Table 1.

ASAP Principles and Implementation Examples

	ASAP Principle	Implementation Examples
1.	Ensure challenging and meaningful practice39,80,81	Demonstrate the challenge threshold (the performance threshold above which movement breaks down and is unsuccessful, and below which the task can be accomplished relatively successfully) Focus on skillful performance of important activity to the participant
2.	Address important (interfering) changeable impairments69,77,78	Focus on mitigating a particular area of weakness (eg, wrist), pain, or interference with progress
3.	Enhance motor capacity through overload and specificity80,82	Practice at a clearly intense level Provide task repetitions to physical limits
4.	Preserve natural goal-directedness in movement organization2,81,83	Perform the natural task, practiced with natural coordination demands
5.	Avoid artificial task breakdowns when possible2,84,85	When feasible, practice the whole task in its functional entirety Break down the functional task when key to pinpointing or addressing the problem area
6.	Ensure active patient/participant involvement and opportunities for self-direction59,60,76	Encourage participant activity/response involving problem solving or task construction/determination
7.	Balance immediate and future needs50,60,86	Participant problem solving (problem identification, solution generation, education, and action plan discussions focused on future, action plan extrapolations of session activities for home practice/recovery); focus is on knowledge and choices for the future
8.	Drive task-specific self-confidence high through performance accomplishments46,51,56,87,	Assess the participant’s task self-efficacy Demonstrate progress through clear measurement (timed performance, counts, repetitions, increased weight, etc.) Celebrate or attend to success

Abbreviation: ASAP, Accelerated Skill Acquisition Program.