Implementation Plan: Processes for Selecting and Using EBP Implementation Plan: Processes for Selecting and Using EBP • Target the EBP – Determine the EBP that will likely be a good fit for the student and to teach the targeted skill • Create a Task Analysis – Develop a task analysis of the skill that includes the use of the EBP • Data. – Determine the type of data to collect that will help you know if the EBP is working • Planning for Implementation Three Processes for Today 6. Refine the goal statement by adding the EBP EXAMPLE: Hunter using self monitoring strategies Use one of more of the following 1) Self Monitoring 2) Simulation 3) Visual Supports EXAMPLE: Shawna using visual supports and a revised prompting plan for the team One or more of the following: Assistive Technology, Visual Supports, and Prompting (revise current plan) 6. REfine the Goal Statement Identify more specifically the EBP(s) 1. 2. 3. 4. 5. 6. Shawna will independently complete the oil change using visual supports. Hunter will use strategies to stay focused on the identified vocational task using self monitoring strategies Vernon will communicate career choices through self-advocacy training. Ann will accurately complete work tasks within one hour through the use of mobile technology and self-monitoring supports. Sean will select and explore 10 career options through the use of visual supports, self-advocacy and computer assisted instruction. Juan will increase his independence when performing job tasks by 25% (with out the support of an aide) through the use of chaining. 1. Student Strengths • How does the student best learn? • What makes the student proud? • What can the student accomplish with little or no assistance? • What are the academic strengths? • What are the students areas of interest or motivation? • Are social skills a strength? • What do others recognize in the student? • What would the student indicate he would do given ‘free time’? 2. Student Needs • What does the student need assistance to do, remember or accomplish? • What does the student refuse to do? • Where do you find yourself frequently stepping in and assisting? • What areas of social interaction and self monitoring are difficult? • What need, if improved, would assist the student to improve outcomes within school and adulthood? 3. Skills to be Taught • What skills does the student need to master to address needs? • What specific aspects of a job, task or skill seem to cause difficulty? • What skill or ability would allow the student to better achieve in school activities? • What skill or ability would allow the student to better reach his/her goals and adult outcomes? 4. Student Goal to Address Need • By now you are already working on identifying the student goal • The priority needs have surfaced • The areas of need that could be addressed given a new skill are more clear. • Identify the student goal to address a selected areas of student need 4. Define the Goal Statement 1. Shawna will independently complete the oil change 2. Hunter will use strategies to stay focused on the identified vocational task 3. Vernon will communicate career choices 4. Ann will accurately complete work tasks within one hour. 5. Sean will select and explore 10 career options 6. Juan will increase his independence when performing job tasks 5. Evidence Based Practices • After reviewing the students strengths, needs and skills to be taught, what EB Practices seem to be a good match? • What EB Practices build off the student’s learning style? • What EB Practices may have worked in past years? • What EB Practices are used now that could be revised and improved for better success? 6. REfine the Goal Statement Identify more specifically the EBP(s) 1. 2. 3. 4. 5. 6. Shawna will independently complete the oil change using visual supports. Hunter will use strategies to stay focused on the identified vocational task using self monitoring strategies Vernon will communicate career choices through self-advocacy training. Ann will accurately complete work tasks within one hour through the use of mobile technology and self-monitoring supports. Sean will select and explore 10 career options through the use of visual supports, self-advocacy and computer assisted instruction. Juan will increase his independence when performing job tasks by 25% (with out the support of an aide) through the use of chaining. EXAMPLE: Shawna using visual supports and a revised prompting plan for the team One or more of the following: Assistive Technology, Visual Supports, and Prompting (revise current plan) Getting to the Details: Task Analysis • Task Analysis: Identifying the steps to the task, job, or assignment that the person needs to perform – Individual, unique steps or actions of the task/activity – Defined clearly – Will help determine when and how to insert strategies and supports Task Analysis • Steps for Brushing Teeth – Get in groups of 2 or 3 – Take a few minutes to make as complete an analysis as possible – Note where you and your partners may have done the steps differently. Task Analysis List Each Specific Step to Brushing