 was analyzed in September of 2023. We followed a four step approach to analyze the quantitative and qualitative data for Round #1 of survey input. First, we used a 70% agreement threshold to determine which domains and items we retained versus removed: if 70% or more respondents indicated that a domain/item was mostly or completely relevant, then the specific domain/item was retained. Domains and items below the 70% threshold were removed. The second and third steps were based on qualitative feedback provided by experts in the open-ended responses. In the second step, we assessed if items needed to be relocated to another domain based on expert input. In the third step, we reviewed domains and items that were flagged by experts as redundant (items with similar wording or attributes). If a domain was redundant with another domain, then we merged them and revised the domain definition if needed. If an item shared redundancy with another item, we kept the item with the higher agreement. Lastly, after considering the last three steps, we determined whether an item was retained, removed, or relocated. Data for Round #2 was analyzed between October to December 2023. In the second round survey input, we followed a five step approach. First, we used an 85% agreement threshold to strengthen the consensus criteria. If domains or items did not meet the 85% threshold for agreement, then the domain and item was removed. Second, we determined whether the item needed to be relocated based on qualitative feedback. Third, we determined whether the domains or items shared redundancy with other domains and items, respectively; if they did, we merged the domains and retained items with the higher agreement. Fourth, we included a rank ordering system so that respondents could indicate the order of each item’s relative importance from least to most important. The average ranking of these items were used to determine the rank order. The lowest ranked items in a domain were removed. Finally, based on prior steps, we determined whether an item was retained, removed, or relocated. Results At the beginning of the modified Delphi process, the TA Engagement Scale included 75 items classified across 14 domains. After the expert input and consensus process, the final scale was reduced to 22 items across six domains. A summary of scale modifications across the modified Delphi survey rounds is available in Fig. 1 . A detailed description of the results for each survey round follows. Survey Round #1 We sent the first survey to 32 TA experts. Twenty-five experts responded to Survey Round #1 (78% response rate). We asked experts to indicate their role in TA (i.e., provider, recipient, researcher, other), with the option to select multiple roles. Largely, respondents were TA providers (n = 24), researchers (n = 12), and recipients (n = 6). See Table 1 for expert characteristics. Table 1 Delphi Participant Characteristics Characteristic Round #1 n (%) Round #2 n (%) Gender Woman 21 (84%) 22 (85%) Man 4 (16%) 4 (16%) Total N 25 (100%) 26 (100%) Technical Assistance (TA) Professional Role* TA Provider 24 (96%) 22 (85%) TA Researcher 12 (48%) 9 (35%) TA Recipient 6 (24%) 5 (19%) Other 2 (8%) 5 (19%) *Note. The TA Professional Role question included ‘select all that apply’ options in which experts could identify as both a TA researcher and provider, for instance. Thus, totals exceed 100%. Some experts, in addition to their main role as a provider, researcher, or recipient, also selected an ‘other’ category, which included roles such as a project officer for a TA center, a funder of TA projects, a TA support person, a funder overseeing TA evaluation contracts, and a grants manager. [INSERT HERE: Table 1 . Delphi Participant Characteristics ] Survey Round #1 invited feedback on 14 domains and 75 items. All domains reached the 70% consensus threshold. However, qualitative expert feedback indicated redundancy between some domains: Mutual Affirmation and Empathy, Mutual Investment and Collaboration, Responsiveness and Effective Communication, and Focused Facilitation and Accountability domains. In response, we merged these domains and revised their definitions (see Table 2 ) Table 2 Round #1 Domain Revisions Domain Percentage Agreement: Relevance to TA Relationships Decision #1 Did the domain meet the relevance threshold? (70%) Decision #2 Did the domain share redundancy with other domains? Decision #3 Did the domain language need to be refined? Final Decision Was the domain retained, removed, or merged? Professionalism 96% Yes No Yes Retained Responsiveness 96% Yes Yes Yes Merged with Effective Communication Client-Centered 96% Yes Yes Yes Removed based on panel discussion Ecologically- Minded 92% Yes No Yes Retained and changed to Contextually-Minded Proactive 88% Yes No Yes Retained Empathy 100% Yes Yes Yes Merged with Mutual Affirmation Mutual Affirmation 80% Yes Yes No Merged with Empathy Trust 100% Yes No No Retained Collaboration 92% Yes Yes Yes Merged with Mutual Investment Mutual Investment 80% Yes Yes Yes Merged with Collaboration Effective Communication 100% Yes Yes Yes Merged with Responsiveness Focused Facilitation 80% Yes Yes Yes Merged with Accountability Tailored 96% Yes No No Retained Accountability 100% Yes Yes Yes Merged with Focused Facilitation [INSERT HERE: Table 2 . Round #1 Domain Revisions ] At the item-level, we first removed items that did not achieve a 70% consensus threshold (n = 4). Then, an additional 34 items were removed due to qualitative feedback indicating the items were redundant with other items, were less clear compared to similar items, and/or were rated lower in comparison to duplicate items. Seven items were relocated as a result of domain-level revisions and qualitative feedback. Finally, three new items were added to better reflect aspects of the Contextually-Minded, Proactive, and Trust domains; experts indicated that the full range of components of the domain were not captured in the original set of items. We ultimately retained 37 of the original 75 items and added three new items for a total of 40 items (see Table 3 for detailed information about the number of domains and items removed, retained, modified, or added in round one). Table 3 Round #1 Item Revisions Domain, Item Percentage Agreement: Relevance to TA Relationships Decision #1 Did the item meet the relevance threshold? (70%) Decision #2 Did the item need to be relocated? Decision #3 Did the item share redundancy with other items? Final Decision Was the item retained, removed, or relocated? Professionalism Item 1.1. “My TA provider demonstrates professionalism through their conduct.” 88% Yes No No Retained Item 1.2. “My TA provider upholds the agreements of their services.” 84% Yes No No Retained Item 1.3. “My TA provider practices with integrity.” 88% Yes No No Retained Item 1.4. “My TA provider treats me with respect at all times.” 100% Yes No No Retained Item 1.5. “My TA provider protects my organization’s sensitive information.” 80% Yes No No Retained Item 1.6. “My TA provider creates a safe space for me to share my organization’s information.” 92% Yes No No Retained Responsiveness Item 2.1. “My TA provider is responsive to my expressed needs.” 100% Yes Yes, relocated to Effective Communication No Relocated Item 2.2. “My TA provider responds to requests for technical assistance in a timely manner.” 92% Yes Yes, relocated to Effective Communication No Relocated Item 2.3. “My TA provider is easily accessible and available when I need them.” 92% Yes No Yes Removed Item 2.4. “My TA provider assures me that I can reach out to them anytime.” 80% Yes No Yes Removed Item 2.5. “I feel I can reach out to my TA provider anytime.” 88% Yes No Yes Removed Client-Centered Item 3.1. “My TA provider encourages me to generate my own solutions to challenges.” 88% Yes No Yes Removed Item 3.2. “My TA provider tries to help me arrive at my own solutions when problems arise, rather than telling me what he/she would do.” 88% Yes No Yes Removed Item 3.3. “During TA sessions, I am encouraged to share my own views on issues.” 96% Yes No Yes Removed Item 3.4. “My TA provider values my knowledge and expertise.” 100% Yes No Yes Removed Item 3.5. “My TA provider encourages me to tackle problems using my own judgment.” 76% Yes No Yes Removed Item 3.6. “I feel as though my TA provider thinks my opinion is valuable for reaching my goals." 80% Yes No Yes Removed Item 3.7. “I feel as though my opinion is valuable to reaching my goals.” 64% No - - Removed Item 3.8. “My TA provider encourages me to use personal initiative in carrying out my tasks.” 76% Yes No Yes Removed Ecologically-Minded Item 4.1. “My TA provider offers suggestions that are appropriate for the setting in which I work.” 100% Yes No No Retained Item 4.2. “My TA provider is sensitive to relationship issues in my work setting, including power dynamics.” 96% Yes No No Retained Item 4.3. “My TA provider works to understand the contextual (e.g., political, cultural) aspects of my organization.” 100% Yes No No Retained Item 4.4. “My TA provider is aware of the conditions and capacities of my organization.” 80% Yes No Yes Removed Proactive Item 5.1. “My TA provider communicates emerging issues important to my work and organization.” 84% Yes No Yes Removed Item 5.2. “My TA provider proactively shares information that can be useful for my work and organization." 88% Yes No No Retained Item 5.3. “My TA provider reaches out on their own initiative to provide support for my work and organization.” 84% Yes No No Retained Empathy Item 6.1. “I feel my TA provider understands me.” 92% Yes No Yes Removed Item 6.2. “I feel as though my TA provider and I are on the same wavelength.” 64% No - - Removed Item 6.3. “My TA provider works to understand my position and perspectives.” 96% Yes Yes, relocated to Mutual Affirmation No Relocated Item 6.4. “My TA provider works to make sure I feel understood.” 88% Yes Yes Yes Removed Item 6.5. “At minimum, our interactions are warm and friendly.” 84% Yes Yes Yes Removed Mutual Affirmation Item 7.1. “I am able to be honest with my TA provider about my feelings and thoughts on issues.” 100% Yes No No Retained Item 7.2. “I feel comfortable sharing my skepticism and concerns with my TA provider.” 100% Yes No No Retained Item 7.3. “My TA provider engages in conversations with an open-mind.” 100% Yes No No Retained ITEM 7.4. “My TA provider shows their support for me.” 96% Yes No No Retained Item 7.5. “I feel my TA provider and I support each other in our work together.” 64% No - - Removed Item 7.6. “My TA provider encourages me to share my thoughts and opinions, no matter how small.” 84% Yes No Yes Removed Item 7.7. “I feel my ideas are accepted by my TA provider.” 84% Yes No Yes Removed Item 7.8. “I feel my thoughts and feelings are accepted by my TA provider.” 84% Yes No Yes Removed Trust Item 8.1. “I trust my TA provider.” 96% Yes No No Retained Item 8.2. “I feel I can depend upon my TA provider.” 92% Yes No No Retained Item 8.3. “My TA provider shows me they are trustworthy.” 88% Yes No Yes Removed Item 8.4. “My TA provider shows me they are dependable.” 92% Yes No Yes Removed Collaboration Item 9.1. “During TA sessions, my TA provider and I are focused on a shared goal(s).” 92% Yes No No Retained Item 9.2. “My TA provider and I are able to work through disagreements together.” 84% Yes No Yes Removed Item 9.3. “My TA provider encourages us to work through disagreements and/or conflict together.” 76% Yes No Yes Removed Item 9.4. “My TA provider and I are able to work through project/organization based obstacles together.” 92% Yes No No Retained Item 9.5. “My TA provider and I work through project/organization based disagreements together.” 76% Yes No Yes Removed Item 9.6. “My TA provider and I work collaboratively to generate solutions to challenges.” 100% Yes No No Retained Item 9.7. “I feel I am working together with my TA provider in a joint effort.” 80% Yes No Yes Removed ITEM 9.8. “My TA provider encourages us to work together on accomplishing tasks and goals.” 80% Yes No Yes Removed Mutual Investment Item 10.1. “I very much want to work through and accomplish my goals with a TA provider.” 84% Yes No Yes Removed Item 10.2. “I feel that my TA provider and I are both invested and determined in meeting our goals.” 84% Yes No Yes Removed Item 10.3. “Both my TA provider and I are committed to our working relationship.” 84% Yes Yes, relocated to Collaboration No Relocated Item 10.4. “I feel my TA provider is committed to our work and goals together.” 88% Yes No Yes Removed Effective Communication Item 11.1. “My TA provider asks me questions that show that they are actively listening to me.” 92% Yes No No Retained Item 11.2. “My TA provider asks me questions that elicit new insight about issues.” 96% Yes No No Retained Item 11.3. “My TA provider is clear about our shared expectations.” 88% Yes No Yes Removed Item 11.4. “The things that I am asked to do by my TA provider are presented in a way that I understand.” 96% Yes No No Retained Item 11.5. “My TA provider is a good communicator.” 100% Yes No No Retained Item 11.6. “My TA provider’s gestures/mannerisms make them feel approachable.” 60% No - - Removed Focused Facilitation Item 12.1. “My TA provider keeps meetings focused and on track.” 92% Yes Yes, relocated to Accountability No Relocated Item 12.2. “When applicable, I have a clear set of next steps at the end of each TA session.” 96% Yes No Yes Removed Item 12.3. “My TA provider asks questions that make me think critically.” 96% Yes Yes, relocated to Accountability No Relocated Item 12.4. “My TA provider has challenged my thoughts and/or actions.” 84% Yes No Yes Removed Item 12.5. “During TA sessions, we explore different approaches for responding to challenges.” 100% Yes Yes, relocated to Collaboration No Relocated Tailored Item 13.1. “What we discuss in TA sessions is highly relevant to my workplace responsibilities.” 92% Yes No No Retained Item 13.2. “My TA provider offers suggestions that are reasonable to implement given my organization’s capacity.” 96% Yes No No Retained Item 13.3. “My TA provider shares information and resources that are valuable and relevant to my organization.” 96% Yes No No Retained Item 13.4. “My TA provider offers me useful feedback and strategies.” 96% Yes No No Retained Item 13.5. “My TA provider focuses on current assets and resources in my workplace.” 84% Yes No Yes Removed Accountability Item 14.1. “My TA provider follows up with me about my commitments.” 84% Yes No Yes Removed Item 14.2. “My TA provider checks in on my progress related to my commitments.” 88% Yes No No Retained Item 14.3. “My TA provider identifies clear goals for each session.” 84% Yes No Yes Removed Item 14.4. “My TA provider guides me to develop clear, achievable action plans for my goals.” 