The ability to independently complete essential daily living tasks becomes increasingly more important as individuals near the pre-teen and teen years. For teens with diverse learning profiles the ability to master these critical skills can be challenging. However, there are readily available tools that can help promote independence! In this post we are covering a few low to mid tech solutions that can be a game changer for teens struggling with the ability to independently complete critical self care tasks.
Elastic Shoe Laces. There is nothing more frustrating than a loose shoe or tripping over untied laces but asking for help can be even harder. The good news is there is a simple solution, elastic shoe laces! Simply replace standard shoe laces with elastic shoe laces. Once in place, secure with a double knot and standard bow. The elastic shoe laces provide enough stretch to simply slip on and slip out of shoes, eliminating the need for tying.
Schedules & Time Cues. Remembering when to do something or remembering the correct sequence of a task can be difficult for teens who struggling with executive function deficits. These teens often rely on a support person to provide prompts for task initiation and sequencing which decreases their overall independence. The good news is there is a variety of readily available assistive technology tools that can support a teen’s ability to manage time with greater independence. Check out our previous post, Assistive Technology for Time Management, for ideas!
Picture Adapted Cookbooks: Preparing a simple meal or snack is one of the greatest acts of independence for pre teens and teens. This simple right of passage can be missed for teens who struggle with reading or have difficulty with multi step tasks. Picture supported cookbooks can help users with limited reading abilities prepare simple meals and snacks. The Stepwise Cookbook series takes this concept a step further and truly simplifies the process. Each cookbook has a set of picture supported recipes that are presented in a simplified, easy to follow format.
SchKIDulesElastic Shoe LacesStepwise Cookbooks
Small modifications and the use of mid to low tech assistive technology can be a powerful tool for independence. Be sure to visit to assistive technology section of Therapro’s website to see all of the available tools!
The ability to manage time is an essential life skill that is critical to independence. When the ability to manage time is impeded by factors like decreased executive functioning abilities or cognitive limitations, independence can also be impacted. In this post we are covering a few mid to low tech assistive technology solutions that can support time management abilities.
Schedule Reminders
Remembering to do a task at a scheduled time is one time management skill area. While smart devices are often loaded with ‘reminder’ features, there are times when a non screen option is preferred. The Time Cue and Voice Cue are great options! Simply record any message and set the time for the message to be played.
TheTime Cue allows for a single message, up to 10 seconds long to be recorded and played back at a set time. For example, record “go to gym class” and set it to play 1:25 (or whenever gym class is happening!). There is even a space to include a picture of the activity for additional support!
The Voice Cue can record up to five messages, with 60 seconds of total recording time. This is a great tool for tasks like remembering to take morning and evening medications.
Sequencing Helpers
Multi step tasks are another area of time management that present their own set of challenges including remembering the order of the sequence, remembering to do all of the steps in the sequence, and doing the steps for the correct amount of time. There are a variety of assistive technology options available that can help.
The Two Minute Turtle Toothbrush Timer helps cue the user through the steps of toothbrushing, ensuring all quadrants of the mouth are brushed for the recommended amount of time. It works by pushing a button on the top of the turtle which causes one of the turtle’s fins to light up. Each of the turtle’s four fins represents a quadrant of the mouth. Each fin will stay lit for the recommended 30 seconds of brushing time. When time is up, the light in one fin will turn off and the next fin will light up indicating it is time to move to the next area of the mouth! Pro tip, this is also a great tool for handwashing!
Visual schedules, whether written out or picture supported, can be a game changer for individuals who have impaired executive function skills and who need support managing multi step tasks. Schedules can be created for specific routines (like a morning self care routine), for parts of the day (like a morning classroom schedule), or the whole day. SchKIDules offers a quick and easy solution for creating picture supported schedules. The Home Bundle includes 72, 2”x2” magnets that depict common routines, chores, outings and extracurricular activities. The Education Bundle includes 66, 2”x2”, magnets that depict common school and special education activities.
Time Visualization Helpers
Conceptualizing the passage of time is a third area of time management and this can be tricky! Offering a visual repression of time and time passage can not only help with this concept but it can also decrease stress and anxiety. Visual timers are the perfect solution for this challenge area.
Time Timers offer a simple solution for time management. With the patented red disk, Time Timer makes elapsing time concrete by reaffirming the analog clock in its clockwise movement and provides the ability to judge how much time is left without having to know how to tell time. Simply move the colored disk to the desired amount of time, as time elapses, the colored disk disappears.