Teeth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Considerations • Steps for preparing to complete the task, such as gathering materials • Is location a consideration? Does the location change the steps? • Prerequisites Skills – Oil Change… Do I know how to pick the correct oil? – Greeting co-workers… Do I know who is my coworker? – Is knowing how to ask for help when I find myself unsure part of the process? • Others??? Begin Your Task Analysis Select the skill to be taught and the EBP you wish to use. Begin the task analysis of that skill (You may not finish or you may wish to revise it later) Skill To Be Taught ___________________________________Student Name: _________________________ Environment where this will be taught________________________________________________________ Step # Describe Step Complete this area Only!! Student Level of Independence Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Step # Describe Step Independence with Steps Requires Knowledge of Prompting Student Level of Independence Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Prompting… An EBP Prompting is a Teaching Strategy Prompting Any assistance given that supports learning or initiates the use of a specific skill Prompting Used by Everyone! All the Time! Very Effective! But often issues or concerns arise. What issue/concerns have you seen related to prompting? Prompting Errors • Over prompting… student does not try • Inconsistent prompting… team not on the same page • Lack of fading …..poor planning of the level of prompts to use and how to fade • Lack of data …..collected or reviewed Two Considerations What TYPE of Prompt to use HOW to use the Prompt What Type of Prompt? • Verbal Prompts: – Statements that helps a person acquire target skills (e.g. “You might need to try it a different way” “Write your name”) • Gestural Prompts: – Coaches make movements that cue the person to use a particular behavior/skill (e.g. pointing to the top of the paper for the to write name) • Model Prompts: – Coaches perform the target skill or behavior. • Physical Prompts: – Coaches touch person to help them use the target behavior or skill (e.g. tapping a youth’s hand to cue her to begin writing her name) • Visual Prompts: – Coaches show pictures of events that provide information about how to use the target skills or behavior (e.g. task analysis checklist, picture card Which Prompt? Consider a Prompt Hierarchy www.djfiddlefoundation.org How to Use the Prompt Most-to-Least Least-to-Most • Prompts given to complete each step of the task correctly • Gradually the amount of assistance provided is reduced as the person makes progress towards independence. • Used when teaching new skill • Person has opportunity to perform each step independently or with the least amount of assistance • Greater degrees of assistance are provided if the person demonstrates he/she is unable to perform the steps correctly • Use when person has already been taught or practices skills Prompting Least to Most Example • Video available at • https://www.youtube.com/watch?v=gOAbeP wwfnU REMINDER: Use Visual Prompts (Instead of a person-prompt) Skill To Be Taught ___________________________________Student Name: _________________________ Environment where this will be taught________________________________________________________ Step # Describe Step Student Level of Independence Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Ind Vis/Pic Ges Mod Ver Phy Put Your Plans Together EBP Planning Worksheet Student Goal: Skill to be taught EB Practice to be used, and Baseline data Student Name: _________________ Skill: EBP: Baseline Data Information: Identify Plan for Effective Implementation 1) RESOURCES. Define the needed resources, equipment, people and/or information will be needed for implementation 2) HOW. Detail steps for implementation. Describe/ list steps in distinct, measureable actions so everyone will understand what to expect. 3) WHO. Describe what each person involved in the process will do, or be responsible for, in order to implement 4) Assessment Data Determine the data that will help evaluate the effectiveness of the process. Data!! A Word About Data Selecting and Using Data for Decision Making • Paras are often involved with the data collection • Paras often add ideas and input to the type of data that could be helpful • Paras often give insight to the ‘raw’ data • Paras generally do not design and implement a data collection plan on their own • However, as part of the team, it is important to know how decisions are made so that you can assist in planning, implementation and review Frequency of target goal • How often does the desired skill occur? Duration/ Time • How long does it take? Intensity • What is the level of a defined behavior? Accuracy • How accurate is the response? Level of Independence • How much assistance is needed? Type of Measure Example Frequency of target goal or of current issue of concern (need) “How often does Shawna use Mobile Tech to navigate to fourth floor independently” (0%) Or “How often does Shawna need assistance to find the fourth floor office?” (100%) Duration/ How Long? (time factor) of target goal or of current issue of concern (need) “Using Mobile Tech, how long does it take Shawna to navigate to fourth floor independently” (cannot do it at all now…) Or “With 1:1 assistance, how long does it take Shawna to find the fourth floor office?”