Intervention element | Fidelity feedback comments |
---|---|
Purpose and aims of the LiFE program explained | “Explained manual and program. Overall quite well done.” |
Daily routine chart used to plan how, when, and where activity will be performed and embedded | “Using the daily routine chart is not just about finding a ‘place’ in the home to do the LiFE activity, but a daily task or routine in which to embed the activity.” |
LiFE assessment tool used to assess ability for each activity | “LAT was completed.” |
Balance and strength principles taught and related to improving function and/or preventing falls | “The PT taught the principles well.” |
Teaching the activity | “When introducing the activity try to demonstrate—this done to varying levels.” |
• PT teaches the LiFE strength and/or balance principles related to the activity | “It is challenging to teach participants something to embed in a daily task when you can’t demonstrate in the home. The PT got more imaginative as she went along.” |
• PT demonstrates the activity and identifies situation(s) to embed activity | |
• Participant performs activity and confirms/identifies additional situation(s) to embed activity | |
• Participant technique corrected as needed | “Good technique correction for tandem stand.” |
• Provide positive reinforcement and encouragement | |
Appropriate number of activities and level of difficulty taught for participant’s ability | “Only 1 strength activity done—I think certain participants could have managed at least 2.” |
Recording of plans for activity performance is done on activity planner with activities linked to daily task | “Planning and recording sheets—it is really important to reinforce why they need to do them. They assist in making the activities habitual.” |
Familiarity with participant’s manual demonstrated by PT | “Introduction to manual. Try to link activities to where they do things (e.g., cooking, in the workshop). Most other principles and key ideas covered well.” |
Key points of program explained and reinforced | “The PT could engage the participant in determining how, when and where the LiFE activity could be embedded.” |
• Look for opportunities in daily tasks or routines | |
• Embed activities | |
• Change habits | |
• Challenge yourself | |
• Safety | |
Other key points mentioned | “The one participant does a lot of sedentary activities. You can then try to build the LiFE activities into these.” |
• Practice | |
• Advance slowly | |
• Modify environment to facilitate performance of activities | |
• Build in prompts/situational or environment cues to remind to do activity | |
Wrap-up: Participant and therapist decide on activities to perform independently and requirements until next session and how to record activities | “PT often said ‘I will give you …to do’. Perhaps, it would have been better to have the participants think about and verbalize what they might like to do/what they find challenging.” |