| low | No. | He can watch his video after he finishes his exercise. |
| it is engaging as he does enjoy watching the video | minimal staff support is required - once the treadmill is started no support is needed. | some type of reinforcement for walking on the treadmill the entire 30 minutes. |
| moderate | yes but some supports needed for setting it up. Teach client to set up treadmill independently | Build in additional reinforcement (after activity complete). Reinforcement could be in the form of 'if more time is spent on treadmill or calories are allowed in food - if food is motivating'. Add in choices if he does not want to do it everyday, offer to skip a day if he does more another time, or teach other exercise activities |
| This task provides moderate engagement-somedays more engaging then others | Most likely-it sounds like he just needs support initially to get the machine going however it can be indicated that some days he engages in escalated behaviors requiring more support | The support staff could teach him how to operate machine himself |
| This is also a rote skill but the self-initiation is the missing link. | If he knows his schedule for the day, and the screen reinforcement only works if he is actually moving. He can then earn more time on screens if he surpasses the time required. | Go with distance versus time so that he could get it done faster if he goes faster but still receives that same amount or exercise. |
| He is engaged in it, but does not enjoy the activity only the sr+ | | |
| Engagement is often low and the motivation to engage in escape behavior is somewhat high. The use of the video as reinforcement is not always effective, and naturalistic reinforcement is nonexistent at this point. | There are likely to be problems in the near future if reinforcement is not addressed. Behavior may escalate over time and require more intervention from staff. | Take the exercise outdoors! Use music that the client enjoys and conversation during the walk to help the consumer access more naturalistic contingencies of reinforcement produced by exercising. |
| This consumer is engaged in a healthy activity that he tolerates. | Yes, although client should be given choice of exercise/equipment that he would like to use. | Modify the amount of time, provide other choices, etc. |
| Minimal - he ties it to watching videos | Somewhat sustainable. Weighing in - demonstrating other reinforcing aspects to working out. | Token economy??? |
| avergae | yes | motivation |
| Adam shows inconsistent engagement with the treadmill routine. On most days, he participates willingly, especially with the added reinforcement of watching a video—this suggests some level of conditional engagement. However, since he does not appear to enjoy the treadmill activity itself and may escalate behaviorally on days he’s not motivated, the engagement is largely dependent on external factors rather than intrinsic motivation or preference. | The task is partially sustainable with staff support. While Adam can stay on the treadmill independently once started, staff are still needed to initiate the routine and to manage potential escalations on less motivated days. To improve sustainability, consider teaching Adam how to initiate and operate the treadmill himself (with safety measures), and explore additional forms of reinforcement beyond the video—such as a preferred activity after completion. Creating a visual schedule or a reward chart could also help support consistency. | To make the task more meaningful, consider incorporating choice and variety. Instead of the treadmill every day, Adam could be offered options like dancing with a video, a short walk outdoors, or cycling—anything that involves movement but gives him some control over the activity. This approach could help reduce behavioral escalations while still supporting his health goals. You could also consider embedding a social component (e.g., walking alongside peers or staff) if that aligns with his preferences. |
| Depends on the day | Yes, with proper reinforcement | Variety of reinforcers available |
| The level of engagement this program task provides Adam is moderate. While the treadmill routine is effective for his health goals, it lacks intrinsic enjoyment for him, leading to occasional resistance or escape-motivated behavior. He engages with the task mainly because of the external reinforcement (watching videos), but his interest varies, and on some days, he struggles to stay motivated. | This task is somewhat sustainable with minimal staff support, as Adam can continue once the treadmill is set up. However, staff is needed to help him get started. To improve sustainability, gradually increasing Adam's independence in operating the treadmill or allowing him to choose his own videos could reduce the need for constant staff assistance. | To make this task more meaningful for Adam, the treadmill routine could be paired with a reward system, such as earning points for each session that can be exchanged for a preferred activity or item. This could help increase his motivation and make the exercise feel more purposeful and enjoyable. |
| medium engament | the program is not sutiable without staff invloment | by assessing each day if he wishes to engage in the task |
| He is compliant, which says a lot when it comes to exercise! | Perhaps adding choice of activity engagement | Pair it with other preferred activities to create variety and provide a tangible reinforcer for engagement. |
| engaging | no, he needs someone to get it started for him. see if there are other activities that motivate him or are more meaningful to him | Maybe have him walk outside or find something motivating he can walk to |
| moderate engagement | somewhat sustainable | use premack principle |
| good | yes with more support | cater specifically to the client |
| The engagement level is variable. | It varies on the day. Some days he needs minimal staff support, and other days he needs more staff support when he engages in escape maintained behaviors. | This task can be modified by varying the videos he watches while engaging in walking. This can help increase the reinforcing value of the treadmill. |
| Moderate. His show acts as a motivator but he does not enjoy this task. | Yes, most days he will get on treadmill with minimal prompting and stay on. Staff could switch up the exercise task to offer a wider variety. | Offer a variety of workout tasks to see if there are other tasks he enjoys more. |
| medium level of engament | yes | identify a form a of exercise that would be more motivating for the client |
| Average (similar to most adults' exercise experience) | It sounds like some staff support is required with turning on the video and getting his engaged when he doesn't want to be. | Have Adam ride a stationary bike or offer another exercise activity on the days he doesn't want to use the treadmill. |
| sounds like he is enduring it | not if there is an escape tendency to be able to retrieve him | Is he motivated by something different to watch - boredom with movies; set time challenges and rewards attached to each milestone. |
| Although he will participate, he does not enjoy the activity. | It sounds as though he usually does well, but may require support when he has a behavioral escalation. | Perhaps giving Adam a way to terminate the activity without engaging in challenging behaviors. |
| Inconsistent. He engaged in the task with the initial prompt from the staff to get him going. Sometimes he does not want to do it, other times he won't get off of it. | No. Is it the video that is sustaining him or the actual physical activity? Has he lost weight? Is their a set time he is to be on the treadmill and then gradually increasing it? Is he reinforced? Has he lost weight? How fast is he going on the treadmill? Has a medical pofesis9nal been consulted? How is his diet? | The duration of time on treadmill, the speed, reinforcement including other physical activity and building behaviour momentum so that he is not only on the treadmill |