96% Yes No No Retained [INSERT HERE: Table 3 . Round #1 Item-level Revisions ] We shared a report summarizing findings from Survey #1 and invited experts to a one hour panel discussion to review Survey #1 results and to discuss questions emerging from expert feedback. A total of 17 experts attended the panel discussion. As a result of the expert panel discussion, we removed the Client-Centered domain. Experts noted that the Client-Centered domain was more appropriately represented across domains rather than separately (that is, nearly every item pertained to the TA provider being client-centered). Additionally, the definition for Professionalism and its items were revised to better measure the issue of privacy in TA relationships. After completion of Survey Round #1 and the discussion panel, the TA Engagement Scale included nine domains and 40 items. Survey Round #2 We sent the second survey to 32 experts. Twenty-six experts responded to Survey Round #2 (81% response rate). Similar to the first round of respondents, experts were providers (n = 22), researchers (n = 9), and recipients (n = 5), with some respondents indicating more than one TA role. Survey Round #2 included nine domains and 40 items. All domains reached the 85% inclusion threshold. Based on qualitative expert feedback, we merged Tailored, Contextually-Minded, and Proactive into a single domain, resulting in six domains: Professionalism, Trust, Collaboration, Communication, Tailored, and Accountability (see Table 4 ). Table 4 Round #2 Domain Revisions Domain Percentage Agreement: Relevance to TA Relationships Decision #1 Did the domain meet the relevance threshold? (85%) Decision #2 Did the domain share redundancy with other domains? Decision #3 Did the domain language need to be refined? Final Decision Was the domain retained, removed, or merged? Professionalism 92% Yes No No Retained Contextually- Minded 100% Yes Yes Yes Merged with Tailored Proactive 89% Yes Yes Yes Merged with Tailored Affirmation 93% Yes Yes Yes Merged with Trust Trust 100% Yes Yes Yes Merged with Affirmation Collaboration 100% Yes No No Retained Effective Communication 96% Yes No No Retained; Domain name simplified to Communication Tailored 96% Yes Yes Yes Merged with Contextually-Minded and Proactive Accountability 92% Yes No No Retained [INSERT HERE: Table 4 . Round #2 Domain Revisions ] At the item-level, Survey Round #2 invited respondents to rank order and rate the importance of the items within each domain. We retained 22 of the 40 items, removing 18 due to failure to meet 85% consensus, item redundancy [1] , or low rank (see Table 5 for additional detail). We shared a report of Survey Round #2 findings with the experts. At the conclusion of the Delphi process, we retained 6 domains and 22 items (see Table 6 for final scale). Table 5 Round #2 Item Revisions Domain, Item Percentage Agreement: Relevance to TA Relationships Item Importance Ranking Decision #1 Did the item meet the relevance threshold? (85%) Decision #2 Did the item need to be relocated? Decision #3 Did the item share redundancy with other items? Decision #4 Is the item lower ranked? Final Decision Was the item retained, removed, or relocated? Professionalism Item 1.1. “My TA provider demonstrates professionalism through their conduct.” 96% 2 Yes No No No Retained Item 1.2. “My TA provider upholds the agreements of their services (e.g., confidentiality, responsibilities).” 96% 1 Yes No No No Retained Item 1.3. “My TA provider practices with integrity.” 85% 4 Yes No No No Retained Item 1.4. “My TA provider treats me with respect at all times.” 92% 3 Yes No No No Retained Contextually-Minded Item 4.1. “My TA provider offers suggestions that are appropriate for the setting in which I work.” 100% 1 Yes Yes, relocated to Tailored No No Relocated Item 4.2. “My TA provider is sensitive to relationship issues in my work setting, including power dynamics.” 92% 3 Yes No Yes - Removed Item 4.3. “My TA provider works to understand the contextual (e.g., political, cultural) aspects of my organization.” 100% 2 Yes Yes, relocated to Tailored No No Relocated NEW ITEM. 4.4. "My TA provider encourages me to think about issues holistically. 84% 4 No - - - Removed Proactive Item 5.2. “My TA provider proactively shares information that can be useful for my work and organization." 92% 1 Yes No Yes - Removed Item 5.3. “My TA provider reaches out on their own initiative to provide support for my work and organization.” 88% 2 Yes No Yes - Removed New Item 5.4. "My TA provider checks in with me without waiting for me to reach out." 73% 3 No - - - Removed New Item 5.5. "My TA provider stays abreast of issues to anticipate on-going needs of my work and organization." 85% 4 Yes No No Yes Removed Affirmation Item 7.1. “I can be honest with my TA provider about my thoughts and feelings.” 92% 2 Yes No Yes - Removed Item 7.2. “I am comfortable sharing my skepticism and concerns with my TA provider.” 100% 1 Yes Yes, relocated to Trust No No Relocated Item 7.3. “My TA provider engages in conversations with an open-mind.” 92% 3 Yes No Yes - Removed Item 7.4. “My TA provider shows support for me.” 81% 5 No - - - Removed Item 6.3. “My TA provider works to understand my perspectives.” 92% 4 Yes No No Yes Removed Trust Item 8.1. “I trust my TA provider.” 92% 1 Yes No No No Retained Item 8.2. “I can depend upon my TA provider.” 96% 3 Yes No No No Retained New Item 8.3. "My TA provider is sincere in our working relationship." 81% 4 No - - - Removed New Item 8.4. "I have confidence in my TA provider’s expertise." 96% 2 Yes No No No Retained Collaboration Item 9.1. “My TA provider and I are focused on a shared goal(s).” 96% 1 Yes No No No Retained Item 9.4. “My TA provider and I can work through project/organization-based obstacles together.” 96% 3 Yes No No No Retained Item 9.6. “My TA provider and I work collaboratively to generate solutions to challenges.” 100% 2 Yes No No No Retained Item 12.5. “My TA provider and I explore different approaches for responding to challenges.” 92% 4 Yes No Yes - Removed Item 10.3. “My TA provider and I are committed to our working relationship.” 88% 5 Yes No No Yes Removed Effective Communication Item 11.1. “My TA provider actively listens to me.” 100% 1 Yes No No No Retained Item 11.2. “My TA provider asks me questions that elicit new insights for me.” 96% 3 Yes No No No Retained Item 11.4. “I understand the information my TA provider presents to me.” 96% 4 Yes No No No Retained Item 11.5. “My TA provider is a good communicator.” 92% 5 Yes No No Yes Removed Item 2.1. “My TA provider is responsive to my expressed needs.” 100% 2 Yes No No No Retained Item 2.2. “My TA provider responds to requests for technical assistance in a timely manner.” 100% 6 Yes No Yes - Removed Tailored Item 13.1. “What we discuss in TA sessions is highly relevant to my workplace responsibilities.” 92% 1 Yes No No No Retained Item 13.2. “My TA provider offers suggestions that are reasonable to implement given my organization’s capacity.” 96% 4 Yes No No Yes Removed Item 13.3. “My TA provider shares information and resources that are valuable and relevant to me/my organization.” 100% 3 Yes No No No Retained Item 13.4. “My TA provider offers me useful feedback and strategies.” 96% 2 Yes No Yes - Removed Accountability Item 14.1. “My TA provider checks in on my progress related to my commitments.” 92% 2 Yes No No No Retained Item 14.4. “My TA provider guides me to develop clear, achievable action plans for my goals.” 100% 1 Yes No No No Retained Item 12.1. "My TA provider keeps meetings focused and on track." 92% 4 Yes No No No Retained Item 12.3. “My TA provider asks questions that make me think critically.” 100% 3 Yes No Yes - Removed Table 6 Final Domains and Items on the TA Engagement Scale Domain & Definition Item Average Relevance Average Ranking Professionalism : the extent to which the TA provider upholds integrity and maintains shared agreements about confidentiality and commitments. My TA provider demonstrates professionalism through their conduct. 96% 2 My TA provider upholds the agreements of their services (e.g., confidentiality, responsibilities). 96% 1 My TA provider practices with integrity. 85% 4 My TA provider treats me with respect at all times. 92% 3 Trust : the extent to which the TA provider cultivates a space in which the TA recipient is confident in the dependability, expertise, and openness of the TA provider. I trust my TA provider. 92% 1* I can count on my TA provider. 96% 3 I have confidence in my TA provider’s expertise. 96% 2 I am comfortable sharing my skepticism and concerns with my TA provider. 100% 1* Collaboration : the extent to which TA providers and recipients are committed to working together. My TA provider and I are focused on a shared goal(s). 96% 1 My TA provider and I can work through project/organization based obstacles together. 96% 3 My TA provider and I work collaboratively to generate solutions to challenges. 100% 2 Communication : the quality of how information and ideas are exchanged between the TA provider and recipient. My TA provider actively listens to me. 100% 1 My TA provider asks me questions that elicit new insights for me. 96% 3 I understand the information my TA provider presents to me. 96% 4 My TA provider is responsive to my expressed needs. 100% 2 Tailored : the extent to which TA is proactive and responsive to the motivation, capacities, characteristics, and needs of the recipient/recipient organization. What we discuss in TA sessions is highly relevant to my workplace responsibilities. 92% 1* My TA provider shares information and resources that are valuable and relevant to me/my organization. 100% 3 My TA provider offers suggestions that are appropriate for the setting in which I work. 100% 1* My TA provider works to understand the contextual (e.g., political, cultural, power dynamics) aspects of my organization. 100% 2 Accountability : the extent to which the TA provider is clear about goals of the TA sessions and follows-up on issues and commitments to support progress toward desired outcomes. My TA provider checks in on my progress related to my commitments. 92% 2 My TA provider guides me to develop clear, achievable action plans for my goals. 100% 1 My TA provider keeps meetings focused and on track. 92% 4 *Note. Some items have the same rank value as others in their respective domains due to item relocation based on qualitative feedback in Survey Round #2. Items were ranked within their original domains and then relocated, meaning some items share rank values. [INSERT HERE: Table 5 . Round #2 Item-level Revisions ] [INSERT HERE: Table 6 . Final TA Engagement Scale ] Discussion Formative evaluations of TA are limited in part due to the scarcity of formative measurement tools for TA, including assessments of TA provider relationship quality ( 8 ). We used a modified Delphi approach to develop the Technical Assistance (TA) Engagement Scale , a 22-item formative evaluation tool designed to assess TA provider-recipient relationships. Through the Delphi study, we retained six domains: Professionalism, Trust, Collaboration, Communication, Tailored, and Accountability. Five of these domains resemble the relational domains reported in the TA literature synthesis by Katz & Wandersman ( 16 ), reinforcing a core set of qualities important to TA relationships: Professionalism (Respect), Trust (Trust), Collaboration (Collaboration), Tailored (Adjusting to Readiness), and Accountability (Roles/Responsibilities). A relational domain that emerged as salient but that was not noted in Katz & Wandersman’s ( 16 ) synthesis is Communication. TA experts were consistently high in consensus about the relevance of Communication to TA relationships (96%-100% agreement at the item and domain level), suggesting an area of interpersonal relationships for TA providers to particularly attend to. Aligned with Delphi expert input, effective communication is listed as a key practice for effective TA ( 10 ). The TA Engagement Scale critically advances the practice of TA by providing TA providers and recipients with a robust, expert-informed instrument for monitoring TA engagement quality. It enables TA providers and recipients to examine and develop their relationship collaboratively and intentionally. The measure increases TA provider ability to make data-informed, mid-course adjustments to TA delivery. Further, use of the instrument can signal the provider’s high regard for the TA relationship and thereby bolster relationship quality. In addition to advances in TA practice, the TA Engagement Scale can contribute to developments in the science of TA. A standard TA measurement tool is an advancement toward more systematic collection of TA data and is essential to generating a coherent body of evidence. The consistent use of a robust TA measurement scale across studies will allow TA researchers and evaluators to better compare TA relationships in a variety of settings and to examine correlates of TA relationships with targeted outcomes. Use of the TA Engagement Scale & Considerations for Research and Practice The TA Engagement Scale is intended for administration by TA providers to TA recipients on a periodic basis (e.g. monthly, quarterly, semi-annually) to monitor and improve provider-recipient relationship quality. When the instrument is administered, TA recipients complete the scale by rating the extent to which each scale item is present in their relationship with the TA provider using a 5-point frequency scale (5-Always, 4-Often, 3-Sometimes, 2-Rarely, 1- Never). The TA provider reviews the recipients’ responses to identify relational strengths and areas for improvement. The TA provider is encouraged to discuss the recipients’ feedback with TA colleagues and/or TA recipients. Importantly, this tool is for the purpose of TA relationship monitoring and improvement (formative evaluation). It is not intended as a performance assessment, or as a measure of a TA provider’s performance for a workplace employee evaluation. We designed the TA Engagement Scale with several goals in mind: i) to provide a robust measure that captures multiple dimensions (domains) of TA relationships, ii) to bridge the science and practice of TA through a scale development process involving an in-depth cross-walk of research literature and TA expert input, and iii) to create a parsimonious measure of TA engagement that serves as a practical implementation tool. Given the scale’s relative briefness, TA providers can administer the scale regularly with little time burden on the recipients (< 12 min to complete), making it a practical tool for regularly assessing engagement over time and aligning with calls for more pragmatic approaches to implementation monitoring and tailoring ( 41 , 42 ). With modifications, the TA Engagement Scale can be used for group TA (i.e., TA involving one or more TA providers and more than one TA recipient). Adaptation of the scale is minor, including revision to the scale instructions to reflect group TA and revising the subject at the scale item-level; for example, revising “My TA provider is responsive to my expressed needs.” to “My TA provider(s) are responsive to our expressed needs.” In collaboration with a national TA center, we have begun to pilot use of the TA Engagement Scale in group TA formats. Of note, our modified Delphi study focused primarily on the development of this scale for dyadic provider-recipient relationships. There may be important relationship dynamics in group TA settings uncaptured by the current version of the TA Engagement Scale . Research on the use of the TA Engagement Scale in group TA is needed to discern if other relational domains beyond the six identified in the scale are important for group TA. While the TA Engagement Scale can be used to assess TA relationship quality across in-person, virtual, and hybrid modes of TA, it may have increasing value for virtual modes of TA. The COVID-19 pandemic catalyzed an acceleration in the provision of