| Decent engagement incorporating preferred video but the task itself is one that the consumer is intermittently motivated to avoid. | Some staff support required to initiate the task and at times to manage motivational issues. | Perhaps replaced with walking in an area that the consumer enjoys or walking as a means of getting to a preferred location. |
| medium | no. The staff might need to teach Adam how to turn on and off the treadmill.Let ada | Allow Adam to choose an activity that he enjoys doing. |
| Moderate | No. Resulting in more effort from staff to get him engaged | Find alternative routines. Do task with consumer |
| | Perhaps they can help him find a cardio exercise that excites him more. Or make a schedule so that the treadmill only accounts for 3 days a week, and another exercise the other days. |
| Moderate | Yes. Have client initiate getting on treadmill and use video as reward for this. | Add other exercise related items to routine. |
| Low level of engagement. His behavior is contingent on watching his video while running; however, escape from the nonpreferred task seems to be more reinforcing. | No, staff support is needed because he requires the staff support to get started on the treadmill; otherwise, he will escape the task. | Lower the response effort of the task |
| Not much | No- escape behavior/switch videos for motivation | Switch up movies for motivation and reduce the amount of days |
| Low | Nope. Adjust the time engage in the activity. Eg lower the duration and move up gradually | Increase external motivation |
| He does not like it so unlikely to continue. Perhaps add reinforcer for task completion. | Add reinforcer. | |
| Minimal, staff does need to get the machine going though, so staff is necessary. | Yes it is. Perhaps vidoes should be something highly motivated and only offered during his exercise time. | If he is not interested, perhaps have an alternative exercise that he may engage in. |
| Low engagement | No. Providing choices or breaking the length into smaller timeslots. May need more support at the initial stage. | Introduce self-management skills (e.g., tracking progress). |
| Low | Maybe there are some shows only watched on the treadmill? It seems like a different exercise is needed that is more engaging for him. | Are there other ways he might enjoy receiving exercise? Perhaps a more social way would be more engaging? |
| Poor | reinforcement | Intervals |
| 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 |
