| Parece tener un nivel de compromiso intermitente, el programa puede contar con otros refuerzos adicionales para elevar la constancia y evitar la escalada de conductas con funcion escape | El apoyo del personal debe incrementarse a traves de compromisos adicionales que eleven el interes social del consumidor, seria importante para que sea sostenible quizas agregar la misma actividad pero en otros sitios, por ejemplo: caminar en un parque cerca de la comunidad, subir un sendero, practicar natacion o algun deporte | Evaluar que otros intereses tiene el cliente y realizar la modificacion del sitio. Es muy probable que el consumidor haga 30 minutos en la caminadora solo por los beneficios , pero no le gusta. Como explique anteriormente, realizar una evaluacion de reforzadores seria genial, para incorporar otras actividades como caminatas, deportes , montar bicicleta que lo motiven mas, obtendria los mismos resultados , qyuizas aumentaria la duracion de la actividad y el nivel de probabilidad de que se mantenga en el tiempo. |
| moderate | I think that is really client dependent. Everyone has different needs. | higher value reinforcers |
| limited, he enjoys the reinforcement | yes, with varied reinforcement available | allow choice of when task is required or alternatives like outside walks |
| low | train on self-management | pairing |
| Moderate | No | Token economy |
| Low level engagement | Teaching Adam to turn on the machine | Have one or more days walking with a friend or group or adding other movement activities |
| Poor | No, he needs help to operate plus doesn’t love it. | Teach him how to operate the treadmill independently. Also, let him choose his schedule when he would like to use the treadmill to help with compliance. Also, pair reinforcement. |
| not very engaged | Little support is needed | Have him use the treadmill with others |
| It appears that the motivation is provided by his ability to access his video, not the exercise itself. | It can be sustained with minimal staff support. It might be further reinforced by introducing different videos or other reinforcement for increased time on the treadmill. | I would consider taking the client for a walk outside/in the community as reinforcement for a certain number of days on the treadmill. Provided this is allowed by the program. |
| Not very engaging. He requires staff to prompt him to get on and some days he doesnt want to do it | Providing him with different choices of exercise related activties | Having him use a evice to see how many steps he has taken and how many calories he has burned |
| Fairly high level of engagement. Client appears to enjoy completing the activity since it allows him access to watch preferred videos | Probably will require continuous staff support if the client engages in occasional escape-motivated Bx escalation. | Introduce other exercise activities that the client can choose from so that he does not have to do the same thing every day. |
| He does not love the task but contacts reinforcement during task. | Teaching him to operate treadmill himself | Finding other movement activities that are easier to operate or more enjoyable for him. |
| moderate | watches highest preferred shows only when exercising | could he exercise in a more enjoyable way? |
| He is not enjoy it and does it reluctantly. | It needs staff support to perform task. | Appropriately reinforce client contingent on task completion. |
| not engaged, and does comply with request. | add a variety of videos that are engaging. | let the client monitor the amount of time he is on the treadmill. |
| Moderate | Yes. Although it would be better if you taught the client to start/stop the treadmill on their own. | Teach several options for exercise and allow the client to choose daily which to engage in. |
| moderate level of engagement contingent on reinforcing video | yes, reliant on his vide | remind him of reinforcement before escape behaviors |
| The level of engagement task provides this consumer is acceptable | This program is task sustainable for staff support | Matches whit orders activities |
| Medium - he readily gets on but not alwaus | If staff have to argue to get him on it, no | Give options of different exercise to allow choice making, use self monitoring |
| Engagement is moderate to low, as escape behaviors still occur | it does not sound sustainable. Something to consider would be offering alternative forms of physical exercise such as walking outside or with a preferred peer | Offering choices of exercise, |
| nor very interested | it needs people to monitor that it gets started | maybe add options |
| client is barely engaged in the walking task, mostly motivated by the videos. | No it's not. Use a schedule that shows reinforcement delivery as soon as the walking task is done. | Find an enjoyable area to walk with the client instead. Reward with high motivators post walk. |
| moderate since likes it but sometimes tries to escape iy | yes as soon as he's on the machine | what time of day he wants to do it and make a planned structured schedule |
| Medium | Yes | find other activities he could engage in such as the bicycle |
| Helpful, but not enough | Not if he does not enjoy it, the video does not seam enough | Seek other activities |
