Which of the following is a component of a home program for improving motor performance?

• A. Use no reinforcement
• B. Focus only on passive range of motion
• C. Develop collaborative relationships
• D. Avoid evaluating outcomes

Answer: (C)

A home program for improving motor performance works best when there are collaborative relationships among the therapist, the person with the impairment, and their family or caregivers. This teamwork ensures practice is meaningful and realistically fits daily routines, which helps motor learning because skills are practiced in the contexts where they’ll be used and with someone to guide feedback and adjustment.

In practice, this means setting shared goals, teaching caregivers how to cue and reinforce correct movements, and designing activities that fit the home environment. Regular check-ins to monitor progress, troubleshoot barriers, and adapt the plan keep the program effective and motivating.

Reinforcement is important for motivation and skill acquisition, so using no reinforcement isn’t advantageous. Focusing only on passive range of motion neglects active practice and motor learning, which are essential for improving performance. Avoiding evaluation of outcomes prevents knowing whether the program is working or needs modification. Collaborative relationships address motivation, guidance, and alignment of activities with real-life goals, making the home program most effective.