| It is not enought because it is not consider his interests at all | | video modeling |
| Moderate, he only likes it because he gets to watch his show | Staff is needed due to him engaging in problem behaviors and requiring prompts to get him started. | Having a self management system where he is in charge of getting started and allowing him the show only when on the tredmill |
| Low level without reinforcement | The client can be taught how to turn on the machine | Always be sure the video is reinforcing to the client |
| Effective (if it has actually reduced weight or even limited weight gain) and similar to engagement levels achieved by many people in exercise routines. | Treadmill accidents (e. g., falling on a running machine) can cause serious injuries, so continuous staff supervision may be organizationally necessary. Honoring Adam's decisions not to exercise may help prevent a behavioral escalation that would rule out treadmill use completely. Teaching Adam operation and safety skills (e. g., using auto-stop devices) may also help improve sustainability. | Match Adam with a partner who can exercise with him to increase exercise-related positive reinforcement. Schedule some exercise sessions at a community gym to associate community travel and activities with treadmill exercise, again with the aim of increasing exercise-related reinforcement. |
| moderate | Yes except for getting started, which could possibly be swapped out by a visual checklist | Providing different things to watch while walking or provide other motivators for completing. Or changing to a different form of exercise to change things up. |
| Some engagement | No due to the lack of interest in the activity | Giving him a choice of activities (i.e. treadmill or bike or walking outside on the track) |
| The program is a helpful tool to help the client with weight management but he does not seem to enjoys it. | It does seem this program require little staff support. | To increase client motivation with the activity we can introduce stimulus that he can enjoy while is going on the treadmill. |
| Low engagement | No, staff must sometime respond to escape behavior. It could be made more enjoyable. | Determine something more motivating for him to engage in while on the treadmill |
| Low. He is not that engaged | Maybe instead of treadmill ask if he wants to walk outside | Involve the client in creating a schedule? Alternate the treasmill with another workout or activity client likes? |
| mid level | teaching him to work treadmill independently | maybe walking outside some days |
| moderate engagement - completes daily but doesn't enjoy | yes - initial staff needed but does not require continued support | walk outside with use of headphones to preferred locaiton |
| low | yes. staff mainly only needed in the beginning | better motivation |
| somewhat limited | yes it is sustainable once started by getting started may be easier if the walking was done off of the treadmill | walking was done off of the treadmill specifically to a place that he enjoys or to go get something at a store that he needs. |
| Engagement is fair | Staff can introduce other physical activities and vary the task | Conduct a preference assessment for other reinforcers |
| Medium level of engagement, though he does not love it, he will complete it. | The task is not currently sustainable without staff support. | |
| Not very high | Yes it is sustainable | Going for a walk in the community while watching his show rather than watching it on the treadmill |
| the task is necessary for his health, and anything to encourage it is good, maybe just have rotation with walking activities with natural reinforcers | I would recommend staff to take him out on walks on days he doesn't want to use the treadmill; give choices | choices for treadmill or walk outside for specific durations |
| Not very engaging. The videos appear to be maintaining his walking. | Some staff support is needed to start the machine. Staff are also likely necessary to ensure his safety. | Rotate the list of videos to maintain engagement. He could select the videos or manage the videos himself. |
| Regular engagement, but does not provide meaning for the client. | May need to teach the client how to operate the treadmill and this might include a visual or auditory cueing. Look to add reinforcement for completing the task with appropriate behaviors. Differential reinforcement for not completing and/pr challenging behaviors. Assess the speed and incline. With these pieces in place, then sustainable with minimal staffing. | Assess other cardio exercises to see if he prefers others. May prefer to go to a gym. |
| moderate | I think the task could be sustainable with minimal support if the client is taught how to get the machine started. | perhaps use a calendar app to set an alert that it is time to exercise, add additional preferred videos, use a visual time so that the client knows when the activity is complete, add in reinforcement for engagement in the activity. |
| He is engaged in the activity as his videos are highly motivating. | It requires some prompting to get him started. Perhaps they could pair the starting with something of value. For example, provide the videos only upon starting on the treadmill. | Perhaps there could be some kind of video game attacked to the walking. He could visually watch gospels walking through various fun surroundings and speeding and slowing down could garner him points at appropriate times. |
| Moderate | Yes; a task-analysis could be created to teach the client how to initially operate the treadmill | Varied exercises could be introduced paired with the preferred video on certain days to prevent satiation |
| minimal. He likes watching his video while doing it. also engages in escape motivated behavior | No, staff are needed to start task and to deal with problem behavior. | Seeing if walking outside or engaging in some other form of exercise might be more enjoyable for him. |
| moderate | yes | instead of everyday, client gets to pick 4 out of 7 days to go on the treadmill |
| Mediocre engagement, at times the client will complete the task but there are times when the client attempts to escape the task. | No, this program task is not sustainable if the escape maintained behavior continues. A revision should be considered. | Teach the client to operate the machine themselves, have the client pick their reinforcer prior to starting the task, have the client pick their own video to watch or introduce new ones. Vary the duration/frequency of task or introduce new exercises. |