remote TA, where TA provider-recipient meetings and trainings shifted from in-person to online modalities to accommodate social distancing mandates and travel restrictions ( 42 , 43 ). The increase in reliance on remote TA engenders new questions about how TA provider-recipient relationships are formed and maintained in virtual spaces, including how virtual TA relationships compare to hybrid (in-person/virtua)l and in-person exclusive TA relationships. It is known that there are unique considerations associated with remote TA. For example, virtual settings can present more distractions (e.g. email, social media, multitasking, place-based disruptions) and technological challenges. Specialized preparation by professionals who provide remote services, such as TA providers, is necessary to effectively hold virtual spaces and to engage remote TA recipients ( 44 , 45 ). However, the influence of remote TA on TA relationships is less understood. This association merits research as remote TA has become a common practice. Study Limitations and Future Directions Though this scale is informed by TA experts using a multi-stage approach, it has yet to be psychometrically validated. The next step in the scale development process is to administer the scale in practice and conduct a confirmatory factor analysis to ensure that the items that we have included are measuring the constructs that we intend to measure. We utilized convenience sampling for recruiting the experts whose feedback we used in this study. However, given that experts were geographically spread and from multiple organizations and backgrounds, we expect that the results of our Delphi process included general and diverse perspectives on what aspects of TA relationships are most central. The main purpose of the modified Delphi TA study was development of a TA provider-recipient relationship measurement scale. The Delphi study identified six domains highly relevant to TA relationships. We did not seek expert input about the relative importance of these domains over the life course of a TA relationship or across stages of program implementation; the salience of these domains may vary over time. For example, trust may require time to cultivate and thus be positively correlated with relationship length. Collaboration may dwindle over time as TA recipients become more capable and self-reliant. In fact, an association has been reported between the salience of collaboration and implementation stage ( 16 ). Systematic research is needed to better understand the relative importance of each of the six relational domains over the life course of TA engagement. Conclusion The quality of a TA provider-recipient relationship is central to TA and positively associated with program implementation outcomes. Developed through a modified Delphi approach, the TA Engagement Scale is a research and expert-informed formative evaluation measurement tool designed to advance the science and practice of TA. It offers TA providers a practitioner-friendly measure for monitoring and improving their relationships with TA recipients. As a standard TA measurement tool, it enables more systematic collection of TA data and thereby, the ability to generate a more coherent body of evidence. The TA Engagement Scale can be used to assess relationship quality across multiple (virtual, in-person, and hybrid ) TA delivery modalities. Abbreviations ACCORD: Accurate Consensus Reporting Document EBI: Evidence Based Intervention EBP: Evidence Based Program ICF: International Coaching Federation RAND: Research and Development Corporation TA: Technical Assistance Declarations Ethics Approval and Consent to Participate. The study was approved by the University of North Carolina at Charlotte Institutional Review Board (IRB-23-0463). All participants consented to participate in the study. Consent for Publication. Not Applicable. Availability of Data and Materials. The dataset generated and analyzed during the current study are not publicly available due to confidentiality reasons but are available from the corresponding author upon reasonable request. Competing Interests. The authors declare that they have no competing interests. Funding. No sources of funding were obtained for the current study. Authors’ Contributions. Vs, JT, and ZJ conceptualized the study design. Vs, JT, and ZJ administered study materials, analyzed study data, and were all major contributors to development of the manuscript. All authors read and approved the final manuscript. Acknowledgments. The authors would like to acknowledge the following individuals and/or organizations for their contributions to the development of the TA Engagement Scale : Build Initiative (Sherri Stewart); Department of Education; Department of Health and Human Services, Administration for Children and Families (Annalisa Mastri); National Center for Safe and Supportive Learning Environments (Brianna Cunniff, Elizabeth Chagnon, Frank Rider, Jeanne Poduska, Rob Mayo); Other/No Organizations (Kathleen Guarino, Laura Hurwitz, Nicole Denmark, Pam Imm); Wandersman Center (Amber Watson, Andrea Lamont, Brittany Cook). References Shrestha R, Karki P, Altice FL, Dubov O, Fraenkel L, Huedo-Medina T, et al. Measuring Acceptability and Preferences for Implementation of Pre-Exposure Prophylaxis (PrEP) Using Conjoint Analysis: An Application to Primary HIV Prevention Among High Risk Drug Users. AIDS Behav. 2018 Apr;22(4):1228–38. Scaccia JP, Cook BS, Lamont A, Wandersman A, Castellow J, Katz J, et al. 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Training needs for staff providing remote services in general practice: a mixed-methods study. Br J Gen Pract. 2023 Dec 29;74(738):e17–26. Footnotes If two items were redundant, we kept the item with the higher rank and agreement. Supplementary Files ACCORDDELPHIchecklistTAEngagementScaleMs.docx Cite Share Download PDF Status: Published Journal Publication published 29 Jul, 2024 Read the published version in Implementation Science Communications → Version 1 posted Editorial decision: Major revision 22 May, 2024 Reviewers agreed at journal 29 Apr, 2024 Reviewers invited by journal 11 Apr, 2024 Editor assigned by journal 02 Apr, 2024 First submitted to journal 02 Apr, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4189554","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":290048502,"identity":"92075988-d05d-4a56-b41d-2a938b47c687","order_by":0,"name":"Victoria Scott","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA5ElEQVRIiWNgGAWjYDACZjApAePaQGk2vFoYG+BaDiSkEaGFAayFAablMGEtBseZnz/4uMdCnoH/8MPHH3+cT9zOfvgBw4eyw7i1HGYzbJzxTMKwQSLN2OBAwu3EnT1pBowzzuHWItnMw9jMc0CCsUGCh00CpGXDDR4GZt42wlrsG/jPgLScg2j5i0cLPzNES2IDQw5IywGIFka8WtgMZ844IJHcBvLLmbRk4w1n0gwO9pxLx6mFjf/wgw8fDtTZ9gND7EGFjZ3shuNAxo8ya5xaEHqROQcIqx8Fo2AUjIJRgA8AAGcvU2uyUKDYAAAAAElFTkSuQmCC","orcid":"https://orcid.org/0000-0002-8382-283X","institution":"University of North Carolina at Charlotte","correspondingAuthor":true,"prefix":"","firstName":"Victoria","middleName":"","lastName":"Scott","suffix":""},{"id":290048503,"identity":"6f4a9058-a8c0-4daf-a63c-69fb30f8b15e","order_by":1,"name":"Jasmine Temple","email":"","orcid":"","institution":"University of North Carolina at Charlotte","correspondingAuthor":false,"prefix":"","firstName":"Jasmine","middleName":"","lastName":"Temple","suffix":""},{"id":290048504,"identity":"c5633bce-30dd-46fd-a202-bebf3b850b13","order_by":2,"name":"Zara Jilani","email":"","orcid":"","institution":"University of Georgia at Athens","correspondingAuthor":false,"prefix":"","firstName":"Zara","middleName":"","lastName":"Jilani","suffix":""}],"badges":[],"createdAt":"2024-03-29 19:56:40","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4189554/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4189554/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s43058-024-00618-4","type":"published","date":"2024-07-29T15:56:54+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":54721118,"identity":"bea8fb1e-d113-46b6-856a-48b5a3d5eae7","added_by":"auto","created_at":"2024-04-15 17:30:36","extension":"jpg","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":54415,"visible":true,"origin":"","legend":"\u003cp\u003eScale modifications across modified Delphi survey rounds.\u003c/p\u003e\n\u003cp\u003eNote. Decisions made during Delphi panel discussions are reflected under Delphi Round 1.\u003c/p\u003e","description":"","filename":"1.jpg","url":"https://assets-eu.researchsquare.com/files/rs-4189554/v1/3a6160549a08e68ac22080cd.jpg"},{"id":61793277,"identity":"34e0066e-0b62-409a-bb95-b9da6ca5f1d2","added_by":"auto","created_at":"2024-08-05 16:09:00","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":4437265,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4189554/v1/a87b139f-9333-40ae-bb33-de63ae7ae931.pdf"},{"id":54721116,"identity":"86003bcc-2fc3-4a25-aecc-f87d31a49eb8","added_by":"auto","created_at":"2024-04-15 17:30:27","extension":"docx","order_by":10,"title":"","display":"","copyAsset":false,"role":"supplement","size":107803,"visible":true,"origin":"","legend":"","description":"","filename":"ACCORDDELPHIchecklistTAEngagementScaleMs.docx","url":"https://assets-eu.researchsquare.com/files/rs-4189554/v1/becd889f7d65107e33d2f892.docx"}],"financialInterests":"","formattedTitle":"Development of the Technical Assistance Engagement Scale: A Modified Delphi Study","fulltext":[{"header":"Contributions to the Literature","content":"\u003cul\u003e\n \u003cli\u003eThe technical assistance (TA) provider-recipient relationship is central to TA. However, no robust measurement tool exists for assessing TA relationships. This article addresses gaps in TA measurement literature by developing the \u003cem\u003eTA Engagement Scale\u003c/em\u003e.\u003c/li\u003e\n \u003cli\u003eThe \u003cem\u003eTA Engagement Scale\u003c/em\u003e advances TA practice by providing providers and recipients with a robust, expert-informed instrument for monitoring TA engagement quality. The measure increases TA provider ability to make collaborative, data-informed adjustments to TA delivery.\u003c/li\u003e\n \u003cli\u003eThe scale advances TA by providing a standard measurement tool that aids systematic data collection, formation of more coherent TA evidence, and comparisons of TA relationships across settings.\u003c/li\u003e\n\u003c/ul\u003e"},{"header":"Background","content":"\u003cp\u003eEvidence-based interventions and practices (EBIs/EBPs) are critical for advancing population health and community well-being. However, both uptake and quality implementation of EBIs/EBPs are a persistent challenge to improved health outcomes globally. A host of contextual factors contribute to implementation-related outcomes, including stakeholder perceptions of the EBI/EBP, setting capacity for EBI/EBP adoption, and general functioning and climate of the implementation setting (\u003cspan additionalcitationids=\"CR2\" citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e). A growing body of literature provides evidence that technical assistance improves implementation outcomes (\u003cspan additionalcitationids=\"CR5 CR6\" citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eTechnical Assistance (TA) is a tailored approach to organizational and community capacity building that is chiefly used to support implementation of EBIs/EBPs (\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e). TA involves tailored guidance by a TA specialist (or TA organization) to members of a setting (organization, community) regarding a specific practice area(s) (e.g., needs assessment, program monitoring, stakeholder engagement, sustainability planning). TA delivery frequently entails an assortment of activities (e.g., coaching, consultation, resource sharing; (\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e)), that vary by recipient need, with direct TA provider-recipient interactions as a hallmark feature. Thus, the relationship between a TA provider and recipient(s) is essential for successful TA (\u003cspan additionalcitationids=\"CR11\" citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e), particularly for intensive models of TA (\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e). Importantly, a provider\u0026rsquo;s ability to effectively build relationships with recipients is recognized as a core TA competency (\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e, \u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eIn a research synthesis of the TA evidence base, TA relationships (defined broadly as \u0026ldquo;human encounters between TA providers and recipients\u0026rdquo;) were discussed in approximately 50% of articles ((\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e), p.418). The synthesis affirmed the significance of provider-recipient relationships to TA, noting trust, collaboration, and a strengths-based orientation as most commonly reported relationship attributes. When TA providers establish rapport with recipients, recipients view providers as trusting, respectful, patient, and motivating, underscoring the importance of the recipient-provider relationship (\u003cspan additionalcitationids=\"CR18\" citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e). Collaborative TA relationships are positively associated with implementation-related outcomes including implementation adherence (\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e, \u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e), and high-quality team functioning - a proximal outcome linked to implementation effectiveness (\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThe value of soliciting client feedback on a professional client-provider relationship is an established best practice across a variety of professional fields (e.g. clinical therapy/counseling, coaching, consulting). Most providers have access to robust measurement scales for this purpose. For example, clinicians and counselors can select from an assortment of field-tested measures to get patient feedback about the therapeutic relationship (e.g., \u003cem\u003eTherapeutic Bonds Scale\u003c/em\u003e, \u003cem\u003eHelping Alliance Questionnaire\u003c/em\u003e [Haq-I/II], \u003cem\u003eCalifornia Psychotherapy Alliance Scale\u003c/em\u003e [CALPAS], \u003cem\u003eWorking Alliance Inventory\u003c/em\u003e [WAI] (\u003cspan additionalcitationids=\"CR23 CR24\" citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e)). Similarly, consultants can draw on the \u003cem\u003eConsulting Effectiveness Survey\u003c/em\u003e (\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e) and coaches can use the \u003cem\u003eCoaching Evaluation Survey\u003c/em\u003e (\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e) and \u003cem\u003eExecutive Coaching Survey\u003c/em\u003e (\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e) to assess client-provider relational quality. Akin to allied professional client-provider relationships, TA provider-recipient relationships are beneficial to assess for attaining desired outcomes (i.e., formative evaluation). However, TA providers have sparse options for existing measures for this construct. Heretofore, TA providers or TA centers interested in measuring relational elements of TA have resorted to developing their own measures. For example, Chilenski and colleagues (\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e) developed a 7-item instrument to measure collaboration - one specific and important feature of TA relationships. The field of TA is in need of an expert-informed measure of TA provider-recipient relationship quality, particularly an instrument that assesses the multiple dimensions of TA relationships. We aim to fill this need by developing a novel measurement tool for TA engagement.