Auditory and visual tracking can be done while the person is sitting in bed and supported by pillows or cushions. Two types of tracking may be observed within ACL 1.4 that might have important predictive implications: stop and go tracking, and real tracking.
Stop and go cuing is not real tracking. With stop and go cuing, the person is able to locate the cue once but must be cued again to locate the cue in a new location. When they need to be cued again to turn their head or move the pupils of their eyes, their attention is not sustained by the movement of the cue. Their attention to the cue is in and out and in again when cued by you.
With tracking, the head turns or the movements of the pupils of the eyes move to follow the cue without more cues from you.
After I wrote the guidelines for the ACLS-6 screen for ACL 1, I found a package of craft foam pre-cut at the dollar store, and the right size too. I know from developing that screening activity that smiley faces of all kinds can be found and copied freely from the internet. Lots of facial expressions have been cleverly simplified. You could copy them and use them to vary different responses to tracking.
Individuals may vary sustained attention time by the content, sequence, or time of day.
The goal is not a standardised activity. The goals are sustained attention and a pleasant experience, and they are achievable within ACL 1.4.
Attention to tracking all five senses can be observed; tracking visual and auditory cues are the easiest to measure. The person may prefer one of the other senses, which can be measured by longer sustained attention times. Tracking is usually done while the person is seated in bed with supportive cushions or pillows. Attention to tracking while in a fully supported chair is rare within ACL 1.4. The cues described above under best ability to function can be used.