Module 2: Lesson 6: The multicontext approach

Question 1

What is the multicontext approach?

Answer 1

Strategy based intervention using a metacognitive framework, first described as an alternative to traditional remedial or deficit specific approaches.

Question 2

What is described below:

• Strategy based intervention using a metacognitive framework first described as an alternative to traditional remedial or deficit specific approaches.
• Involves: Self monitoring to recognize functional cognitive performance errors. Guided questioning to support self discovery, Use of effective strategies to help improve performance of functional cognitive activities.

Answer 2

The Multicontect approach

Question 3

What model is the multicontext approach based on?

Answer 3

The dynamic interaction model

Question 4

What model is described below:

• Performance is a result of dynamic interaction between external factors (environment) and internal factors (motor)
• Learning and generalization require manipulation of task, demands and environment

Answer 4

Dynamic interactional model

Question 5

Describe the dynamic interactional model

Answer 5

• Performance is a result of the dynamic interaction between external factors (environment) and internal factors (motor)
• Learning and generalization require manipulation of task, task demands and environment.

Question 6

What are the 4 stages used to facilitate clients ability to transfer a learned strategy? (Horizonal continuum)

Answer 6

• Near transfer
• Intermediate
• Far
• Ver far (generalization)

Question 7

True or false:

The multicontext approach does not involve helping people with self awareness and recognizing errors.

Answer 7

False it does

Question 8

What are the target populations (diagnoses) for the multicontext approach?

Answer 8

• Stroke
• TBI
• MS
• Lupus
• PD
• MCI
• Attention deficits
• Mental health conditions

**it is used across the lifespan

Question 9

The follow is described as the most or least appropriate for the multicontext approach.

• Subtle/mild neurological impairment up to moderate neurological impairment
• Potential to improve self awareness
• Potential to identify and apply strategies

Answer 9

Most appropriate

Question 10

The following is described as the most or least appropriate for the multicontext approach?

• Major language impairments
• Moderate to severe dementia
• Severe cognitive deficits
• Limited responsiveness to cues
• Unwilling to respond to guided questioning
• Limited potential for changes in awareness

Answer 10

Least appropriate

Question 11

Describe the least appropriate target population for the multicontext approach.

Answer 11

• Major language impairments
• Moderate to severe dementia
• Severe cognitive deficits
• Limited responsiveness to cues
• Unwilling to respond to guided questioning
• Limited potential for changes in awareness

Question 12

Describe the most appropriate target population for the multicontext approach.

Answer 12

• Subtle/mild neurological impairment up to moderate neurological impairment
• Potential to improve self awareness
• Potential to identify and apply strategies

Question 13

What is an assessment that can be used to evaluate metacognition?

Answer 13

Weekly Calendar Planning Activity

Question 14

What are the 3 components involved in the metacognitive framework (multicontext approach)?

Answer 14

• Pre activity discussion
• Interaction/mediation during task performance
• Post activity discussion

Question 15

True or false:

When using the metacognitive framework, guided questioning is required?

Answer 15

True

• Ask questions that guide, but dont direct
• Choice strategies are used as last option