\u003c/p\u003e\n\u003ch3\u003ePurpose \u0026 Initial Scale Development\u003c/h3\u003e\n\u003cp\u003eThe purpose of the current study was to obtain subject matter expert input and consensus for the domains and items on the \u003cem\u003eTA Engagement Scale\u003c/em\u003e, a measure that assesses the quality of engagement (relationship) between TA providers and recipients. We began with a literature review (May - July 2022) to determine how previous research in TA and related fields (i.e. clinical therapy/counseling, consulting, coaching) measured provider-client relationship quality. We reviewed measures at the domain and item level and retained the most common domains and associated items across each field. For instance, the following constructs were common in coaching measures: benefits, relevance, expectations of coaching, value of coaching, satisfaction with coaching, communication, interpersonal skills, coaching outcomes, and investment. The measurement tool review generated an initial set of domains and items, which we categorized using the International Coaching Federation (ICF) Framework. We used the ICF framework to organize the domains and items due to similarities between coaching and TA; no equivalent framework exists for TA (\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e, \u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eNext, we solicited TA subject matter expert (henceforth, experts) input through four meetings. Experts were TA providers and researchers from three organizations identified via convenience sampling. These initial discussions with TA experts focused on the adequacy of the domains (\u003cem\u003eDid domains adequately reflect the most salient features of TA relationship quality? Were domain definitions sufficiently clear and precise?\u003c/em\u003e). As we obtained feedback, we revised the pool of domains and items accordingly. For example, experts flagged items that measured effectiveness (outcome measure) rather than engagement (process measure), so we removed those items. Altogether, the literature review and initial expert input led to a preliminary, comprehensive set of 14 domains and 75 items. In what follows, we describe our approach to obtaining expert input and consensus on the domains and items on the \u003cem\u003eTA Engagement Scale\u003c/em\u003e using a modified Delphi process. We used a combination of literature review, preliminary expert input, and Delphi process to develop a TA scale that is grounded in TA research and practice.\u003c/p\u003e"},{"header":"Methods","content":"\u003cdiv id=\"Sec4\" class=\"Section2\"\u003e \u003ch2\u003eParticipants\u003c/h2\u003e \u003cp\u003eThe TA research team involved a university faculty member PI (VS) and two doctoral students (JT, ZJ). We utilized convenience and snowball sampling, wherein TA experts across the United States acquainted with the PI were invited to participate in the Delphi study. Additionally, we asked prospective experts to share contact information for any TA provider, recipient, or researcher who might be interested in participating. Participant inclusion criteria included: i) having a minimum of one year experience with TA, and ii) English speaking. TA providers, researchers, and recipients from six organizations participated in the Delphi process. The TA research team did not participate in the Delphi surveys and were not included in the data analysis.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec5\" class=\"Section2\"\u003e \u003ch2\u003eProcedures\u003c/h2\u003e \u003cp\u003eThe Delphi method is a systematic approach for eliciting and aggregating opinion on a topic from a panel of experts (\u003cspan citationid=\"CR31\" class=\"CitationRef\"\u003e31\u003c/span\u003e). Developed by the Research and Development Corporation (RAND) in the 1950s, researchers have used the Delphi method to garner and consolidate expert feedback and generate consensus. This method has commonly been used to identify the current state of knowledge on a subject, come to a resolution on controversial topics, and develop measurement and indicator tools (\u003cspan additionalcitationids=\"CR33\" citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e). The Delphi method has been utilized across disciplines, including health sciences, business, and educational settings (\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e, \u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e, \u003cspan citationid=\"CR36\" class=\"CitationRef\"\u003e36\u003c/span\u003e). Typically, respondents engage in several rounds of surveys in which they share feedback on a series of questions. Between rounds of surveys, the researcher analyzes experts\u0026rsquo; feedback and consolidates it for the following round so that items with more consensus proceed to the next round of surveys and items with less consensus are eliminated. In prior literature, consensus has been defined as 50\u0026ndash;97% or more of subject matter experts in agreement about a subject matter, with a 75% median threshold for defining agreement (\u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e). The Delphi method reduces group influence on responses since experts are often asked to provide feedback asynchronously and confidentially, which reduces status effects on which items are retained (e.g., everyone has equal say (\u003cspan citationid=\"CR37\" class=\"CitationRef\"\u003e37\u003c/span\u003e)).\u003c/p\u003e \u003cp\u003eThe TA research team utilized the Accurate Consensus Reporting Document (ACCORD) for a Modified Delphi process (\u003cspan citationid=\"CR38\" class=\"CitationRef\"\u003e38\u003c/span\u003e) to ensure accurate and systematic reporting of the Delphi method. The completed ACCORD document is provided in supplementary material. In the current study, the Delphi consensus building process consisted of two surveys administered to subject matter experts (i.e., TA providers, recipients, and researchers) using Qualtrics, a web-based survey platform. Surveys were not piloted prior to administration to TA Delphi experts, however feedback about the survey content was received during discussions with TA experts (see Initial Scale Development section). The two-round survey design was informed by the research team\u0026rsquo;s pre-existing work (preliminary feedback from TA experts). Before administration of the first Delphi survey, the team hosted two orientation sessions with prospective experts to introduce the goals of the national study and communicate expectations for participation. An orientation session was recorded and shared with prospective experts who were unable to attend a live session. Each round of the \u003cem\u003eTA Engagement Scale\u003c/em\u003e survey was emailed to interested experts (described below), who then consented to participate in the study. For Survey Round #1 and #2, we asked experts, \u0026ldquo;\u003cem\u003eTo what extent are the following domains (and items) and their respective definitions relevant to interactions between TA provider and recipient?\u003c/em\u003e\u0026rdquo;. Response options ranged from 1 (\u003cem\u003enot at all relevant\u003c/em\u003e) to 4 (\u003cem\u003ecompletely relevant\u003c/em\u003e). After each domain and item, we provided a comment box for experts to leave an open-ended response regarding any comments, suggestions, and concerns related to each domain and item. Additionally, an open-comment box was included at the end of the survey for any other input (e.g. comments about the measure overall, any suggested items, any general questions). The inclusion of open-ended text boxes is a common practice in Delphi surveys (\u003cspan citationid=\"CR39\" class=\"CitationRef\"\u003e39\u003c/span\u003e). Survey responses were confidential but not anonymous. The first survey was administered over a three week period from August 21st, 2023 to September 8, 2023 and reminder emails were sent on a weekly basis. After we received feedback on survey #1, the TA research team summarized survey results into a report that was shared with the experts. We then held a one hour discussion with the panel of TA experts to discuss their Survey Round #1 feedback and to clarify questions on September 22, 2023.\u003c/p\u003e \u003cp\u003eThe second \u003cem\u003eTA Engagement Scale\u003c/em\u003e survey was administered to the experts over the course of two weeks from October 6, 2023 to October 20th, 2023. Reminder emails were sent on a weekly basis. In Survey Round #2, we again asked experts to rate the relevance of the refined scale domains and items. We increased the consensus threshold to 85% to increase confidence around the relevance of retained items (\u003cspan citationid=\"CR40\" class=\"CitationRef\"\u003e40\u003c/span\u003e). Additionally, we asked experts to prioritize the items within each domain based on relative importance to the domain reflecting TA relationships. This national TA Delphi study was approved by the University of North Carolina at Charlotte Institutional Review Board (IRB-23-0463). A study protocol for this research is unregistered.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec6\" class=\"Section2\"\u003e \u003ch2\u003eData Analysis\u003c/h2\u003e \u003cp\u003eData for Round #1 was analyzed in September of 2023. We followed a four step approach to analyze the quantitative and qualitative data for Round #1 of survey input. First, we used a 70% agreement threshold to determine which domains and items we retained versus removed: if 70% or more respondents indicated that a domain/item was mostly or completely relevant, then the specific domain/item was retained. Domains and items below the 70% threshold were removed. The second and third steps were based on qualitative feedback provided by experts in the open-ended responses. In the second step, we assessed if items needed to be relocated to another domain based on expert input. In the third step, we reviewed domains and items that were flagged by experts as redundant (items with similar wording or attributes). If a domain was redundant with another domain, then we merged them and revised the domain definition if needed. If an item shared redundancy with another item, we kept the item with the higher agreement. Lastly, after considering the last three steps, we determined whether an item was retained, removed, or relocated.\u003c/p\u003e \u003cp\u003eData for Round #2 was analyzed between October to December 2023. In the second round survey input, we followed a five step approach. First, we used an 85% agreement threshold to strengthen the consensus criteria. If domains or items did not meet the 85% threshold for agreement, then the domain and item was removed. Second, we determined whether the item needed to be relocated based on qualitative feedback. Third, we determined whether the domains or items shared redundancy with other domains and items, respectively; if they did, we merged the domains and retained items with the higher agreement. Fourth, we included a rank ordering system so that respondents could indicate the order of each item\u0026rsquo;s relative importance from least to most important. The average ranking of these items were used to determine the rank order. The lowest ranked items in a domain were removed. Finally, based on prior steps, we determined whether an item was retained, removed, or relocated.\u003c/p\u003e \u003c/div\u003e"},{"header":"Results","content":"\u003cp\u003eAt the beginning of the modified Delphi process, the \u003cem\u003eTA Engagement Scale\u003c/em\u003e included 75 items classified across 14 domains. After the expert input and consensus process, the final scale was reduced to 22 items across six domains. A summary of scale modifications across the modified Delphi survey rounds is available in Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003e. A detailed description of the results for each survey round follows.\u003c/p\u003e \u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003eSurvey Round #1\u003c/h2\u003e \u003cp\u003eWe sent the first survey to 32 TA experts. Twenty-five experts responded to Survey Round #1 (78% response rate). We asked experts to indicate their role in TA (i.e., provider, recipient, researcher, other), with the option to select multiple roles. Largely, respondents were TA providers (n\u0026thinsp;=\u0026thinsp;24), researchers (n\u0026thinsp;=\u0026thinsp;12), and recipients (n\u0026thinsp;=\u0026thinsp;6). See Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e for expert characteristics.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003e\u003cem\u003eDelphi Participant Characteristics\u003c/em\u003e\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCharacteristic\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eRound #1 n (%)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eRound #2 n (%)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cem\u003eGender\u003c/em\u003e\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eWoman\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e21 (84%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e22 (85%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMan\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e4 (16%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4 (16%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTotal N\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e25 (100%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e26 (100%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTechnical Assistance (TA) Professional Role*\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTA Provider\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e24 (96%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e22 (85%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTA Researcher\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e12 (48%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e9 (35%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTA Recipient\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e6 (24%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e5 (19%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOther\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2 (8%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e5 (19%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"3\"\u003e*Note. The TA Professional Role question included \u0026lsquo;select all that apply\u0026rsquo; options in which experts could identify as both a TA researcher and provider, for instance. Thus, totals exceed 100%. Some experts, in addition to their main role as a provider, researcher, or recipient, also selected an \u0026lsquo;other\u0026rsquo; category, which included roles such as a project officer for a TA center, a funder of TA projects, a TA support person, a funder overseeing TA evaluation contracts, and a grants manager.