| How would you describe the level of engagement this program task provides this consumer? | Effective (if it has actually reduced weight or even limited weight gain) and similar to engagement levels achieved by many people in exercise routines. |
|---|
| Is this program task sustainable with minimal staff support? Identify a consideration that could improve the sustainability of this program. | 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. |
|---|
| Identify one way this task could be modified or changed to be more meaningful for this client. | 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. |