10-POINT CHECKLIST FOR SELECTING ACTIVITY-BASED INTERVENTIONS
(Adapted from Shank & Coyle, 2002; Stumbo & Peterson, 2009 and Anderson & Heyne, 2012)
□ CLIENT CENTERED CARE & INVOLVEMENT:
 Have the clients’ interests, strengths, needs, and priorities
identified?
 Can the client relate his/her involvement in this intervention to his/
her goals?
 Have the client been involved in selecting the activities that will be
used as part of the intervention?
 Will this intervention be a source of motivation and enjoyment for
the client?
□ CLIENT BACKGROUND:
 Has consideration been given to religious, ethnic, or cultural values,
beliefs, and customs of my client warrant sensitivity?
 Is there any aspect of this intervention that could be offensive?
 Is the TR using the strengths of that culture to help meet goals?
□ EVIDENCE BASED SUPPORT:
 Is there research evidence that supports the use of the techniques
being used with this client?
□ ACTIVITY ANALYSIS:
 Has activity analysis been used to help you choose activities with
your client? Were functional demands inherent in the activity
identified?
 Do functional requirements of this activity relate to the
achievement of the client’s goals?
 What are ways to modify or adapt the intervention to my clients’
specific needs or limitations? Think about the modifications required
for the equipment used or the environment, as well as the supports and
accommodations that may be needed.
□ GENERALIZED BENEFITS:
 Is there carry-over value that exists for this intervention?
 Can the client use this intervention in his/her home or community?
 Will any carry-over knowledge and skills contribute positively to
helping the client maintain his/her health through recreation and
leisure involvement?
□ STRUCTURE:
Have the following been identified?
 How much contact time is needed for clients to benefit from this
intervention?
 How many sessions might produce the desired behavioural change?
 Are specific recreation activities and therapeutic approaches being used as
required?
 Are a variety of intervention settings considered (hospital/home and
community), etc.
□ RESOURCES & COLLABORATION:
 Have they identified other supporting resources do I have available to
me? i.e. the strengths the rest of the care team
 Have they explored possible collaboration with other team members to
complement a TR goal and/or address common goals?
 Have they investigated natural supports in the client’s environment?
□ COMMUNICATION OF THE PLAN:
 Is the structure, process, and outcomes of the intervention easily
explained to clients or his/her family members?
Can it be explain it in a manner that makes sense to them?
□ SAFETY & RISK MANAGEMENT:
 Have the following been considered in relation to client/staff safety?
 Medications and their possible side effects
 Risks within the activity itself (social, emotional, and physical)
 Risks within the environment (social, emotional, and physical)
 Amount of support required for safe participation
□ TRANING & COMPETENCY:
 Have specialized training been identified that is required or
recommended before using the intervention?
 As a current TR student, are you competent to conduct this intervention
with my client?
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