\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e[INSERT HERE: Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e. \u003cem\u003eDelphi Participant Characteristics\u003c/em\u003e]\u003c/p\u003e \u003cp\u003eSurvey Round #1 invited feedback on 14 domains and 75 items. All domains reached the 70% consensus threshold. However, qualitative expert feedback indicated redundancy between some domains: Mutual Affirmation and Empathy, Mutual Investment and Collaboration, Responsiveness and Effective Communication, and Focused Facilitation and Accountability domains. In response, we merged these domains and revised their definitions (see Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e)\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003e\u003cem\u003eRound #1 Domain Revisions\u003c/em\u003e\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"7\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDomain\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003ePercentage Agreement: Relevance to TA Relationships\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eDecision #1\u003c/p\u003e \u003cp\u003eDid the domain meet the relevance threshold? (70%)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003eDecision #2\u003c/p\u003e \u003cp\u003eDid the domain share redundancy with other domains?\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eDecision #3\u003c/p\u003e \u003cp\u003eDid the domain language need to be refined?\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eFinal Decision\u003c/p\u003e \u003cp\u003eWas the domain retained, removed, or merged?\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eProfessionalism\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eResponsiveness\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eMerged with Effective Communication\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eClient-Centered\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eRemoved based on panel discussion\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEcologically-\u003c/b\u003e\u003c/p\u003e \u003cp\u003e\u003cb\u003eMinded\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eRetained and changed to Contextually-Minded\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eProactive\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEmpathy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eMerged with Mutual Affirmation\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMutual Affirmation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e80%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eMerged with Empathy\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTrust\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eCollaboration\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eMerged with Mutual Investment\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMutual Investment\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e80%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eMerged with Collaboration\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEffective Communication\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eMerged with Responsiveness\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eFocused Facilitation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e80%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eMerged with Accountability\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTailored\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAccountability\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eMerged with Focused Facilitation\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e[INSERT HERE: Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e. \u003cem\u003eRound #1 Domain Revisions\u003c/em\u003e]\u003c/p\u003e \u003cp\u003eAt the item-level, we first removed items that did not achieve a 70% consensus threshold (n\u0026thinsp;=\u0026thinsp;4). Then, an additional 34 items were removed due to qualitative feedback indicating the items were redundant with other items, were less clear compared to similar items, and/or were rated lower in comparison to duplicate items. Seven items were relocated as a result of domain-level revisions and qualitative feedback. Finally, three new items were added to better reflect aspects of the Contextually-Minded, Proactive, and Trust domains; experts indicated that the full range of components of the domain were not captured in the original set of items. We ultimately retained 37 of the original 75 items and added three new items for a total of 40 items (see Table\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e for detailed information about the number of domains and items removed, retained, modified, or added in round one).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab3\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003e\u003cem\u003eRound #1 Item Revisions\u003c/em\u003e\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"6\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDomain, Item\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003ePercentage Agreement: Relevance to TA Relationships\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eDecision #1\u003c/p\u003e \u003cp\u003eDid the item meet the relevance threshold? (70%)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eDecision #2\u003c/p\u003e \u003cp\u003eDid the item need to be relocated?\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eDecision #3\u003c/p\u003e \u003cp\u003eDid the item share redundancy with other items?\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eFinal Decision\u003c/p\u003e \u003cp\u003eWas the item retained, removed, or relocated?\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003eProfessionalism\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 1.1. \u0026ldquo;My TA provider demonstrates professionalism through their conduct.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 1.2. \u0026ldquo;My TA provider upholds the agreements of their services.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 1.3. \u0026ldquo;My TA provider practices with integrity.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 1.4. \u0026ldquo;My TA provider treats me with respect at all times.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 1.5. \u0026ldquo;My TA provider protects my organization\u0026rsquo;s sensitive information.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e80%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 1.6. \u0026ldquo;My TA provider creates a safe space for me to share my organization\u0026rsquo;s information.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eResponsiveness\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 2.1. \u0026ldquo;My TA provider is responsive to my expressed needs.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes, relocated to Effective Communication\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRelocated\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 2.2. \u0026ldquo;My TA provider responds to requests for technical assistance in a timely manner.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes, relocated to Effective Communication\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRelocated\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 2.3. \u0026ldquo;My TA provider is easily accessible and available when I need them.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 2.4. \u0026ldquo;My TA provider assures me that I can reach out to them anytime.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e80%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 2.5. \u0026ldquo;I feel I can reach out to my TA provider anytime.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eClient-Centered\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 3.1. \u0026ldquo;My TA provider encourages me to generate my own solutions to challenges.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 3.2. \u0026ldquo;My TA provider tries to help me arrive at my own solutions when problems arise, rather than telling me what he/she would do.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 3.3. \u0026ldquo;During TA sessions, I am encouraged to share my own views on issues.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 3.4. \u0026ldquo;My TA provider values my knowledge and expertise.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 3.5. \u0026ldquo;My TA provider encourages me to tackle problems using my own judgment.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e76%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 3.6. \u0026ldquo;I feel as though my TA provider thinks my opinion is valuable for reaching my goals.\"\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e80%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 3.7. \u0026ldquo;I feel as though my opinion is valuable to reaching my goals.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e64%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 3.8. \u0026ldquo;My TA provider encourages me to use personal initiative in carrying out my tasks.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e76%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEcologically-Minded\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 4.1. \u0026ldquo;My TA provider offers suggestions that are appropriate for the setting in which I work.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 4.2. \u0026ldquo;My TA provider is sensitive to relationship issues in my work setting, including power dynamics.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 4.3. \u0026ldquo;My TA provider works to understand the contextual (e.g., political, cultural) aspects of my organization.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 4.4. \u0026ldquo;My TA provider is aware of the conditions and capacities of my organization.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e80%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eProactive\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 5.1. \u0026ldquo;My TA provider communicates emerging issues important to my work and organization.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 5.2. \u0026ldquo;My TA provider proactively shares information that can be useful for my work and organization.\"\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 5.3. \u0026ldquo;My TA provider reaches out on their own initiative to provide support for my work and organization.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEmpathy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 6.1. \u0026ldquo;I feel my TA provider understands me.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 6.2. \u0026ldquo;I feel as though my TA provider and I are on the same wavelength.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e64%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 6.3. \u0026ldquo;My TA provider works to understand my position and perspectives.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes, relocated to Mutual Affirmation\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRelocated\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 6.4. \u0026ldquo;My TA provider works to make sure I feel understood.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 6.5. \u0026ldquo;At minimum, our interactions are warm and friendly.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMutual Affirmation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 7.1. \u0026ldquo;I am able to be honest with my TA provider about my feelings and thoughts on issues.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 7.2. \u0026ldquo;I feel comfortable sharing my skepticism and concerns with my TA provider.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 7.3. \u0026ldquo;My TA provider engages in conversations with an open-mind.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eITEM 7.4. \u0026ldquo;My TA provider shows their support for me.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 7.5. \u0026ldquo;I feel my TA provider and I support each other in our work together.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e64%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 7.6. \u0026ldquo;My TA provider encourages me to share my thoughts and opinions, no matter how small.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 7.7. \u0026ldquo;I feel my ideas are accepted by my TA provider.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 7.8. \u0026ldquo;I feel my thoughts and feelings are accepted by my TA provider.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTrust\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 8.1. \u0026ldquo;I trust my TA provider.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 8.2. \u0026ldquo;I feel I can depend upon my TA provider.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 8.3. \u0026ldquo;My TA provider shows me they are trustworthy.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 8.4. \u0026ldquo;My TA provider shows me they are dependable.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eCollaboration\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 9.1. \u0026ldquo;During TA sessions, my TA provider and I are focused on a shared goal(s).\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 9.2. \u0026ldquo;My TA provider and I are able to work through disagreements together.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 9.3. \u0026ldquo;My TA provider encourages us to work through disagreements and/or conflict together.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e76%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 9.4. \u0026ldquo;My TA provider and I are able to work through project/organization based obstacles together.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 9.5. \u0026ldquo;My TA provider and I work through project/organization based disagreements together.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e76%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 9.6. \u0026ldquo;My TA provider and I work collaboratively to generate solutions to challenges.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 9.7. \u0026ldquo;I feel I am working together with my TA provider in a joint effort.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e80%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eITEM 9.8. \u0026ldquo;My TA provider encourages us to work together on accomplishing tasks and goals.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e80%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMutual Investment\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 10.1. \u0026ldquo;I very much want to work through and accomplish my goals with a TA provider.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 10.2. \u0026ldquo;I feel that my TA provider and I are both invested and determined in meeting our goals.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 10.3. \u0026ldquo;Both my TA provider and I are committed to our working relationship.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes, relocated to Collaboration\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRelocated\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 10.4. \u0026ldquo;I feel my TA provider is committed to our work and goals together.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEffective Communication\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 11.1. \u0026ldquo;My TA provider asks me questions that show that they are actively listening to me.