Operational Definitions

Skill acquisition is obtained when the activity can be successfully completed with trial and error.

Skill retention is obtained when the activity has a successful carryover effect, practiced on a different day from when the skill was initially acquired. 

Skill transference is obtained when the activity is performed successfully under different contexts. These may include, but are not limited to, place, position, time, task sequence, or task demands. It is crucial to consider the patient's goals for the activity. If they are satisfied with their skills and performance and have an independence level that reasonably reduces the burden of care, they should not continue to transfer the skills into unnecessary contexts, as doing so undermines the purpose of patient engagement through goal-orientated behaviors.    

Intensity is defined as 75-85% age-predicted max heart rate using the Tanaka formula (208-.7xage) or an RPE of 14-17 on the Borg RPE scale. 

Occupations are defined as meaningful activities and tasks that individuals engage in. They are things that they want to do, need to do, and are expected to do. 

Engagement is assessed using the Volition Tool, which aims to understand how goal-oriented an individual is and how to assist or challenge their goals. 

Variability is defined as increasing task novelty and task demands. This can be achieved by but is not limited to increasing degrees of freedom, types of items used, context, time, and speed.