(15 minutes) Intensity of the target goal or of current issue of concern (need) “Using Mobile Tech, what is Shawna’s anxiety level when navigating to the fourth floor independently” (refuses to try- sits on floor- cries) Or “With 1:1 assistance, what is Shawna’s anxiety level when navigating to the fourth floor ?”(stops 2 times, cries, asks for help) Would likely need to develop an intensity scale for objective measures. Type of Measure Example Accuracy of target goal or of current issue of concern (need) “Using Mobile Tech, how accurately does Shawn locate the fourth floor office independently” (not at all - refuses to try- sits on floor- cries) Or “With 1:1 assistance, how accurately does Shawn locate the fourth floor office?”(Currently finds the correct office 100% of the time with prompts for each step. 50% accurate with prompts for all but last step. 0% accurate when any less prompts given ) Level of Independence of target goal or of current issue of concern (need) “Using mobile tech, how independently does Shawna navigate to fourth floor?” (0%) Or “Without the 1:1 assistant prompting each step, what percent of time is Shawna able to navigate to fourth floor office?” (0% accurate without prompts or when asked to find her way independently. ) What Type(s) of Data do you think you will need to collect for the skill and goal you are targeting? Frequency of target goal • How often Duration/ Time • How long Intensity • What Level? Accuracy • How correct or exact Level of Independence • How much assistance EBP Planning Worksheet Student Goal: Skill to be taught EB Practice to be used, and Baseline data Student Name: _________________ Skill: EBP: Baseline Data Information: Identify Plan for Effective Implementation 1) RESOURCES. Define the needed resources, equipment, people and/or information will be needed for implementation 2) HOW. Detail steps for implementation. Describe/ list steps in distinct, measureable actions so everyone will understand what to expect. 3) WHO. Describe what each person involved in the process will do, or be responsible for, in order to implement 4) Assessment Data Determine the data that will help evaluate the effectiveness of the process. EBP Planning Worksheet Student Goal: Skill to be taught EB Practice to be used, and Baseline data Student Name: _Shawna_____________ Skill: Mary will independently locate her office work site EBP: Visual Supports/Mobile Technology Baseline Data Information: Currently requires assistance from adult for each checkpoint along the route. 0/3 checkpoints. 0/5 times. Identify Plan for Effective Implementation 1) RESOURCES. Define the needed resources, equipment, people and/or information will be needed for implementation 2) HOW. Detail steps for implementation. Describe/ list steps in distinct, measureable actions so everyone will understand what to expect. 3) WHO. Describe what each person involved in the process will do, or be responsible for, in order to implement 4) Assessment Data Determine the data that will help evaluate the effectiveness of the process. Daily observation 1. Task Analysis. Task analysis of route to office 2. AT staff. Talk about using technology and taking pictures with phone camera 2. APP. Download Story Kit app recommended by AT team member 3. Use of App. Insert pictures and record voice prompts to reach office 4.Permission. Shows to team members and parents for approval and permission to use on student’s iPhone 1. Student has phone. (Work with home to have large phone sign on door as she exits from house) 2. Teach student how to click on each picture to find her way to the work site. 3. Walk with student from parking lot as she uses app. 4. Verifies 3/3 times she is using correctly 5. Follow behind student and use data sheet to verify that she reaches 3 checkpoints and final destination. 6. Makes sure student has JTC phone # and supervisor phone # if there is a problem and knows how to call. 7. Practice calling with student. Job Training Coordinator: Task Analysis, Discussion with Data collected on AT staff student ability to perform each step of AT Staff: Teach Job task and what level Coach and JTC how to of support is needed use App, take pics Data collected until Job coach: daily support student able to starting March 15 till complete all steps goal achieved. Data independently and collection arrive at office successfully. (5/5). EBP Planning Worksheet Student Goal: Skill to be taught EB Practice to be used, and Baseline data Student Name: ___Terri__________ Skill: Terri will independently begin the lab assignments EBP: Visual Support with Mobile Tech, Prompting (fading people prompts) Baseline Data Information: Para or Teacher must prompt to gather materials and verbally direct to start the lab 4 out of 5 days. Identify Plan for Effective Implementation 1) RESOURCES. Define the needed resources, equipment, people