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 11.2. \u0026ldquo;My TA provider asks me questions that elicit new insight about issues.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 11.3. \u0026ldquo;My TA provider is clear about our shared expectations.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 11.4. \u0026ldquo;The things that I am asked to do by my TA provider are presented in a way that I understand.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 11.5. \u0026ldquo;My TA provider is a good communicator.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 11.6. \u0026ldquo;My TA provider\u0026rsquo;s gestures/mannerisms make them feel approachable.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e60%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eFocused Facilitation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 12.1. \u0026ldquo;My TA provider keeps meetings focused and on track.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes, relocated to Accountability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRelocated\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 12.2. \u0026ldquo;When applicable, I have a clear set of next steps at the end of each TA session.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 12.3. \u0026ldquo;My TA provider asks questions that make me think critically.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes, relocated to Accountability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRelocated\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 12.4. \u0026ldquo;My TA provider has challenged my thoughts and/or actions.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 12.5. \u0026ldquo;During TA sessions, we explore different approaches for responding to challenges.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes, relocated to Collaboration\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRelocated\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTailored\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 13.1. \u0026ldquo;What we discuss in TA sessions is highly relevant to my workplace responsibilities.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 13.2. \u0026ldquo;My TA provider offers suggestions that are reasonable to implement given my organization\u0026rsquo;s capacity.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 13.3. \u0026ldquo;My TA provider shares information and resources that are valuable and relevant to my organization.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 13.4. \u0026ldquo;My TA provider offers me useful feedback and strategies.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 13.5. \u0026ldquo;My TA provider focuses on current assets and resources in my workplace.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAccountability\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 14.1. \u0026ldquo;My TA provider follows up with me about my commitments.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 14.2. \u0026ldquo;My TA provider checks in on my progress related to my commitments.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 14.3. \u0026ldquo;My TA provider identifies clear goals for each session.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 14.4. \u0026ldquo;My TA provider guides me to develop clear, achievable action plans for my goals.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e[INSERT HERE: Table\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e. \u003cem\u003eRound #1 Item-level Revisions\u003c/em\u003e]\u003c/p\u003e \u003cp\u003eWe shared a report summarizing findings from Survey #1 and invited experts to a one hour panel discussion to review Survey #1 results and to discuss questions emerging from expert feedback. A total of 17 experts attended the panel discussion. As a result of the expert panel discussion, we removed the Client-Centered domain. Experts noted that the Client-Centered domain was more appropriately represented \u003cem\u003eacross\u003c/em\u003e domains rather than separately (that is, nearly every item pertained to the TA provider being client-centered). Additionally, the definition for Professionalism and its items were revised to better measure the issue of privacy in TA relationships.\u003c/p\u003e \u003cp\u003eAfter completion of Survey Round #1 and the discussion panel, the \u003cem\u003eTA Engagement Scale\u003c/em\u003e included nine domains and 40 items.\u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eSurvey Round #2\u003c/h3\u003e\n\u003cp\u003eWe sent the second survey to 32 experts. Twenty-six experts responded to Survey Round #2 (81% response rate). Similar to the first round of respondents, experts were providers (n\u0026thinsp;=\u0026thinsp;22), researchers (n\u0026thinsp;=\u0026thinsp;9), and recipients (n\u0026thinsp;=\u0026thinsp;5), with some respondents indicating more than one TA role.\u003c/p\u003e \u003cp\u003eSurvey Round #2 included nine domains and 40 items. All domains reached the 85% inclusion threshold. Based on qualitative expert feedback, we merged Tailored, Contextually-Minded, and Proactive into a single domain, resulting in six domains: Professionalism, Trust, Collaboration, Communication, Tailored, and Accountability (see Table\u0026nbsp;\u003cspan refid=\"Tab4\" class=\"InternalRef\"\u003e4\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab4\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 4\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003e\u003cem\u003eRound #2 Domain Revisions\u003c/em\u003e\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"8\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDomain\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003ePercentage Agreement: Relevance to TA Relationships\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eDecision #1\u003c/p\u003e \u003cp\u003eDid the domain meet the relevance threshold? (85%)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003eDecision #2\u003c/p\u003e \u003cp\u003eDid the domain share redundancy with other domains?\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003eDecision #3\u003c/p\u003e \u003cp\u003eDid the domain language need to be refined?\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003eFinal Decision\u003c/p\u003e \u003cp\u003eWas the domain retained, removed, or merged?\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eProfessionalism\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c8\" namest=\"c7\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eContextually-\u003c/b\u003e\u003c/p\u003e \u003cp\u003e\u003cb\u003eMinded\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c8\" namest=\"c7\"\u003e \u003cp\u003eMerged with Tailored\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eProactive\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e89%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c8\" namest=\"c7\"\u003e \u003cp\u003eMerged with Tailored\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAffirmation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e93%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c8\" namest=\"c7\"\u003e \u003cp\u003eMerged with Trust\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTrust\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c8\" namest=\"c7\"\u003e \u003cp\u003eMerged with Affirmation\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eCollaboration\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c8\" namest=\"c7\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEffective Communication\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c8\" namest=\"c7\"\u003e \u003cp\u003eRetained; Domain name simplified to Communication\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTailored\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c8\" namest=\"c7\"\u003e \u003cp\u003eMerged with Contextually-Minded and Proactive\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAccountability\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c8\" namest=\"c7\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e[INSERT HERE: Table\u0026nbsp;\u003cspan refid=\"Tab4\" class=\"InternalRef\"\u003e4\u003c/span\u003e. \u003cem\u003eRound #2 Domain Revisions\u003c/em\u003e]\u003c/p\u003e \u003cp\u003eAt the item-level, Survey Round #2 invited respondents to rank order and rate the importance of the items within each domain. We retained 22 of the 40 items, removing 18 due to failure to meet 85% consensus, item redundancy\u003csup\u003e[1]\u003c/sup\u003e, or low rank (see Table\u0026nbsp;\u003cspan refid=\"Tab5\" class=\"InternalRef\"\u003e5\u003c/span\u003e for additional detail). We shared a report of Survey Round #2 findings with the experts. At the conclusion of the Delphi process, we retained 6 domains and 22 items (see Table\u0026nbsp;\u003cspan refid=\"Tab6\" class=\"InternalRef\"\u003e6\u003c/span\u003e for final scale).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab5\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 5\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003e\u003cem\u003eRound #2 Item Revisions\u003c/em\u003e\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"8\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDomain, Item\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003ePercentage Agreement: Relevance\u003c/p\u003e \u003cp\u003eto TA Relationships\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eItem Importance Ranking\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eDecision #1\u003c/p\u003e \u003cp\u003eDid the item meet the relevance threshold? (85%)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eDecision #2\u003c/p\u003e \u003cp\u003eDid the item need to be relocated?\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eDecision #3\u003c/p\u003e \u003cp\u003eDid the item share redundancy with other items?\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eDecision #4\u003c/p\u003e \u003cp\u003eIs the item lower ranked?\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003eFinal Decision\u003c/p\u003e \u003cp\u003eWas the item retained, removed, or relocated?\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"8\" nameend=\"c8\" namest=\"c1\"\u003e \u003cp\u003eProfessionalism\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 1.1. \u0026ldquo;My TA provider demonstrates professionalism through their conduct.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 1.2. \u0026ldquo;My TA provider upholds the agreements of their services (e.g., confidentiality, responsibilities).\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 1.3. \u0026ldquo;My TA provider practices with integrity.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e85%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 1.4. \u0026ldquo;My TA provider treats me with respect at all times.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"8\" nameend=\"c8\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eContextually-Minded\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 4.1. \u0026ldquo;My TA provider offers suggestions that are appropriate for the setting in which I work.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes, relocated to Tailored\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRelocated\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 4.2. \u0026ldquo;My TA provider is sensitive to relationship issues in my work setting, including power dynamics.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 4.3. \u0026ldquo;My TA provider works to understand the contextual (e.g., political, cultural) aspects of my organization.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes, relocated to Tailored\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRelocated\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNEW ITEM. 4.4. \"My TA provider encourages me to think about issues holistically.\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"8\" nameend=\"c8\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eProactive\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 5.2. \u0026ldquo;My TA provider proactively shares information that can be useful for my work and organization.\"\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 5.3. \u0026ldquo;My TA provider reaches out on their own initiative to provide support for my work and organization.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNew Item 5.4. \"My TA provider checks in with me without waiting for me to reach out.\"\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e73%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNew Item 5.5. \"My TA provider stays abreast of issues to anticipate on-going needs of my work and organization.\"\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e85%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"8\" nameend=\"c8\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAffirmation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 7.1. \u0026ldquo;I can be honest with my TA provider about my thoughts and feelings.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 7.2. \u0026ldquo;I am comfortable sharing my skepticism and concerns with my TA provider.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eYes, relocated to Trust\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRelocated\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 7.3. \u0026ldquo;My TA provider engages in conversations with an open-mind.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 7.4. \u0026ldquo;My TA provider shows support for me.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e81%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 6.3. \u0026ldquo;My TA provider works to understand my perspectives.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"8\" nameend=\"c8\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTrust\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 8.1. \u0026ldquo;I trust my TA provider.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 8.2. \u0026ldquo;I can depend upon my TA provider.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNew Item 8.3. \"My TA provider is sincere in our working relationship.\"\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e81%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNew Item 8.4. \"I have confidence in my TA provider\u0026rsquo;s expertise.\"\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"8\" nameend=\"c8\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eCollaboration\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 9.1. \u0026ldquo;My TA provider and I are focused on a shared goal(s).\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 9.4. \u0026ldquo;My TA provider and I can work through project/organization-based obstacles together.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 9.6. \u0026ldquo;My TA provider and I work collaboratively to generate solutions to challenges.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 12.5. \u0026ldquo;My TA provider and I explore different approaches for responding to challenges.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 10.3. \u0026ldquo;My TA provider and I are committed to our working relationship.