12: Framework for Treatment

Question 1

The main goals to maximize in therapy are? (4)

Answer 1

1) safety
2) daily functioning
3) independence
4) QOL

Question 2

What are other goals of therapy?

Answer 2

1) problem identification/awareness and goal setting
2) compensation
3) internalization
4) generalization

Question 3

In the PIE model, what is key about planning?

Answer 3

must be grounded in strong findings from asssessment and be unique to the individual

Question 4

In the PIE model, what is key in implementation

Answer 4

methods used to maximize the efficiency and maintence of learning

Question 5

In the PIE model, waht is key about evaluation?

Answer 5

must be measured to determine future direction

Question 6

What are the 3 phases of intervention in PIE?

Answer 6

1) acquisition
2) mastery
3) maintenance

Question 7

In PIE, when determining who the learner is, what are 5 areas to look at?

Answer 7

1) cog-ling
2) physical
3) sensory
4) psychological
5) social connections

Question 8

What are 3 types of characteristics that might influence learning/rehab?

Answer 8

1) personal
2) enviornmental
3) program

Question 9

What are 6 personal characteristics that can influence rehab?

Answer 9

1) self-efficacy
2) locus of control
3) clients beliefs/expectations
4) disease characteristics
5) cognitive status
6) psychosocial status

Question 10

What are environmental characteristics that can influence rehab?

Answer 10

1) facilities
2) social/cultural issues (family/support people)
3) collaboration

Question 11

What are the 2 types of systematic instruction?

Answer 11

1) direct

2) strategy

Question 12

What type of systematic instruction uses task analysis, gives a wide range of examples in training, and uses models, carefully faded prompts, and high amounts of correct masse3d practice?

Answer 12

direct instruction

Question 13

What type of systematic instruction teaches learners to monitor their own thinking with the goal of independance and ecourages self assessment and regulation

Answer 13

strategy instruction

Question 14

How should the different systematic instructions be used?

Answer 14

Direct and systematic should be used together

Question 15

What are external strategies in rehab?

Answer 15

notebooks, planners, computers, post it notes, calenders, etc
help compensate ability to do daily functional tasks

Question 16

What are internal strategies in rehab?

Answer 16

self-generated procedures, using conscious conrol over ones thoughts/behaviors/emotions (may use word/image/action to trigger appropriate task completion

Question 17

Which type of strategies should you use with pts with?

1) mild deficits
2) mod deficits
3) severe deficits

Answer 17

1) both
2) both
3) external

Question 18

What are 3 considerations when choosing whether to use external or interal strategies?

Answer 18

1) pts goals, abilities, disablities, and prefs
2) access to tech
3) enviornment

Question 19

What are 4 key components during the acquisition phase of implementation in PIE?

Answer 19

1) error control
2) massed practice
3) intensive practice
4) avoid passive learning

Question 20

What is the goal of mastery/generalization in PIE?

Answer 20

consolodate new learning so clinet can use the informaiton

Question 21

What are 5 key components of the mastery/generalization component of implementation in PIE?

Answer 21

1) more varied stimuli
2) errorless instruction - fade cues as able
3) distributed practice
4) intensive practice
5) pt predict and reflect on performance

Question 22

What are 2 parts of maintence implementation in PIE?

Answer 22

1) training supports

2) booster sessions

Question 23

What are 3 general program characteristics of PIE in regards to intensity?1

Answer 23

1) increased practice = better outcomes
2) number of repetitions, duration of session, days per week
3) how much structured and how much in the home

Question 24

What are 3 general program characteristics to consider with PIE in regards to timing of inervention?

Answer 24

1) acute vs chronic
2) early intervention important in long term outcomes
3) real life consequences encourage therapy participation

Question 25

What are 2 general program characteristics to consider with PIE in regards to task complexity?

Answer 25

1) must give clear instruction

2) too difficult can hinder self practice

Question 26

What are 2 general program characteristics to consider with PIE in regards to practice regime?

Answer 26

1) practice distribution

2) stimulus variability

Question 27

What are 4 general program characteristics to consider with PIE in regards to cueing/feedback?

Answer 27

1) level of support
2) timing
3) schedule
4) modality

Question 28

What are 2 general program characteristics to consider with PIE in regards to content?

Answer 28

1) knowledge of performance

2) knowledge of results

Question 29

What are 6 recommendations for using PIE?

Answer 29

1) increase pt involvement in program management
2) encourage pt to self evaluate performance
3) peer support
4) reinforce treatment benefits
5) reduce anxiety
6) add variety to sessions

Question 30

What are 3 of the different data you should take/areas you should evaluate in PIE?

Answer 30

1) session data
2) generalization
3) maintenance

Question 31

What are 5 components of a STG?

Answer 31

1) type of task
2) complexity of task
3) level of cueing
4) type of strategy
5) measures of success