| There is some level of motivation | yes, Create a schedule paired with reinforcement. | Shorter sequences |
| moderate | maybe although on days he engages in escape bx more staff assistance may be needed | Have him walk outside at preferred locations and/or switch up video |
| Fair, but could be improved | Graph his progress toward meeting his goals and share the graph with him periodically | Provide an alternate activity that could also help him with weight management. Use both intermittently |
| Moderate because it is every day. | It could be but it seems like he has to be motivated. | |
| Minimal | No | Provide other forms of exercise that could be more engaging (walking in the community, taking a class) |
| Moderate | Yes | Change up the activity |
| Mild. He does not enjoy the task, but has paired it with a reinforcing activity. | Sometimes. But he engages in high levels of problem behavior surrounding the task that may require additional support | Walk in more places such as hiking trails. Offer choices in the exercise options. |
| Little - he is more motivated by the video, rather than the targeted activity. | No, because someone needs to operate it for him. Perhaps teach him how to operate the treadmill. | Try out other forms of exercise; identify an exercise activity the client enjoys for more engagement. |
| Moderate | No it seems to require some staff support due to escape aspect | Provide more choice in terms of what type of exercise to access the video |
| Moderate | Add reinforcement program m | Play favorite shows |
| Low level of engagement | Yes - to improve the sustainability he could learn how to operate the treadmill himself | He could walk with someone or teach others how to operate the treadmill |
| It looks like Adam tolerates but does not enjoy the activity | fairly sustainable but would be more so if Adam was able to operate the treadmill on his own | choice of SR for walking on treadmill, choices of treadmill vs other exercises |
| Intermittent engagement | Since he needs help with starting every day, a checklist or video modeling may be useful. | Perhaps changing the location from a treadmill to an outdoor preferred preferred setting could help. |
| he does it usually but only if there is a video to watch | no bc staff have to set up the treadmill | going for walks outside |
| It is not consistent and he has escape motivated behaviors sometimes. | Staff support is needed since he is not always engaged. To improve the sustainability, perhaps provide a reinforcer following the activity and a visible timer | Provide specific videos that are most preferred and new to engage him better, and reinforcement as noted above. |
| Level of engagement seems to vary from low to moderate | This would not be sustainable with minimal staff support. Potentially, he can watch his video after completing the activity. To provide motivation during, he could have some kind of visual timer or time-based token economy. | Since he does not seem to really love this activity, he could try out different things to keep him active. For example, if he likes video games, there are video games where you have to physically engage in order to play. |
| The task itself is not engaging, but paired with the video. | No | More natural opportunities to exercise |
| Adam’s engagement is moderate. He generally participates because he enjoys watching his video, but on some days he shows resistance, indicating the task isn’t consistently motivating for him. | The task is somewhat sustainable with minimal support, as Adam can operate the treadmill on his own once started. To improve sustainability, ensuring clear motivation (like varying videos or offering rewards) could help reduce his occasional resistance. | To make the task more meaningful, incorporate more choices into the activity, such as letting Adam pick from a variety of videos or add other enjoyable elements, like music or a more interactive feature on the treadmill. |
| no engagement | No, because it requires staff to constantly motivate him to get on the treadmill, and they can't get him to make the independent decision to do so, since he doesn't like it. | Modify the task, and create powerful reinforcers for the videos he likes |
| Moderate- he does it, but does not love it. | Staff have to set up the treadmill and provide prompts on days that he does not want to do it (and deal with possible escalation). | Have a free pass day or earn a free pass day for "x" amount of successful days completed |
| The engagement is inconsistent and highly dependent on access to reinforcement while completing the task. | No, he needs staff support to start the treadmill. Teaching him to use the treadmill independently could improve the program. | Walking outside or around a track could be more meaningful to the client. |
| Variable | No- find a program that requires minimal staff support | Teach him how to operate the treadmill |
| moderate | No this program requires staff to support the onset and offset of the behavior. | Attached additional reinforcement. |
| Since it is paired with a preferred activity it seems relatively high. | If he were taught how to self initiate the activity. | Different exercise activities should be explored (like riding a stationary bike) , especially when it is clear he does not want to engage in this one. |
| not high | somewhat | reward for weight loss |