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e88%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"8\" nameend=\"c8\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEffective Communication\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 11.1. \u0026ldquo;My TA provider actively listens to me.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 11.2. \u0026ldquo;My TA provider asks me questions that elicit new insights for me.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 11.4. \u0026ldquo;I understand the information my TA provider presents to me.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 11.5. \u0026ldquo;My TA provider is a good communicator.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 2.1. \u0026ldquo;My TA provider is responsive to my expressed needs.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 2.2. \u0026ldquo;My TA provider responds to requests for technical assistance in a timely manner.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"8\" nameend=\"c8\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTailored\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 13.1. \u0026ldquo;What we discuss in TA sessions is highly relevant to my workplace responsibilities.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 13.2. \u0026ldquo;My TA provider offers suggestions that are reasonable to implement given my organization\u0026rsquo;s capacity.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 13.3. \u0026ldquo;My TA provider shares information and resources that are valuable and relevant to me/my organization.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 13.4. \u0026ldquo;My TA provider offers me useful feedback and strategies.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"8\" nameend=\"c8\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAccountability\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 14.1. \u0026ldquo;My TA provider checks in on my progress related to my commitments.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 14.4. \u0026ldquo;My TA provider guides me to develop clear, achievable action plans for my goals.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 12.1. \"My TA provider keeps meetings focused and on track.\"\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRetained\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eItem 12.3. \u0026ldquo;My TA provider asks questions that make me think critically.\u0026rdquo;\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eRemoved\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab6\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 6\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003e\u003cem\u003eFinal Domains and Items on the TA Engagement Scale\u003c/em\u003e\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDomain \u0026amp; Definition\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eItem\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eAverage Relevance\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eAverage Ranking\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e\u003cb\u003eProfessionalism\u003c/b\u003e: the extent to which the TA provider upholds integrity and maintains shared agreements about confidentiality and commitments.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider demonstrates professionalism through their conduct.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider upholds the agreements of their services (e.g., confidentiality, responsibilities).\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider practices with integrity.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e85%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider treats me with respect at all times.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e\u003cb\u003eTrust\u003c/b\u003e: the extent to which the TA provider cultivates a space in which the TA recipient is confident in the dependability, expertise, and openness of the TA provider.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eI trust my TA provider.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1*\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eI can count on my TA provider.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eI have confidence in my TA provider\u0026rsquo;s expertise.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eI am comfortable sharing my skepticism and concerns with my TA provider.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1*\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eCollaboration\u003c/b\u003e: the extent to which TA providers and recipients are committed to working together.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider and I are focused on a shared goal(s).\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider and I can work through project/organization based obstacles together.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider and I work collaboratively to generate solutions to challenges.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e\u003cb\u003eCommunication\u003c/b\u003e: the quality of how information and ideas are exchanged between the TA provider and recipient.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider actively listens to me.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider asks me questions that elicit new insights for me.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eI understand the information my TA provider presents to me.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e96%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider is responsive to my expressed needs.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e\u003cb\u003eTailored\u003c/b\u003e: the extent to which TA is proactive and responsive to the motivation, capacities, characteristics, and needs of the recipient/recipient organization.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eWhat we discuss in TA sessions is highly relevant to my workplace responsibilities.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1*\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider shares information and resources that are valuable and relevant to me/my organization.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider offers suggestions that are appropriate for the setting in which I work.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1*\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider works to understand the contextual (e.g., political, cultural, power dynamics) aspects of my organization.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eAccountability\u003c/b\u003e: the extent to which the TA provider is clear about goals of the TA sessions and follows-up on issues and commitments to support progress toward desired outcomes.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider checks in on my progress related to my commitments.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider guides me to develop clear, achievable action plans for my goals.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMy TA provider keeps meetings focused and on track.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e92%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"4\"\u003e*Note. Some items have the same rank value as others in their respective domains due to item relocation based on qualitative feedback in Survey Round #2. Items were ranked within their original domains and then relocated, meaning some items share rank values.\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e[INSERT HERE: Table\u0026nbsp;\u003cspan refid=\"Tab5\" class=\"InternalRef\"\u003e5\u003c/span\u003e. \u003cem\u003eRound #2 Item-level Revisions\u003c/em\u003e]\u003c/p\u003e \u003cp\u003e[INSERT HERE: Table\u0026nbsp;\u003cspan refid=\"Tab6\" class=\"InternalRef\"\u003e6\u003c/span\u003e. \u003cem\u003eFinal TA Engagement Scale\u003c/em\u003e]\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eFormative evaluations of TA are limited in part due to the scarcity of formative measurement tools for TA, including assessments of TA provider relationship quality (\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e). We used a modified Delphi approach to develop the \u003cem\u003eTechnical Assistance (TA) Engagement Scale\u003c/em\u003e, a 22-item formative evaluation tool designed to assess TA provider-recipient relationships. Through the Delphi study, we retained six domains: Professionalism, Trust, Collaboration, Communication, Tailored, and Accountability. Five of these domains resemble the relational domains reported in the TA literature synthesis by Katz \u0026amp; Wandersman (\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e), reinforcing a core set of qualities important to TA relationships: Professionalism (Respect), Trust (Trust), Collaboration (Collaboration), Tailored (Adjusting to Readiness), and Accountability (Roles/Responsibilities). A relational domain that emerged as salient but that was not noted in Katz \u0026amp; Wandersman\u0026rsquo;s (\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e) synthesis is Communication. TA experts were consistently high in consensus about the relevance of Communication to TA relationships (96%-100% agreement at the item and domain level), suggesting an area of interpersonal relationships for TA providers to particularly attend to. Aligned with Delphi expert input, effective communication is listed as a key practice for effective TA (\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThe \u003cem\u003eTA Engagement Scale\u003c/em\u003e critically advances the practice of TA by providing TA providers and recipients with a robust, expert-informed instrument for monitoring TA engagement quality. It enables TA providers and recipients to examine and develop their relationship collaboratively and intentionally. The measure increases TA provider ability to make data-informed, mid-course adjustments to TA delivery. Further, use of the instrument can signal the provider\u0026rsquo;s high regard for the TA relationship and thereby bolster relationship quality.\u003c/p\u003e \u003cp\u003eIn addition to advances in TA practice, the \u003cem\u003eTA Engagement Scale\u003c/em\u003e can contribute to developments in the science of TA. A standard TA measurement tool is an advancement toward more systematic collection of TA data and is essential to generating a coherent body of evidence. The consistent use of a robust TA measurement scale across studies will allow TA researchers and evaluators to better compare TA relationships in a variety of settings and to examine correlates of TA relationships with targeted outcomes.\u003c/p\u003e \u003cdiv id=\"Sec11\" class=\"Section2\"\u003e \u003ch2\u003eUse of the TA Engagement Scale \u0026amp; Considerations for Research and Practice\u003c/h2\u003e \u003cp\u003eThe \u003cem\u003eTA Engagement Scale\u003c/em\u003e is intended for administration by TA providers to TA recipients on a periodic basis (e.g. monthly, quarterly, semi-annually) to monitor and improve provider-recipient relationship quality. When the instrument is administered, TA recipients complete the scale by rating the extent to which each scale item is present in their relationship with the TA provider using a 5-point frequency scale (5-Always, 4-Often, 3-Sometimes, 2-Rarely, 1- Never). The TA provider reviews the recipients\u0026rsquo; responses to identify relational strengths and areas for improvement. The TA provider is encouraged to discuss the recipients\u0026rsquo; feedback with TA colleagues and/or TA recipients. Importantly, this tool is for the purpose of TA relationship monitoring and improvement (formative evaluation). It is not intended as a performance assessment, or as a measure of a TA provider\u0026rsquo;s performance for a workplace employee evaluation.\u003c/p\u003e \u003cp\u003eWe designed the \u003cem\u003eTA Engagement Scale\u003c/em\u003e with several goals in mind: i) to provide a robust measure that captures multiple dimensions (domains) of TA relationships, ii) to bridge the science and practice of TA through a scale development process involving an in-depth cross-walk of research literature and TA expert input, and iii) to create a parsimonious measure of TA engagement that serves as a practical implementation tool. Given the scale\u0026rsquo;s relative briefness, TA providers can administer the scale regularly with little time burden on the recipients (\u0026lt;\u0026thinsp;12 min to complete), making it a practical tool for regularly assessing engagement over time and aligning with calls for more pragmatic approaches to implementation monitoring and tailoring (\u003cspan citationid=\"CR41\" class=\"CitationRef\"\u003e41\u003c/span\u003e, \u003cspan citationid=\"CR42\" class=\"CitationRef\"\u003e42\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eWith modifications, the \u003cem\u003eTA Engagement Scale\u003c/em\u003e can be used for group TA (i.e., TA involving one or more TA providers and more than one TA recipient). Adaptation of the scale is minor, including revision to the scale instructions to reflect group TA and revising the subject at the scale item-level; for example, revising \u0026ldquo;My TA provider is responsive to my expressed needs.\u0026rdquo; to \u0026ldquo;My TA provider(s) are responsive to our expressed needs.\u0026rdquo; In collaboration with a national TA center, we have begun to pilot use of the \u003cem\u003eTA Engagement Scale\u003c/em\u003e in group TA formats. Of note, our modified Delphi study focused primarily on the development of this scale for dyadic provider-recipient relationships. There may be important relationship dynamics in group TA settings uncaptured by the current version of the \u003cem\u003eTA Engagement Scale\u003c/em\u003e. Research on the use of the \u003cem\u003eTA Engagement Scale\u003c/em\u003e in group TA is needed to discern if other relational domains beyond the six identified in the scale are important for group TA.\u003c/p\u003e \u003cp\u003eWhile the \u003cem\u003eTA Engagement Scale\u003c/em\u003e can be used to assess TA relationship quality across in-person, virtual, and hybrid modes of TA, it may have increasing value for virtual modes of TA. The COVID-19 pandemic catalyzed an acceleration in the provision of remote TA, where TA provider-recipient meetings and trainings shifted from in-person to online modalities to accommodate social distancing mandates and travel restrictions (\u003cspan citationid=\"CR42\" class=\"CitationRef\"\u003e42\u003c/span\u003e, \u003cspan citationid=\"CR43\" class=\"CitationRef\"\u003e43\u003c/span\u003e). The increase in reliance on remote TA engenders new questions about how TA provider-recipient relationships are formed and maintained in virtual spaces, including how virtual TA relationships compare to hybrid (in-person/virtua)l and in-person exclusive TA relationships. It is known that there are unique considerations associated with remote TA. For example, virtual settings can present more distractions (e.g. email, social media, multitasking, place-based disruptions) and technological challenges. Specialized preparation by professionals who provide remote services, such as TA providers, is necessary to effectively hold virtual spaces and to engage remote TA recipients (\u003cspan citationid=\"CR44\" class=\"CitationRef\"\u003e44\u003c/span\u003e, \u003cspan citationid=\"CR45\" class=\"CitationRef\"\u003e45\u003c/span\u003e). However, the influence of remote TA on TA relationships is less understood. This association merits research as remote TA has become a common practice.