| How would you describe the level of engagement this program task provides this consumer? | The program task provides a moderate level of engagement for Adam. While he does not find the treadmill inherently enjoyable, his engagement is increased by the opportunity to watch preferred videos during the activity. On most days, this is sufficient to maintain participation, indicating conditional engagement that depends on external reinforcement. |
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| Is this program task sustainable with minimal staff support? Identify a consideration that could improve the sustainability of this program. | Currently, the task requires some staff support to initiate (e.g., helping Adam start the treadmill), but is otherwise self-sustaining once he begins. To improve sustainability, teaching Adam to independently start and operate the treadmill could reduce reliance on staff. Visual prompts or a task analysis with gradual fading of staff assistance could be considered. |
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| Identify one way this task could be modified or changed to be more meaningful for this client. | To make the task more meaningful, the treadmill activity could be paired with a choice component—allowing Adam to select the video he watches, choose the time of day, or alternate treadmill walking with another form of physical activity he might enjoy more. This would increase autonomy and potentially improve motivation and engagement. |
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