CBIRT

Center on Brain Injury
Research and Training

Classroom Interventions for Executive Functions

After identifying which executive functions need to be addressed, interventions are often applied by changing the environment, in-class interactions and specific skill teaching. Supports are faded over time as the student is able to succeed independently.

Changes in the environment

  • Change the physical or social environment by:
    • Changing the level of background noise.
    • Changing the level of visual stimulation.
    • Changing the physical restrictions (walls, room size etc.).
    • Using lists or visual reminders.
    • Changing the amount of organizational structures.
  • Change the task.
  • Change the cues or change the ways they are provided.

Changes in interactions

  • Change the way that adults interact with the student.
  • Provide an organizational structure by:
    • Giving specific directions
    • Monitoring performance
    • Encouraging, motivating and giving feedback
    • Problem solving when something doesn’t work well
    • Determining when the task is finished.
  • Use the Big 5
    • When to start.
    • How much to do.
    • How to do it.
    • What finished looks like.
    • What to do next.

Specific skill teaching

  • Teaching through coaching:
    • Set goals.
    • Hold daily coaching sessions using Goal, Plan, Predict, Do, Review.
  • Check on student’s goals.
  • Check on student’s plan for accomplishing tasks.
  • Predict task outcome, account for obstacles.
  • Do the task.
  • Review to see how the plan worked for the student.

Quality checking

  • Check on completion of planned tasks.
  • Check on application of time and effort to the task.
  • Student responsibility for today’s plan.
  • Check on long-term projects.

Classroom wide interventions

  • Use routines to help provide organizational structure.
    • Beginning of day routine.
    • End of day routine.
    • Routines for lunch, etc.
  • Provide small-group coaching.
    • Ask group to set individual goals.
    • Ask group to plan how they will accomplish goals.
    • Ask group to work on individual goals.
    • Review progress and adjust plan as needed.
  • Explicitly teach the skill needed in an applied setting.
    • Fade support as soon as the student is able to accomplish the skills.
    • Use external reinforcements only as necessary.
  • To assist in generalization of skills, explicitly teach the skill needed in other settings.
  • Guide practice of skill through group coaching or mentoring.
    • Fade guidance as skill becomes internalized and guidance is no longer needed.

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