SENSORY-BASED INTERVENTION DATA COLLECTION
SENSORY-BASED INTERVENTION data COLLECTION | 1 P a g eThis is an example of a data sheet that can be used in a classroom to help determine the efficacy of the weighted lap pad. Information about the goals for attention, sitting in chair (during circle, in assembly), keeping hands to self, etc. are noted at the top of the page. Baseline of pre-lap pad use will serve as a good comparison to use of the lap pad. Incidents can include out of seat behavior, inattention, inappropriate interactions with peers, etc. Student s Name: ________________________________________ _____ Implemented by: ________________________________________ ____ Goal of INTERVENTION /targeted outcomes: ________________________________________ ________________________________________ ____ ________________________________________ ________________________________________ ______________________________________ Recommended frequency (days, times per day etc.): ________________________________________ ___________________________________ INTERVENTION process/procedure: (Example statements are provided below) 1.
SENSORY-BASED INTERVENTION DATA COLLECTION P a g e | 1 This is an example of a data sheet that can be used in a classroom to help determine the efficacy of the weighted lap pad.
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