ACLS – 5 and LACLS – 5 Manual ii Contents List of Figure and Tables Foreword – By Claudia K. Allen MA, OTR, FAOTA Acknowledgements About the Authors Preface Development of 5th Version of ACL Screen Contributors to this Version New in this Version Section I: History of the Cognitive Disabilities Model iv v vi vii ix x x 1 Section II: Introduction to ACLS-5 and LACLS-5 Definition of Construct Being Measured Structure of the Assessment Intended Use Intended Populations Who May Administer, Score, and Interpret Scores Overview of the Administration Process Section III: Set Up of Leather-Lacing Tools Running Stitch Whipstitch Single Cordovan Stitch Section IV: 13 14 16 Preparation for Administration Administrator Preparation Preparation Prior to Each Administration Leather-Lacing Tools Environment and Seating Arrangement Person factors: Rapport, Background Information, and Performance Aids Selecting ACLS-5 or LACLS-5 Section V: 7 8 10 11 11 12 17 18 18 19 19 19 Administration Organization New Administration Principles Running Stitch: Task 1 Introduce Screening Tool and Running Stitch Task Provide 1st Demonstration Provide 2nd Demonstration Whipstitch: Task 2 Introduce Lace and Whipstitch Task Provide 1st Demonstration Provide 2nd Demonstration Copyright ©2007 ACLS and LACLS Committee 21 21 22 22 23 24 25 26 iii ACLS – 5 and LACLS – 5 Manual Insert Problem-Solving Whipstitch Errors Insert cross-in-back error Insert twisted lace errors Single Cordovan Stitch: Task 3 Introduce Single Cordovan Stitch Task Provide One Verbal Cue Provide 1st Demonstration Provide 2nd Demonstration Ending the Assessment Section VI: 28 30 30 31 32 Assigning a Score Overview of Scoring Process Use of Scoring Tables Scoring Tables Task 1: Scores for Running Stitch Task Task 2: Scores for Whipstitch Task Task 3: Scores for Single Cordovan Task Section VII: 33 33 33 34 35 37 Interpreting, Reporting and Using Scores Use of a “Screen Score” Reporting a “Screen Score” Interpreting Scores Section VIII: 40 41 42 Review of Published Research Evidence for ACLS-5 and LACLS-5 Evidence for Earlier Versions Reliability Evidence Validity Evidence Evidence for Related Assessments Unpublished Research Studies Directions for Future Research Section IX: 27 27 27 References 43 43 43 44 46 46 46 48 Appendixes Appendix Appendix Appendix Appendix Appendix Appendix A: B: C: D: E: F: Glossary and Abbreviations Additional Published Literature Sample Reporting Forms ACLS-5 Photos – Front and Back LACLS-5 Photos – Front and Back Sources – Assessments, Books, Websites Copyright ©2007 ACLS and LACLS Committee 51 56 58 63 64 65 ACLS – 5 and LACLS – 5 Manual iv List of Figures and Tables Figures Figure 1 Running Stitch Front 14 Figure 2 Running Stitch Back 14 Figure 3 Lace Cut at 60-Degree Angle 15 Figure 4 Needle Attached to Lace 15 Figure 5 Set Up Whipstitch Front 15 Figure 6 Set Up Whipstitch Back 15 Figure 7 Single Cordovan Stitch Front 16 Figure 8 Single Cordovan Stitch Back 16 Figure 9 Single Cordovan Stitch – Needle Left of Lace 16 Figure 10 Whipstitch Cross-in-Back Error 18 Figure 11 Whipstitch Twisted Lace Errors 18 Figure 12 Set Up ACLS-5 (Front) 63 Figure 13 Set Up ACLS-5 (Back) 63 Figure 14 Set Up LACLS-5 (Front) 64 Figure 15 Set Up LACLS-5 (Back) 64 Tables Table 1 Scores for Running Stitch Task 34 Table 2 Scores for Whipstitch Task 35 Table 3 Scores for Single Cordovan Stitch Task 36 Copyright ©2007 ACLS and LACLS Committee ACLS-5 and LACLS-5 Manual – Section V: Administration 23 ______________________________________________________________________ If person meets T1CC, at this point or any subsequent point in this task, then note behavior and continue to whipstitch task 2. ¾ If person appears to need encouragement, then note behavior and cue to encourage continued performance. • If person does not attempt to complete a stitch, then note behavior and say, “Please make a stitch.” • If person stops before completing 3 stitches, then note behavior and say, “Please