Ax & Intervention Flashcards
Foundations: PIE Framework
Plan, Implement, Evaluate
The training framework
Plan
Initial planning considers needs of the learner, the envt, and the tx program
Implementation
Methods to max the efficiency and duration of learning
Evaluation
Measuring client performance w/in and outside therapy to see outcomes and make decisions
4 Steps for Planning Intervention
- Identify key learner xtics (WHO)
- Define Tx Target (WHAT, WHERE, WHEN)
- Specify desired outcome (WHY)
- Design individualized training plan (HOW “systematic instructional techniques”)
Identifying Learning Xtics: WHO
- Cognitive-Communication Functions
- Physical functions
- Sensory abilities
- Psychological status
- Social connection
2 Important Ax Considerations
- Evidence-based
2. Least-biased
Step 2: Defining Tx Target
WHAT, WHERE, WHEN
Define target, target behaviour & specify timing & environmental contexts for the tx plan
-Most goals about life participation
(outcome driven vs. impairment)
-collaborate!
Step 2: Defining Tx Target
WHAT are you teaching to improve client participation?
- Facts & concepts
- Multistep procedures
- External aids
- Cognitive strategies
- Social skills
Instructional Theory
-Discovery/Trial & Error Learning
- clinician observe client making errors and providing feedback
- “learn from mistakes”
- Not best for dementia and TBI
Instructional Theory
-Systematic Instruction
Explicit models, minimization of errors, strategies for engagement
**Best for those w/ acquired cognitive impairments (impaired executive functions)
Declarative learning enhanced by conscious strategies such as ________
elaboration, trial-and-error, or discovery methods
B/c Declarative memory is conscious, it is encoded and retrieved using _________
Working memory
3 personal contextual factors reported to have an influence on learning:
- Motivation (adherence to tx)
- Self-efficacy (belief they can)
- Psychosocial status
2 environmental contextual factors reported to have an influence on learning:
- Physical (xtics of therapy facility)
- Social/attitudinal
(atitudes, collaboration)
4 General Principles of Intervention for CC Disorders in Adults
- Reduce demands on impaired systems and increase reliance on spared ones
- Personally meaningful/culturally appropriate stimuli evokes positive emotion & action
- Strengthen knowledge/processes w/ potential for improvement
- Remove envtal barriers
WHO- ICF
Health Condition
Body Functions/Structures
Activity (environmental & personal factors)
Participation
