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Table 1.

PEM+ Approach for Remote Care Planning

PEM+ Step Process 
Step 1  
 Purpose Prioritize problematic activities on the basis of PEM responses. 
 User tasks User selects 1 of 3 routes for step completion:
• Enter a specific activity.
• Rank order activities from most to least problematic.
• Sort problematic activities into “address now” or “later,” then select 1 “now” activity. 
Step 2  
 Purpose Set activity-specific goal for first priority activity. 
 User tasks • Confirm reporting of child’s current participation level in priority activity and describe “current participation” in own words.
• Set goal for child’s participation in priority activity via PEM scale and in own words.
• Confirm or describe what can be achieved in 1 mo. 
Step 3  
 Purpose Create initial plan to achieve goals in specific priority activity. 
 User tasks • Review or modify list of current activity-specific strategies from PEM completion.
• Type in new strategies to add to the list.
• Donate and collect additional strategies via strategy exchange. 
Step 4  
 Purpose Consider environmentally focused strategies to achieve goals in specific priority activity. 
 User tasks • Review PEM and identify environmental supports or barriers to achieving goals.
• Describe initial ideas for making changes to the child’s environment. 
Step 5  
 Purpose Finalize action plan and decide on next steps after PEM+ completion. 
 User tasks • Review, edit, and confirm action plan.
• Save, print, or email plan to share with providers, family members, and friends.
• Opt to repeat PEM+ for another activity or stop for now. 
PEM+ Step Process 
Step 1  
 Purpose Prioritize problematic activities on the basis of PEM responses. 
 User tasks User selects 1 of 3 routes for step completion:
• Enter a specific activity.
• Rank order activities from most to least problematic.
• Sort problematic activities into “address now” or “later,” then select 1 “now” activity. 
Step 2  
 Purpose Set activity-specific goal for first priority activity. 
 User tasks • Confirm reporting of child’s current participation level in priority activity and describe “current participation” in own words.
• Set goal for child’s participation in priority activity via PEM scale and in own words.
• Confirm or describe what can be achieved in 1 mo. 
Step 3  
 Purpose Create initial plan to achieve goals in specific priority activity. 
 User tasks • Review or modify list of current activity-specific strategies from PEM completion.
• Type in new strategies to add to the list.
• Donate and collect additional strategies via strategy exchange. 
Step 4  
 Purpose Consider environmentally focused strategies to achieve goals in specific priority activity. 
 User tasks • Review PEM and identify environmental supports or barriers to achieving goals.
• Describe initial ideas for making changes to the child’s environment. 
Step 5  
 Purpose Finalize action plan and decide on next steps after PEM+ completion. 
 User tasks • Review, edit, and confirm action plan.
• Save, print, or email plan to share with providers, family members, and friends.
• Opt to repeat PEM+ for another activity or stop for now. 

Note. PEM = Participation and Environment Measure.

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