and/or information will be needed for implementation 2) HOW. Detail steps for implementation. Describe/ list steps in distinct, measureable actions so everyone will understand what to expect from task analysis. · Task Analysis of the routine to begin · Data sheet to collect data · Permission for student and family to use her iPhone to create a checklist · Identify the App to be used · Learn about the App · Develop the checklist routine on the phone using the app · Teach to Terri · Gather the data 1. Write up the idea for the use of the iPhone to help with independence in school and a permission form for parents and Terri to sign 2. Send to parents 3. Task Analysis completed 4. Review idea with Terri 5. Select App 6. Download to phone 7. Place the steps of the Task Analysis in phone 8. Create data sheet to collect data on level of independence with app 9. Practice with Terri 10. Make sure teachers, paras and job coaches know the plan and know who will be prompting the use of the app if necessary 11. Implement in lab class 12. Take data 13. Review data with team and Terri 3) WHO. Describe what each person involved in the process will do, or be responsible for, in order to implement Para: · Do Task Analysis and review with teacher · Work with IS to develop observation/data sheet · Research App to be used and review recommendation with teacher · Bring timer to work site · With Terri, download app · Teach Terri to use · Gathers data Intervention Specialist: · Review Task Analysis · Create letter and form for parents and Terri · Work with Para to develop observation/ data sheet · Review app selection · Reviews data 4) Assessment Data Determine the data that will help evaluate the effectiveness of the process. Para to collect data on daily basis by observation and place on data sheet 1. How many people prompts are needed to begin lab (may need more baseline data on this before starting) 2. How long does it take to begin lab (need to get this baseline before starting) EBP Planning Worksheet Student Goal: Skill to be taught EB Practice to be used, and Baseline data Student Name: ___HUNTER__________ Skill: Hunter will stay focused on the identified vocational task EBP: Self Monitoring Strategies Baseline Data Information: Requi res the job coa ch to verba lly remind him to get back on task 7-8 times in 90 minute job experience (every 11-12 minutes) Identify Plan for Effective Implementation 1) RESOURCES. Define the needed resources, equipment, people and/or information will be needed for implementation 2) HOW. Detail steps for implementation. Describe/ list steps in distinct, measureable actions so everyone will understand what to expect from task analysis. 3) WHO. Describe what each person involved in the process will do, or be responsible for, in order to implement 4) Assessment Data Determine the data that will help evaluate the effectiveness of the process. · Para/Coach to monitor use of self monitoring strategy · Para / Coach to teach strategy to Hunter · Self-monitoring Strategy – Using timers and tokens to measure time on task. Earning praise and extra credit for ‘x’ amount of tokens · Development of work contract · Timer · Tokens · Need more information on how to implement the specific strategy and share with all support staff or job coaches · Observation sheet for job coach/para 1. Student reviews work ‘contract’ with job coach (Example: for ‘x’ amount of tokens I can earn ‘x’ amount of extra credit points) 2. Student fills Right pocket with 10 tokens 3. Student sets timer on iPhone (or other timer) for 10 minutes and starts timer 4. Student begins the vocational task (example: Green house work) 5. At 10 minutes when timer goes off, if student is working (‘on-task’), he moves a token from right pocket to left pocket. If not, does not move token (if he does not, para prompts Hunter to either move token or reset timer) 6. Resets timer for 10 minutes 7. Repeats for 8 more rotations until 90-minute session is complete. 8. Counts tokens in left pocket 9. Records tokens on contract 10. Takes contract to job coach for verification and review 11. Coach praises for success 12. Calculates points and contracts for next day Para/Coach: · Develop observation sheet and Daily work contract form for Hunter · Collect items to be used as tokens · Bring timer to work site · Review/Teach the strategy to Hunter (will begin by using heavy prompting) Intervention Specialist: · Review the plan design, provide additional information and input as needed Other Job Coaches on Team · Learn about strategy after initial implement Para to collect data on daily basis by observation and token count: 1. How often she is required to prompt Hunter to attend to timer and make a self monitoring decision (independence with strategy) 2. How often Hunter accurately monitors/determines he is ‘on task’ 3. How much time Hunter is on-task in 90 minute work session (duration) with daily token count Final Discussion Is the Plan……. Teachable? Doable? Learnable? From SISEP Framework Modules, Lessons and Resources are available at: http://implementation.fpg.unc.edu/modules‐and‐lessons Easily Assessed?