Table 2.

Natural Environments Rating Scale scores.

Variable	Definition	n (%)
Overall characterization
Participation based	SLP facilitates interactions between the caregiver and the child during activities chosen by the caregiver or the child.	5 (20)
Setting provided	SLP directly interacts with the child with minimal caregiver involvement during activities they have designed or chosen.	20 (80)
Who initiated the activities?
Caregiver or child	Caregiver or child chooses the activities.	7 (28)
SLP	SLP chooses or designs activities.	18 (72)
What is the role of the SLP?
Active observer	SLP observes the caregiver and the child interacting, offering limited feedback or comments about caregiver/child performance.	1 (4)
Facilitating activity	SLP guides the caregiver as they interact with their child during activities.	4 (16)
Passive observer	SLP observes the caregiver and the child interacting without offering any guidance or commentary about the caregiver's or the child's actions.	1 (4)
Directing activity	SLP works directly with the child.	19 (76)
What is the role of the caregiver?
Directly interacting with the child	The caregiver interacts with the child during activities for the majority of the session.	10 (40)
Not present or observer	The caregiver is either passively observing the SLP and the child work together or not present in the therapy area.	15 (60)
Can the materials be found naturally?
Yes	Materials used during the session can be reasonably found in the environment.	25 (100)
No	Materials used during the session are not natural to the environment (e.g., specialized equipment).	0 (0)

Note. N = 25 total sessions. Natural Environments Rating Scale (Campbell & Sawyer, 2004). SLP = speech-language pathologist.