12: Framework for Treatment Flashcards
The main goals to maximize in therapy are? (4)
1) safety
2) daily functioning
3) independence
4) QOL
What are other goals of therapy?
1) problem identification/awareness and goal setting
2) compensation
3) internalization
4) generalization
In the PIE model, what is key about planning?
must be grounded in strong findings from asssessment and be unique to the individual
In the PIE model, what is key in implementation
methods used to maximize the efficiency and maintence of learning
In the PIE model, waht is key about evaluation?
must be measured to determine future direction
What are the 3 phases of intervention in PIE?
1) acquisition
2) mastery
3) maintenance
In PIE, when determining who the learner is, what are 5 areas to look at?
1) cog-ling
2) physical
3) sensory
4) psychological
5) social connections
What are 3 types of characteristics that might influence learning/rehab?
1) personal
2) enviornmental
3) program
What are 6 personal characteristics that can influence rehab?
1) self-efficacy
2) locus of control
3) clients beliefs/expectations
4) disease characteristics
5) cognitive status
6) psychosocial status
What are environmental characteristics that can influence rehab?
1) facilities
2) social/cultural issues (family/support people)
3) collaboration
What are the 2 types of systematic instruction?
1) direct
2) strategy
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?
direct instruction
What type of systematic instruction teaches learners to monitor their own thinking with the goal of independance and ecourages self assessment and regulation
strategy instruction
How should the different systematic instructions be used?
Direct and systematic should be used together
What are external strategies in rehab?
notebooks, planners, computers, post it notes, calenders, etc
help compensate ability to do daily functional tasks
What are internal strategies in rehab?
self-generated procedures, using conscious conrol over ones thoughts/behaviors/emotions (may use word/image/action to trigger appropriate task completion
Which type of strategies should you use with pts with?
1) mild deficits
2) mod deficits
3) severe deficits
1) both
2) both
3) external
What are 3 considerations when choosing whether to use external or interal strategies?
1) pts goals, abilities, disablities, and prefs
2) access to tech
3) enviornment
What are 4 key components during the acquisition phase of implementation in PIE?
1) error control
2) massed practice
3) intensive practice
4) avoid passive learning
What is the goal of mastery/generalization in PIE?
consolodate new learning so clinet can use the informaiton
What are 5 key components of the mastery/generalization component of implementation in PIE?
1) more varied stimuli
2) errorless instruction - fade cues as able
3) distributed practice
4) intensive practice
5) pt predict and reflect on performance
What are 2 parts of maintence implementation in PIE?
1) training supports
2) booster sessions
What are 3 general program characteristics of PIE in regards to intensity?1
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
What are 3 general program characteristics to consider with PIE in regards to timing of inervention?
1) acute vs chronic
2) early intervention important in long term outcomes
3) real life consequences encourage therapy participation
What are 2 general program characteristics to consider with PIE in regards to task complexity?
1) must give clear instruction
2) too difficult can hinder self practice
What are 2 general program characteristics to consider with PIE in regards to practice regime?
1) practice distribution
2) stimulus variability
What are 4 general program characteristics to consider with PIE in regards to cueing/feedback?
1) level of support
2) timing
3) schedule
4) modality
What are 2 general program characteristics to consider with PIE in regards to content?
1) knowledge of performance
2) knowledge of results
What are 6 recommendations for using PIE?
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
What are 3 of the different data you should take/areas you should evaluate in PIE?
1) session data
2) generalization
3) maintenance
What are 5 components of a STG?
1) type of task
2) complexity of task
3) level of cueing
4) type of strategy
5) measures of success
