| moderate | yes | goals |
| Medium | Yes | Offer choices for videos and/or exercise activities |
| The engagement level is moderate to low. If a staff does not help get him started he will not engage in the activity due to disinterest. However once starting he will stay on the treadmill. | Teaching Adam how to operate the device using least to most prompts can help eliminate the staff member. Having Adam choose to take walks or complete an activity that increases his heart rate can lower the need for staff support/oversight. | If Adam is someone who enjoys nature or being outside, presenting choices to walk outside or walk on the treadmill may give him more autonomy while helping him achieve his weight management plan. |
| Low | Yes | Stronger reinforcements |
| Adam demonstrates moderate engagement. While he will often get on the treadmill willingly—especially when allowed to watch his video—his participation appears conditional. On days when he is not interested, he may resist or escalate behaviorally, indicating that the task is not intrinsically motivating. | The task is not fully sustainable with minimal staff support since Adam requires assistance to get started. One way to improve sustainability is to teach Adam how to independently operate the treadmill and pair the activity with consistent access to a preferred item (e.g., his video), which may increase motivation and reduce staff prompting. | To make the task more meaningful, the program could offer Adam a choice of physical activities (e.g., treadmill, walking outdoors, stationary bike) while allowing him to consistently access his video. Incorporating his preferences may promote greater autonomy and increase enjoyment. |
| He is willing to participate to watch his video only, the task itself is not engaging. | Yes, it is sustainable. The staff should with toward independent operation of the treadmill. | Increase choices of videos, change setting to go on a walk with a friend or staff |
| medium level of engagement | yes but staff are needed to initiate the task and monitor | additional reinforcement for compliance/completion of task |
| The task provides moderate engagement for Adam. He often participates willingly and stays on task, especially when paired with a preferred video. However, his inconsistent interest and occasional avoidance behaviors suggest it's not intrinsically motivating or highly preferred. | The program is somewhat sustainable with minimal staff support as Adam is mostly independent once he starts. However, it requires staff to initiate the activity and manage occasional escalations. To improve sustainability, consider increasing Adam’s sense of control, such as letting him choose the video or the time of day for exercise, to boost motivation and reduce resistance. | One way to make this task more meaningful for Adam is to incorporate his personal interests more, such as allowing him to pick different videos or music for his treadmill sessions, making the activity feel more enjoyable and self-directed. |
| high | yes, add a tv show or music or friend, outside | add a tv show or music or friend, outside |
| Moderate level of engagement, probably because the proprioceptive feedback Adam receives from walking on the treadmill is reinforcing enough to keep him engaged most of the time. | It's sustainable with the current level of support, but would be more easily sustainable if Adam did not perform avoidance/escape behaviors. Therefore, staff needs to figure out what is the occasion for the escape behavior to make it easier on themselves AND to increase Adam's participation rate. | 1. Video should be available only while Adam is actually walking on the treadmill. 2. If Adam was paired with one or more other participants, opportunity for social interaction would exist, and may serve to maintain participation. |
| He requires motivation and prompting to engage in the task. | Yes, if a token economy board is used . | 1st, treadmill, then 20 minutes of TV time |
| low as he requires an additional reinforcer to engage in it | only when he is tolerant of it | incentivize additional reinforcers |
| I would say this has a moderate level of engagement, as most days he enjoys it and it is providing health benefits. | This program does require minimal staff most day, but would require additional staff on the days that he is resistant | |
| Moderate | Yes | Teach him to start the video himself |
| Not very engaging if it is the only activity offered. | Not sure-due to safety concerns, Adam may always need help getting started on the treadmill and setting video up to watch. | Since Adam likes videos, could he watch a fun exercise video (e.g., dance, movement, etc.) |
| Adam show a moderate level of engagement. While he does not particularly enjoy the activity, he often gets on the treadmill because he likes watching videos while walking. However, his motivating is not derectly tied to the exercise itself, and on some days he avoids the task, even displaying escape- motivated behaviors. | Not entirely. Adam requires staff support to get started on the treadmill, which suggests that some supervisions is needed. To improve sustainability, staff could teach him how to independently o operate the treadmill or build a more engaging routine that includes his preferences, such as allowing him to pick his favorite videos or music to pair with the activity. | To make this task more meaningful, the program could intentionally integrate Adam's video preferences into the routine by letting him choose what he watches as a motivating factor. Additionally, offering alternative physical activities that he might enjoy more- like active games or outdoor walks- could boost his engagement and satisfaction |
| Moderate | No, requires assistance every time at this point | Teach him how to run it himself or find exercise he enjoys |
| Low | Yes - the staff may need to think of other ways to help the client stay active | Perhaps walks could be moved to an outdoor setting or a different type of workout activity could be taught |
| Not much engagement from consumer. | Maybe have him work for the videos once he has finished the task. Is he still getting video access outside of being on the treadmill? | Provide a variety of excerises that the consumer can engage in (exercise bike) |
| It appears some days there is a moderate level of engagement but needs to have more choices or other options of activity to improve engagement and avoid escape-motivated behaviors. | Doubtful. A more varied schedule of activities will be needed or a different schedule besides daily as it seems he will likely stop completely without staff support. | Adding in a more tasks of activity such as walking with a friend, riding a bike either stationary or mobile, etc. and/or doing a schedule of 4-5 times a week instead of daily |
| minimal | yes, they just need to get it started for him | perhaps he needs more than one video to watch, or it could be followed by a preferred activity |
| midlevel | no | expose the client to alternative client activities and conduct preference assessment to identify more preferred modalities of exercising. |
| Moderate | Yes but teaching him to start the treadmill would improve sustainability | Could walking outside be more enjoyable? |
| high | no because it doesn't actually focus on client interest | Not just pairing it with reinforcement but trying to transfer stimulus control |
| He does not enjoy it. | No. Staff have to start it for him. Teach him how to start the treadmill. | Find other activities he may enjoy such as walking outside, hitting a ball, etc. |
