Cuing will probably be needed when self-sustained attention fades away and whenever a manual action is changed. Most appealing objects can sustain attention for 5 to 10 minutes.

After a rest period, two or three different activities may be included in a session that lasts 30 to 45 minutes. Activities can be done in small groups of three or four people.

When they choose to imitate the demonstration, their response time is slower than normal, but can be expected within about 5 seconds after the demonstration.

Attention is captured by objects that they can pick up and place somewhere: in a row, stack, or in and out of a container. They evaluate the experience of placing an object, compare their current experience with prior placements, and decide if they want to continue placing objects, or not.

When a placement of an object is demonstrated, they will imitate the movement. Learning is limited to imitating a demonstrated direction, one action at a time.

The back and forth motion observed within ACL 3.2 becomes more organized within ACL 3.4. The person is able to place objects in a horizontal row and stack them in a vertical column. Objects can also be taken in and out of containers. The objects that capture their attention need to be close to the basic primary and secondary colors plus black and white; brown is often included too. The actions are repetitive and habitual, manual actions. They are not goal-directed.

The running stitch requires filling in the blank space in the line when the stitch is underneath, and we know that most people functioning within ACL 3.4 can do that. With coloring, they roughly color a shape while in the center of the shape or zig zagging across the line. With the copying activity, a few tiles will probably be placed in a row within the frame but not at the perimeter.

A horizontal row, a vertical stack, the eight basic colors and containers are added to their awareness within ACL 3.4. While four features are added, attention is only paid to one of them at a time.

Coloring in maybe completed but these will need to be simple and not too busy. We have some pictures in the download section of the app. The person will draw "v" and "w" marks on the picture. They do not pay much attention to the lines on the picture they are coloring in. Sometimes the person may also enjoy signing their name if that is in their procedural memory.

Can you figure out what is the backward and forward motion in stamping?

Yes, it's moving the stamp from the ink pad to the paper. This is very affirmative and enjoyable by the person functioning in ACL 3.2. Use larger paper and turn it into a personalized placemat.

Walking and other movement information still attracts the person's attention. The person will enjoy walking freely and following a path. Make sure that there are sturdy chairs for them to sit on to have a rest and that the path is protected from harsh weather.

There are many activities in daily life that use a backward and forward motion. Take for instance brushing their teeth, washing their body or face. Let the person complete some of their self-care tasks as part of their affirmative activities. Let them take pride in being able to play a part in caring for themselves. Of course the caregiver will need to make sure the task is completed to a satisfactory standard.