| How would you describe the level of engagement this program task provides this consumer? | I’d describe Adam’s treadmill program as providing moderate, conditional engagement—he typically participates willingly, especially when paired with preferred videos, but the activity isn’t intrinsically motivating. His occasional escape-motivated escalations suggest that engagement is dependent on external supports and context rather than genuine enjoyment or personal meaning. |
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| Is this program task sustainable with minimal staff support? Identify a consideration that could improve the sustainability of this program. | This program task is partially sustainable with minimal staff support—once Adam is started, he maintains the activity independently. However, it currently requires staff for treadmill setup and initiation, which limits full independence. One consideration to improve sustainability would be to teach Adam to independently operate the treadmill (starting, stopping, and adjusting settings) so that staff involvement is reduced to general oversight rather than direct assistance. Pairing this with a consistent routine and his preferred video could further maintain engagement. |
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| Identify one way this task could be modified or changed to be more meaningful for this client. | One way to make this task more meaningful for Adam would be to link the treadmill walking to a personally valued goal or activity—for example, using a fitness tracker to set step or distance milestones that earn access to a preferred outing, hobby, or social event. This could help connect the exercise to something he enjoys beyond the immediate video-watching, increasing its relevance and motivation. |
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