| moderate level of engagement. data seems inconsistent | Staff is required to begin the task. Teach him to start the treadmill or program a walking program outside that does not require the staff to get him started | Have the consumer walk outside on some of the days. Implement choice to use treadmill and access videos or walk outside, possibly to a location that the pt values (once the pt has demonstrated he can perform the task safely) |
| Minimal | Seems to be except on days when he tries to escape. Why not try a few different exercise machine besides the treadmill | Either add more motivation (add another reinforcer when done with 30 min), change up the exercise equipment or actually take him for an outside walk or walk inside. |
| Moderate | Dk | Dk |
| Low | No | |
| Some | No | Have him exercise and walk in different environments |
| The level of engagement in this program task is good. | Yes. Increase and diversify the number of videos for Adam. | Start the videos before Adam gets on the treadmill. |
| Not very engaging | He still needs staff support and he still engages in escape behavior. Perhaps a self-management system that utilizes his video as a reinforcer. | Perhaps he would prefer a different exercise option, such as taking a walk outside. |
| low | yes. Adam can be taught to use the treadmill at slow motion and staff would not need to intervene often. | staff checking for daily progress (intensity/time) and providing social praise |
| Low | Yes | Rein |
| not very engaged, requires prompting and positive reinforcement (video) | it needs more support | increasing his initiation to perform the task with less prompting from staff. Perhaps, changing the reinforcer? |
| The level of engagement is inconsistent. Some days, he is motivated to walk on the treadmill because he can watch his video and other days, he engages in escape-motivated behaviors. | No, Adam requires staff assistance in order to operate the treadmill and other times may require motivation from staff in order to stay on the treadmill. Staff could provide a visual task analysis that is posted by the treadmill in order to encourage Adam to set up the treadmill independently. Additionally, staff can incorporate other ways to make walking on the treadmill motivating. | Staff can have Adam walk outside or on a track (and provide a scavenger hunt to encourage Adam to look around). Staff can also introduce other methods of exercise and alternate the exercises each day to ensure that he has variety. |
| moderate | yes | |
| low level,only enjoys video | no, due to safety concerns . choice making and reserving videos only for treadmill times | paired with new and reserved videos |
| Independence and choice | foster inclusive social environment | sustained attention and motivation |
| not very engaging | still requires staff support, offer options for exercise to increase novelty/motivation, reinforcement contingency and self monitoring | group exercise classes with peers |
| Low | No, more options to reinforce | Addition of reinforcement |
| He is not engaged in the activity as he dislikes it unless he has his videos | Staff are needed to initiate the program | Reduce the time on the treadmill and use the device as a reinforcer for initiating the program - teach the client to use the monitors so he can see calories burned and heart rate etc |
| moderate | yes. offerinf a reinforcer once completed. | Allow him to add tobhis video |
| Its engaging as Adam likes to watch videos on threadmill | Yes, | Create new value, such as enjoying the way the body feels after using threadmill |
| moderate, often preferred when paired with video, requires support | no, teach him to operate equipment | teach additional exercise options for when preferences change |
| he doesn't love it | no staff needs to be there to support but he is motivated by watching his show | |
| Medium level of engagement, needs prompting to begin but once started does not require prompts | Yes, staff only need to support with the task initiation | To give him choice in the days he completes this task or to go on walks outdoor to an area he enjoys |
| Moderate | It does not appear to be unless he is taught how to use the treadmill appropriately. | If this task could offer the choice to walk the treadmill or walk outside, specifically if the walking outside could help this client to access a natural reinforcer. |
| Not engaged by the activity and shows that by escalation. He is engaged by the video, not by the treadmill. | Not very sustainable because it still causes behaviors. | Can seek an alternative exercise that allows him to watch his show that he enjoys more. |
| He engages in the task daily so engagement is high however, he does not love it so it isn't the most motivating and meaningful task. | This task does require staff support due to consumer not starting the task independently. The task could use a reminder alarm or a highly motivating reward the consumer could strive for after he completes the task. | Audio reminder to get on the treadmill and a highly motivating reward to earn after using the treadmill. |
