ACT Domain	Code	Definition
Activity situations	Downtime	Default; any transition time between activities; time spent with family/visitors
	Television	Situated in area where television is on
	Meals and snacks	Breakfast, lunch, dinner, and snacks that are not part of activity group
	Activity groups	Organized activity at LTC facility or outing with LTC facility that is not EAAP
	Bus	Time when resident is approaching bus, on bus, or getting off bus
	EAAP	Organized EAAP session; time in the arena or on outdoor trail
Time use	Gaze: engaged	Evidence of attention to something in environment
	Position and movement: walk	Evidence of walking with/without AD or self-propel with w/c
	Conversation	Participation in conversation: any type of conversation; can be nonsensical-word salad; must be social in nature-cannot be just mumbling to self
	Participation	Any type of activity that the person is doing
Emotional well-being	Agitation	Restlessness, pacing, repetitious sentences, requests for attention, complaining, negativism, and cursing
	No apparent affect	No movement of eyes, face, or body
	Anger	Clenched teeth, grimace, shout, yell, curse, berate, push, physical aggression or implied aggression such as fist shaking, pursed lips, eyes narrowed, knit brow
	Anxiety/fear	Furrowed brow, motoric restlessness, repeated or agitated motion, facial expression of fear or worry, tremor, tight facial muscles, calls repetitively, hand wringing, legs jiggling, eyes wide
	Sadness/depression	Cry, tears, moan, sigh, mouth turned down at corners, eyes/head turned down and face expressionless, wiping eyes
	Interest	Eyes follow object, intent fixation on object or person, visual scanning, facial, motoric, or verbal feedback to other, eye contact maintained, body or vocal response to music, turn body or move toward person or object
	Pleasure	Smile, laugh, stroking, touching with approach manner, nodding, singing, arm or hand outreach, open-arm gesture, clapping; signs of warmth/affection

Abbreviations: AD, Alzheimer’s disease; ACT, Activity in Context and Time; EAAP, equine-assisted activities program.