make more stitches.” • If person seeks assurance, expresses concern about accuracy or ability to continue, or appears anxious or at risk of abandoning task, then note behavior and say, “Just do the best you can.” Avoid providing encouragement that verifies correct or incorrect performance. • If person does not try to complete at least one running stitch, even after being encouraged, then note behavior and continue to 2nd demonstration. ¾ If person makes errors, such as a stitch over edge of leather, skipping a hole, going in wrong direction, using wrong lace, going in and out of same hole, or completing the stitches in a different section of the leather, note behavior and allow person time to recognize and correct error(s). • If person meets T1CC, then note behavior and continue to whipstitch task 2. • If person does not meet T1CC, then for this stitch, no problem-solving cues are provided. Note behavior and continue to 2nd demonstration. Provide 2nd Demonstration Remove incorrect stitches. Then say, “Let me show you again.” Provide 2nd demonstration using same instructions and encouragement described for 1st demonstration. As with 1st demonstration, no problem-solving cues are provided. Allow person time to complete the stitches. Whether or not person meets T1CC, after allowing time and providing encouragement, note behavior, acknowledge person’s effort, and then continue to whipstitch task 2. Copyright ©2007 ACLS and LACLS Committee 30 ACLS-5 and LACLS-5 Manual – Section V: Administration ______________________________________________________________________________ Provide One Verbal Cue Direct person’s attention to problem area by providing one verbal cue such as “You have the first part right,” “Look at how you are going through the hole,” or “Is there another way you can go through the loop?” “Is there another way to tighten the lace?” Avoid giving a solution or using non-verbal cues such as pointing, touching leather, or gesturing. Allow person time to recognize and correct error(s). If person meets T3CC, at this point or at any subsequent point in the task, then note behavior and end the assessment. ¾ If person’s attempt to solve problem continues to be ineffective, then ask, “Would you like me to show you how?” • If person responds NO and continues to try to solve problem, then note behavior and allow person more time solve problem. o If person’s problem solving behavior continues to be ineffective, then note behavior and offer 1st demonstration. • If person responds YES, then note behavior and continue to 1st demonstration. Provide 1st Demonstration Position leather in front of person so that person can only see front side. Hold leather so that holes and stitches are not obstructed by administrator’s hand or fingers. Then, while demonstrating the corresponding actions, say, “Watch me carefully. Bring the needle to the front of the leather and push the needle through the next hole from front to back. Don’t pull the lace tight but leave a loop in it. Bring the lace to the front of the leather; this time put the needle through the loop you have made. As you go through the loop, keep the needle to the left of the lace. Pull the lace through the loop. Tighten the stitch by pulling the lace from the back, and then by pulling the long lace end. Make sure the lace isn’t twisted. Please do three stitches.” Release needle letting lace fall freely toward back of leather. Hand leather to person. Allow person time to complete 3 stitches. If person meets T3CC, at this point or at any subsequent point in the task, then note behavior and end the assessment. Copyright ©2007 ACLS and LACLS Committee ACLS-5 LACLS-5 Manual ACLS and LACLS Committee copyright2007 Appendix D: Set Up ACLS-5 Front and Back Figure 12. Set up ACLS-5 Front Figure 13. Set up ACLS-5 Back ACLS-5 LACLS-5 Manual ACLS and LACLS Committee copyright2007 Appendix E: Set Up LACLS-5 Front and Back Figure 14. Set up LACLS-5 Front Figure 15. Set up LACLS-5 Back