The caregiver agreed that the goal mattered. The between-session plan still did not happen. Before describing that as a motivation problem, ask what the week actually required.

Find the point of friction

Try: “Where did this become difficult to use?” The answer might concern remembering the plan, understanding an instruction, preparing materials, or responding when the routine changed. The family may also have chosen something more urgent.

Review the support you offered

Was the step clear? Did the caregiver want that format? Was there a supported chance to practice? Did the plan explain when to pause and ask the clinician for help? These questions concern support and fit, not a verdict on the caregiver.

Agree on the revision

The next step might be smaller, differently timed, demonstrated again, or deferred while the clinician clarifies a concern. Record who will provide the necessary support. Do not keep the original expectation silently while calling the revision collaborative.

Return to the participation and capacity questions in the free Parent Training Baseline when the plan and the family’s week stop matching.

Added to the archive October 28, 2026.

Educational planning guidance for clinicians. Individualize clinical decisions with the learner and family.