• An easy way to objectively measure competence change: Pre- and post-activity case vignette questions.

• Don’t just ask if learners plan to change their practice. Ask them to check off a list of changes they intend to make in their practice that your content was designed to motivate them to change.

• Ask learners how often they currently do the evidence-based clinical practice strategies your content addressed, on a scale of 1 (never) to 5 (always). Then ask them how often they now plan to do them based on what they learned at the activity. “This gives you a measure of current frequency of use and planned frequency of use. When the frequency rating increases, it shows a change in competence—they intend to do something good more often,” said Dietze.