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec12\" class=\"Section2\"\u003e \u003ch2\u003eStudy Limitations and Future Directions\u003c/h2\u003e \u003cp\u003eThough this scale is informed by TA experts using a multi-stage approach, it has yet to be psychometrically validated. The next step in the scale development process is to administer the scale in practice and conduct a confirmatory factor analysis to ensure that the items that we have included are measuring the constructs that we intend to measure. We utilized convenience sampling for recruiting the experts whose feedback we used in this study. However, given that experts were geographically spread and from multiple organizations and backgrounds, we expect that the results of our Delphi process included general and diverse perspectives on what aspects of TA relationships are most central.\u003c/p\u003e \u003cp\u003eThe main purpose of the modified Delphi TA study was development of a TA provider-recipient relationship measurement scale. The Delphi study identified six domains highly relevant to TA relationships. We did not seek expert input about the relative importance of these domains over the life course of a TA relationship or across stages of program implementation; the salience of these domains may vary over time. For example, trust may require time to cultivate and thus be positively correlated with relationship length. Collaboration may dwindle over time as TA recipients become more capable and self-reliant. In fact, an association has been reported between the salience of collaboration and implementation stage (\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e). Systematic research is needed to better understand the relative importance of each of the six relational domains over the life course of TA engagement.\u003c/p\u003e \u003c/div\u003e"},{"header":"Conclusion","content":"\u003cp\u003eThe quality of a TA provider-recipient relationship is central to TA and positively associated with program implementation outcomes. Developed through a modified Delphi approach, the \u003cem\u003eTA Engagement Scale\u003c/em\u003e is a research and expert-informed formative evaluation measurement tool designed to advance the science and practice of TA. It offers TA providers a practitioner-friendly measure for monitoring and improving their relationships with TA recipients. As a standard TA measurement tool, it enables more systematic collection of TA data and thereby, the ability to generate a more coherent body of evidence. The \u003cem\u003eTA Engagement Scale\u003c/em\u003e can be used to assess relationship quality across multiple (virtual, in-person, and hybrid ) TA delivery modalities.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003eACCORD: Accurate Consensus Reporting Document\u003c/p\u003e\n\u003cp\u003eEBI: Evidence Based Intervention\u003c/p\u003e\n\u003cp\u003eEBP: Evidence Based Program\u003c/p\u003e\n\u003cp\u003eICF: International Coaching Federation\u003c/p\u003e\n\u003cp\u003eRAND: Research and Development Corporation\u003cbr\u003e\u0026nbsp;TA: Technical Assistance\u003c/p\u003e"},{"header":"Declarations","content":"\u003cul\u003e\n \u003cli\u003e\u003cstrong\u003eEthics Approval and Consent to Participate.\u0026nbsp;\u003c/strong\u003eThe study was approved by the University of North Carolina at Charlotte Institutional Review Board (IRB-23-0463). All participants consented to participate in the study.\u0026nbsp;\u003c/li\u003e\n \u003cli\u003e\u003cstrong\u003eConsent for Publication.\u0026nbsp;\u003c/strong\u003eNot Applicable.\u003c/li\u003e\n \u003cli\u003e\u003cstrong\u003eAvailability of Data and Materials.\u003c/strong\u003e The dataset generated and analyzed during the current study are not publicly available due to confidentiality reasons but are available from the corresponding author upon reasonable request.\u003c/li\u003e\n \u003cli\u003e\u003cstrong\u003eCompeting Interests.\u003c/strong\u003e The authors declare that they have no competing interests.\u003c/li\u003e\n \u003cli\u003e\u003cstrong\u003eFunding.\u0026nbsp;\u003c/strong\u003eNo sources of funding were obtained for the current study.\u003c/li\u003e\n \u003cli\u003e\u003cstrong\u003eAuthors\u0026rsquo; Contributions.\u003c/strong\u003e Vs, JT, and ZJ conceptualized the study design. Vs, JT, and ZJ administered study materials, analyzed study data, and were all major contributors to development of the manuscript. All authors read and approved the final manuscript.\u003c/li\u003e\n \u003cli\u003e\u003cstrong\u003eAcknowledgments.\u0026nbsp;\u003c/strong\u003eThe authors would like to acknowledge the following individuals and/or organizations for their contributions to the development of the \u003cem\u003eTA Engagement Scale\u003c/em\u003e: Build Initiative (Sherri Stewart); Department of Education; Department of Health and Human Services, Administration for Children and Families (Annalisa Mastri); National Center for Safe and Supportive Learning Environments (Brianna Cunniff, Elizabeth Chagnon, Frank Rider, Jeanne Poduska, Rob Mayo); Other/No Organizations (Kathleen Guarino, Laura Hurwitz, Nicole Denmark, Pam Imm); Wandersman Center (Amber Watson, Andrea Lamont, Brittany Cook).\u0026nbsp;\u003c/li\u003e\n\u003c/ul\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eShrestha R, Karki P, Altice FL, Dubov O, Fraenkel L, Huedo-Medina T, et al. 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The power of a collaborative relationship between technical assistance providers and community prevention teams: A correlational and longitudinal study. Eval Program Plann. 2016 Feb 1;54:19\u0026ndash;29.\u003c/li\u003e\n\u003cli\u003eSaunders S, Howard K, Orlinsky D. The Therapeutic Bond Scales: Psychometric Characteristics and Relationship to Treatment Effectiveness. Psychol Assess [Internet]. 1989 Dec 1; Available from: https://epublications.marquette.edu/psych_fac/304\u003c/li\u003e\n\u003cli\u003eLuborsky L, Barber JP, Siqueland L, Johnson S, Najavits LM, Frank A, et al. The Revised Helping Alliance Questionnaire (HAq-II) : Psychometric Properties. J Psychother Pract Res. 1996;5(3):260\u0026ndash;71.\u003c/li\u003e\n\u003cli\u003eGaston L, Piper W, Debbane E, Bienvenu JP, Garant J. Alliance and Technique for Predicting Outcome in Short-and Long-Term Analytic Psychotherapy. Psychother Res. 1994 Jan 1;4(2):121\u0026ndash;35.\u003c/li\u003e\n\u003cli\u003eHorvath AO, Greenberg LS. 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In: Collaborating with Community-Based Organizations Through Consultation and Technical Assistance [Internet]. Columbia University Press; 2007 [cited 2024 Mar 14]. p. 197\u0026ndash;206. Available from: https://www.degruyter.com/document/doi/10.7312/mote12872-013/html\u003c/li\u003e\n\u003cli\u003ede Villiers MR, de Villiers PJT, Kent AP. The Delphi technique in health sciences education research. Med Teach. 2005 Nov 1;27(7):639\u0026ndash;43.\u003c/li\u003e\n\u003cli\u003eBrady SR. The Delphi Method. In: Jason LA, Glenwick DS, editors. Handbook of Methodological Approaches to Community-Based Research: Qualitative, Quantitative, and Mixed Methods [Internet]. Oxford University Press; 2015 [cited 2024 Mar 27]. p. 0. Available from: https://doi.org/10.1093/med:psych/9780190243654.003.0007\u003c/li\u003e\n\u003cli\u003eDiamond IR, Grant RC, Feldman BM, Pencharz PB, Ling SC, Moore AM, et al. Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies. J Clin Epidemiol. 2014 Apr;67(4):401\u0026ndash;9.\u003c/li\u003e\n\u003cli\u003eNiederberger M, Spranger J. Delphi Technique in Health Sciences: A Map. Front Public Health [Internet]. 2020 Sep 22 [cited 2024 Mar 10];8. Available from: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2020.00457/full\u003c/li\u003e\n\u003cli\u003eMarques JBV, de Freitas D. The DELPHI method: characterization and potentialities for educational research. -Posi\u0026ccedil;\u0026otilde;es. 2018 Aug;29(2):389\u0026ndash;415.\u003c/li\u003e\n\u003cli\u003eSan-Jose L, Retolaza JL. Is the Delphi method valid for business ethics? A survey analysis. Eur J Futur Res. 2016 Dec;4(1):1\u0026ndash;15.\u003c/li\u003e\n\u003cli\u003eAazami S, Mozafari M. Development of a scale for the evaluation of patients\u0026rsquo; rights prerequisites at educational hospitals in Iran: a study using the Delphi technique. J Med Ethics Hist Med. 2015 Nov 14;8:12.\u003c/li\u003e\n\u003cli\u003eGattrell WT, Logullo P, Van Zuuren EJ, Price A, Hughes EL, Blazey P, et al. ACCORD (ACcurate COnsensus Reporting Document): A reporting guideline for consensus methods in biomedicine developed via a modified Delphi. PLOS Med. 2024 Jan 23;21(1):e1004326.\u003c/li\u003e\n\u003cli\u003eHsu CC, Sandford B. The Delphi Technique: Making Sense of Consensus. Pract Assess Res Eval [Internet]. 2019 Nov 23;12(1). Available from: https://scholarworks.umass.edu/pare/vol12/iss1/10\u003c/li\u003e\n\u003cli\u003eStr\u0026oslash;m M, L\u0026ouml;nn L, Bech B, Schroeder TV, Konge L, Aho P, et al. Assessment of Competence in EVAR Procedures: A Novel Rating Scale Developed by the Delphi Technique. Eur J Vasc Endovasc Surg. 2017 Jul 1;54(1):34\u0026ndash;41.\u003c/li\u003e\n\u003cli\u003eRobinson CH, Damschroder LJ. A pragmatic context assessment tool (pCAT): using a Think Aloud method to develop an assessment of contextual barriers to change. Implement Sci Commun. 2023 Jan 11;4(1):3.\u003c/li\u003e\n\u003cli\u003eStanick CF, Halko HM, Nolen EA, Powell BJ, Dorsey CN, Mettert KD, et al. Pragmatic measures for implementation research: development of the Psychometric and Pragmatic Evidence Rating Scale (PAPERS). Transl Behav Med. 2021 Feb 11;11(1):11\u0026ndash;20.\u003c/li\u003e\n\u003cli\u003eCross-Technology Transfer Center (TTC) Workgroup on Virtual Learning. Providing behavioral workforce development technical assistance during COVID-19: adjustments and needs. Transl Behav Med. 2022 Jan 1;12(1):ibab097.\u003c/li\u003e\n\u003cli\u003eCapacity building for household surveys: Providing technical assistance in the face of COVID-19 [Internet]. 2021 [cited 2024 Mar 14]. Available from: https://blogs.worldbank.org/opendata/capacity-building-household-surveys-providing-technical-assistance-face-covid-19\u003c/li\u003e\n\u003cli\u003eGreenhalgh T, Payne R, Hemmings N, Leach H, Hanson I, Khan A, et al. Training needs for staff providing remote services in general practice: a mixed-methods study. Br J Gen Pract. 2023 Dec 29;74(738):e17\u0026ndash;26.\u003c/li\u003e\n\u003c/ol\u003e"},{"header":"Footnotes","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003e If two items were redundant, we kept the item with the higher rank and agreement.\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"implementation-science-communications","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"iscm","sideBox":"Learn more about [Implementation Science Communications](https://implementationsciencecomms.biomedcentral.com)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/ISCM/default.aspx","title":"Implementation Science Communications","twitterHandle":"@ImplementSci","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"technical assistance (TA) relationships, TA engagement, delphi, measurement development, formative evaluation","lastPublishedDoi":"10.21203/rs.3.rs-4189554/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4189554/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground:\u003c/strong\u003e Technical assistance (TA) is a tailored approach to capacity building that is commonly used to support implementation of evidence based interventions. Despite its widespread applications, measurement tools for assessing critical components of TA are scant. In particular, the field lacks a robust measure for examining relationship quality between TA providers and recipients. TA relationships are central to TA and significantly associated with program implementation outcomes. The current study seeks to address the gap in TA measurement tools by providing a scale for assessing TA relationships.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e We utilized a modified Delphi approach involving two rounds of Delphi surveys and a panel discussion with TA experts to garner feedback and consensus on the domains and items that compose the \u003cem\u003eTA Engagement Scale\u003c/em\u003e.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e TA experts represented various U.S. organizations and TA roles (e.g., provider, recipient, researcher) with 25 respondents in the first survey and 26 respondents in the second survey. The modified Delphi process resulted in a scale composed of six domains and 22 items relevant and important TA relationships between providers and recipients.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003e The \u003cem\u003eTA Engagement Scale\u003c/em\u003e is a formative evaluation tool intended to offer TA providers the ability to identify strengths and areas for growth in the provider-recipient relationship and to communicate about ongoing needs. As a standard measurement tool, it lends a step toward more systematic collection of TA data, the ability to generate a more coherent body of TA evidence, and enables comparisons of TA relationships across settings.\u003c/p\u003e","manuscriptTitle":"Development of the Technical Assistance Engagement Scale: A Modified Delphi Study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-04-15 17:30:22","doi":"10.21203/rs.3.rs-4189554/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Major revision","date":"2024-05-22T04:26:48+00:00","index":"","fulltext":""},{"type":"reviewerAgreed","content":"","date":"2024-04-29T12:27:25+00:00","index":0,"fulltext":""},{"type":"reviewersInvited","content":"","date":"2024-04-11T09:34:57+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-04-03T02:38:22+00:00","index":"","fulltext":""},{"type":"submitted","content":"Implementation Science Communications","date":"2024-04-02T15:25:20+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"implementation-science-communications","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"iscm","sideBox":"Learn more about [Implementation Science Communications](https://implementationsciencecomms.biomedcentral.com)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/ISCM/default.aspx","title":"Implementation Science Communications","twitterHandle":"@ImplementSci","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"f2f1c581-8b37-400a-883f-b2249705c4e8","owner":[],"postedDate":"April 15th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2024-08-05T15:59:01+00:00","versionOfRecord":{"articleIdentity":"rs-4189554","link":"https://doi.org/10.1186/s43058-024-00618-4","journal":{"identity":"implementation-science-communications","isVorOnly":false,"title":"Implementation Science Communications"},"publishedOn":"2024-07-29 15:56:54","publishedOnDateReadable":"July 29th, 2024"},"versionCreatedAt":"2024-04-15 17:30:22","video":"","vorDoi":"10.1186/s43058-024-00618-4","vorDoiUrl":"https://doi.org/10.1186/s43058-024-00618-4","workflowStages":[]},"version":"v1","identity":"rs-4189554","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4189554","identity":"rs-4189554","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}