Resetea is a time management tool that offers the ability to sequence up to 12 related tasks. It is different from a typical schedule because of the unique light cue that marks the passage of time. To set it up, first use the included template builder to create a sequence of tasks (for example homework and then free time or math class, English class, lunch) and then place the visual in front of the light screen. Next set the desired time for each activity (up to 60 minutes) and press start. The activity schedule is back lit with progress colors; no light indicates future task(s), white light indicates the task in progress, and red light indicates task(s) completed.
There are a variety of tools available to support users ability to manage time. Helping users access and utilize these tools will support overall independence!
Trunks® is an engaging, interactive game developed by Diane Long, EdD, MOTR/L and published by Therapro. Trunks® has gameplay challenges for all abilities!
How Do You Play?
In this game players move their bodies, make sounds and perform actions from memory! Gameplay involves picking an Action Memory Card and performing the action depicted. Six categories of actions are involved:
Musical You: Encourages creativity with motor actions that produce sounds.
Animal Sounds: Players mimic animal sounds.
Animal Motions: Players move their bodies and demonstrate how animals move.
Sound Like: Players recall and reproduce commonly heard sounds.
Pretend To: Encourages imagination as players pretend to be like someone else.
Show How: Involves a step-by-step demonstration of an action requiring the player to create an original sequence.
Trunks involves remembering and performing motor sequences. Players draw a card, look at the given action from the six categories previously mentioned, turn the card over and perform the action from memory. There are visual pictures as well as words on each card. On their next turn they would draw an additional card and perform both actions in their memory sequence, without looking at the cards. When an action is performed correctly, the player gets to keep their card and continue to work toward building a “trunk” (a series of 4 cards that, when combined, create an elephant’s trunk).
The ability to perform individual actions may differ from child to child. Furthermore, the ability to memorize subsequent actions or sequences may vary as well. For this reason the game was created with many variations that afford enjoyable game play for all ability levels.
Working Memory!Working Memory is a necessity for engaging in a variety of everyday occupations including learning, socializing and task completion. Sequencing naturally falls under the broader category of working memory. Inherent to the game is the pairing of multi-modal forms of input (visual cues, reading cues, motor engagement, etc.). Read on to learn how to adapt and modify this game to target other skill areas!
How Can Trunks Be Adapted?
Preschool. This game can be used to target motor planning development for kids in preschool. Choose a card from the deck and ask the kids to complete the action. Things like pretend to lift weights, leap like a frog, and pretend to lick a drippy ice cream cone are good activities to choose. You can also use the Sounds Like cards for the kids to use their voices to participate. This is also a great option when working on oral motor and language skill. What does a train sound like?, snort like a pig, and hoot like an owl are sounds that preschool kids should be able to perform. Having their peers guess the sounds and or actions turns it into a whole group game everyone can participate in. Pro Tip: Pre-picking cards targeting the specific skill or development level of the group is always a good idea!
Early Elementary Age. Working memory develops as kids age. Building a trunk of 2-3 trunk cards can make the game achievable for the younger crowd. The pictures on the trunk cards are helpful for the non-readers at this age (which many of them are)! Again preselecting cards can be key. If you are working with students who are nonverbal, take the sound cards out. If you are working with children who have limits in mobility, take the jumping and balance cards out. Pro Tip: For students struggling with motor planning, pre-teach and practice the actions on the cards prior to the whole group activity to help bolster confidence!
Later Elementary and Beyond. Target teamwork, this can be a difficult skill for some! Have the kids build the entire trunk, working in teams or as a whole group. Pro Tip: If you need an additional challenge, have the players remember the sequence both forwards and then backwards!
Other Helpful Tips
Use as many trunk pieces or make as many trunks as you have time for! For a 10 min group use 2-3 pieces or just complete one trunk. If you have a longer amount of time, make multiple trunks!
Use the extra action cards or don’t! You know the players best. Is the extra challenge needed or will it be too much?
Playing the game Trunks is a great opportunity for co-treatments! Physical therapists, speech language pathologists, occupational therapists, and teachers all have skills that can be worked on during this game!
Trunks is a great option for targeting many key skill areas. It’s versatility makes it a great choice for a wide range of ages and ability levels. Check out Therapro’s handy guide, Gear Up for Games, for more great game adaptations and modifications.
