| 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 |
| Moderate level of engagement as he does like watching the videos. | Teaching the client to operate the treadmill and operate any emergency alerts would increase client's independence and the sustainability. | The clients total number of steps/calories burned could be tied into specific games he is able to play while on the treadmill. |
| Mid | DRA to teach him to turn it on | small edibles after completing so many minutes or new clothes after hes lost weight |
| low | No, client can learn how to operate the treadmill | client can learn how to turn on and off the treadmill |
| Engagement is not consistent. Sometimes he does not wish to participate. The video being played simultaneously isn't always valuable enough to motivate him. | It is but not consistently. | Can he go for a walk with staff in the community where he may access a whole range of reinforcers. |
| It’s inconsistent. Staff should work with consumer on starting and ending treadmill so he he will go on and off without behaviors | No. Staff needs to be there to get him started and end the treadmill session. | Walk outside around the neighborhood and finish when he gets back home or let his walk animals if he can |
| Moderate, it seems like he does it most of the time | Staff is needed to start the treadmill. To improve the sustainability, Adam can be taught to start it himself. | Give Adam a variety of exercises to do so when he doesn't want to use the treadmill, there are other alternatives. Workout videos might be a good option since it incorporates exercise and his preferred activity of screentime. |
| Not very engaging as he does not enjoy the task unless he has his video on. | This program is sustainable with minimal staff support but he does not enjoy it which could become an extinct behavior. | This task is to help with weight management so finding other ways that he likes to move his body is a way that could help with engagement and make it more meaningful to the client. |
| he seems to like the activity and the reinforcement is effective | Probably not. Allow for delayed start if asking appropriately, matching law for TV time and exercise, checklist to start more independently, | improve reinforcement |
| Moderate; he chooses to engage in the activity when he is motivated by the video, however, that is inconsistent (and he requires staff prompting to initiate) | Yes, but he needs staff prompting to initiate the task. A way to make this more sustainable might be to conduct a preference assessment and provide a variety of reinforcers (not just the video) to increase his motivation and decrease the potential of satiation. | Moving from the treadmill to walking in local parks or walking to a movie might make this more meaningful for the client and allow for community engagement while exercising |
| Medium | No because a staff has to prompt him to start. Have him set a reminder on phone to walk on treadmill | Walking outside |
| The level of support is medium | The task is sustainable with a bit more than minimal support since Alex requires someone to start the treadmill for him andkeep him motovated. | Teaching him to start the treadmill on his own. |
| Moderately engaging | It is, however, he may satiate sooner rather than later. | Focus on generalization. Move his walks to outside or a rec center, etc. to help engage him more. |
