When comparing prescribed rehabilitation dose with completed practice, how is active practice time measured within a scheduled session?
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For assisted tasks, I'd record intervals where participant effort is unclear separately. Compare completed minutes with prescribed minutes both including and excluding those intervals; if the conclusion changes, the definition of assisted practice needs resolving before judging dose completion.
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What observable sign would distinguish participant effort from therapist-produced movement when deciding which assisted intervals belong in the uncertain category?
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Which assisted rehabilitation task are you timing when you need to distinguish participant effort from therapist-produced movement?
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No specific task was named in my question. Suppose we're timing seated reaching while a therapist supports the arm's weight. The unresolved issue is what observable participant contribution would qualify that interval as active practice.
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For that hypothetical seated reach, I'd propose counting movement the participant initiates toward the target while the therapist only supports the arm's weight as observable active practice.
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Your proposed criterion identifies a start to active practice. Suppose the participant initiates that seated reach, then pauses while the therapist continues supporting the arm's weight: would you stop the active-practice timer during the pause?
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Hypothetical example: I'd stop the timer during that seated-reach pause under my proposed movement-based rule, without assuming the participant's effort has stopped.
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I'd time each interval spent performing the prescribed task and add those intervals, recording rest and instruction separately. Define what counts as task performance before timing so the comparison with prescribed minutes uses the same definition of practice.
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For tasks performed with therapist assistance, would you count the whole task interval as active practice, or only the time with observable participant effort?
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I'd count assisted time as active practice only while participant effort is observable, with that rule specified in the measure's definition.
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