Measure PM offers various Measurement Types for configuring instructional programs. Each type is associated with specific program configuration options and a unique data collection interface. Please refer to the information below to understand the use of DTI (Discrete Trial Instruction) as a Measurement Type.
DTI Program Configuration and Data Collection
Program Library
Similar to any other program Measurement Type, DTI programs are first set up in the Program/Goal Library. Please note that adding and editing programs in the library is permission-based, meaning only authorized users will have access to do so. To change an existing program in the library to DTI, or to create a new DTI program, select “DTI” from the Measurement Type selection box. The rest of the pop-up will provide fields applicable to the chosen measurement type.
Client Clinical Profile
When you map (i.e., add) a DTI based program to a Client Clinical Profile, or you are changing an existing program Measurement Type to be DTI, the same configurable options will be available as in the Program Library. If you would like the target to be available for data collection, you will need to simply set the status to In Progress and assign a number of trials.
Mobile-App
In addition to being able to configure programs on the Web, users can also configure programs on the Mobile-App. To do so, the program must be mapped to a Clinical Profile. Mapping programs can be done on both the Web and Mobile-App. Once mapped, you can proceed with changes on the client level. From the Mobile-App, no changes can be made to programs in the library.
To edit configurations, select the program you would like to edit, and from the individual program menu, select Program Info. This will open the configuration screen. Please note, editing program information on the Mobile-App is also permission based, and only authorized individuals will have permission to do so. If you have permission, select the lock icon in the top right-hand corner, and then select the specific area of the program you wish to edit.
To change a program to DTI, use the Instructional Strategy drop down menu and select DTI. From there, you will see the same configurable options as you did on the Web and can modify them in the same manner.
DTI Data Collection Page
DTI program targets will appear as they do below, with the target name in the recording window. Users can record data using the data recording types (blue squares) in the recording window to record data across the program targets. When a data recording type is selected, one trial of that recording type is input. The commit button will turn green once the minimum number of trials has been met. In the example below, the minimum is 10 trials. Within the commit box, the numbers (e.g., 10/25) indicate that 10 trials have been completed out of a total of 25 possible trials.
To note, upon rendering the appointment, DTI programs are not eligible to be committed at 0, however you will be eligible to commit programs in progress if the min. trial requirement is met. Examples of how this appears on the Mobile-app are shown below.
DTI Success Criteria
With DTI programs, you can configure success criteria on both the Web and Mobile-App via Program Info. Depending on how you have your success criteria configured, any of the following might occur following success criteria detection:
Notify Supervisor- If this option is selected, the individuals outlined as supervisors in the clinical profiles will be alerted that success criteria was detected via notifications.
Commit Alert- If this option is selected, the user running the appointment on the Mobile-App will be notified of detection after committing the data.
Lock- Data collection for the program will be temporarily paused and staff will be ineligible to resume data collection until a user with permission unlocks the program.
Phase line- If selected, a 'Mastered Phase' line will be added to Web and Mobile-App graphs automatically after detection.
For additional information on this, please refer to the following guide: Clinical Programming: Success Criteria.
DTI in Offline Mode
Collecting and committing DTI data is also supported in Offline mode. To ensure you will be working with the most up to date configurations for the client while offline, make sure you select the “Download for Offline” button prior to using offline mode (for example, earlier in the day). To access Offline mode, select the “Offline Mode” checkbox when logging onto the Mobile-App. You can continue collecting data as you would in online mode, however, you will not get a notification after you select commit. When you log back in online mode, you will be asked if you would like to upload (i.e., “sync”) the appointment information to the database. Selecting Upload will then send all data collected in Offline mode to the server and be saved. If you do not upload, select discard, and the data will not be committed.
DTI on Graphs
DTI Graph on the Web
On the Web graphing module, Frequency, and % Correct will be available as y-axis type selections for DTI programs. Although % Correct and Incorrect will be available, % Correct will likely be the default y-axis selection as the default will be reflective of whichever data was most recently committed
DTI Graph on Mobile-App
On the Mobile-App, graphs can be seen by Frequency or Percent (Each can be populated independently). You can see an example of each below.
DTI on Soap Notes
DTI on the Soap Note on the Website
On the Web SOAP Notes, DTI data is displayed below, under a specified column for DTI data.
DTI on Soap Note Details Reports
On the SOAP Notes Details and SOAP Note Details with Footer reports, DTI data is displayed below, under a specified column for percent correct data. If no percentage correct data were collected a "–" would be present as a null placeholder as you see under the Frequency, Duration and Rate columns.
DTI on the Soap Note and Appointment History on the Mobile-App
On the SOAP Notes on the Mobile-App, both under Appointment Notes and SOAP Note History, DTI data is displayed as below, under a specified column forpercent correct data. It is similarly displayed under Appointment History as well, however, there is also an option to short-cut to the graph for the program on the Appointment History page.
Reviewing Raw Data
DTI in Program Summary Data Report on Web
On the Web, raw data can be viewed under Reports-->Data Reports-->Clinical-->Program Summary. When viewing DTI programs, the columns which will hold the data are Correct Trials, Incorrect Trials, Total Trials and Percent Correct. An example row is highlighted in the image below.
DTI in Trial by Trial Data Report on Web
On the Web, the Trial by Trial report can be viewed under Reports >Data Reports >Clinical >Trial by Trial. In this report, committed DTI data is displayed within the “Trial by Trial” column. Each individual trial is listed in the order in which it was recorded. The data shows the target name (for ex: Dog, Cat, Horse, Monkey), the target status ( “In Progress”) and the data recording type used ( “+”, "-", etc.). This allows you to view every trial recorded during the session, in addition to the total trials and percentage correct. This report also shows the Program Name, Program Measurement Type, and the Appointment Date.
DTI Program Data on the Mobile-App
Raw data can also be viewed on the Mobile-App via Program Data and will appear as it does below. The same data will be displayed on the Web and Mobile-App, however, on the Mobile-App it will be viewed in a different format and you will also able to edit the data if you have permission to do so. To edit historical data, select the unlock icon to edit, and then proceed with making changes. To add a new set of data select Add New Program Data and proceed with adding new data from there. If you only want to view the data and not edit, you can see the total percent correct per committed DTI data on the top of the screen.
For more information, please see this guide on Editing and Adding Past Clinical Data.
