Table 1.
PRPP Core Intervention Strategies [8].
Strategy | Definition |
---|---|
Intervention goal is task mastery | (i) Expected outcome is improved functional performance in everyday tasks required by the person's occupational roles and context. |
(ii) Intervention success is measured by increased functional performance. | |
| |
Application of evidence based principle of systematic instruction | (i) Goal of intervention is clear to client. |
(ii) Least to most prompt hierarchy is used. | |
(iii) Multiple opportunities for practice of the task and target cognitive strategy are offered and performance errors are prevented. | |
(iv) Learning occurs across natural contexts to promote generalization. | |
(v) Feedback is specific to task mastery and the cognitive strategy that is the target of intervention. | |
| |
Cognitive strategies are behaviorally defined and measurable | (i) Strategies required for task performance are identified using the PRPP System of Task Analysis and their effectiveness measured before and throughout intervention. |
| |
“Chunking” of strategies across all PRPP Quadrants is planned | (i) Starting with “Stop,” one or two strategies are targeted from each processing quadrant for “Sense” (Perceive Quadrant), “Think” (Recall and Plan Quadrants), and “Do” (Perform Quadrant). |
(ii) Single descriptors are not used. | |
(iii) A line of processing required for the task mirrors the definition of arrows in the center of the PRPP System of Task Analysis. | |
| |
Focus of intervention is on application of cognitive strategies (descriptors) to real-world performance | (i) The descriptor behaviors form the verbal, physical, or visual prompts given during performance. |
(ii) The therapist acts as a cognitive mediator. | |
(iii) The patient is taught to self-instruct in the strategies. |