Paige Woodall

Texas A&M
Instructional Intervention Project Report Form

Instructions: Select 1 IEP objectives for 1 student and plan for the intervention. Approve plan
with cooperating teacher and supervisor. Once a solid plan is in place and approval is granted
you may begin the project. Document this assignment on a separate page, including the
information listed below.

PM will attend to an adult led task or routine for its duration

Describe data collection form - how will you collect the data (data collection must be manageable
(i.e. do not collect data all day long)).

Data will be collected once per week

Baseline: You must have at least 3 data points.

Intervention: You need to define criteria for instructional intervention(s). Example: If the
performance does not improve after three data points, change the intervention. Example: If the
objective is met as defined (as independently as possible) at three data points, move on to a new
objective. If not, reflect, reevaluate, and modify your instruction. The data drives the process, not
a timeline.

The student will complete an activity independently with the use of 3 or less visual, gestural, and
verbal prompts. If the student cannot independently complete the activity with 3 prompts, she will
get a hand over hand model. The students success will be measured by completing a story book
sentence strip with 70% accuracy.

Graph: Use Excel for graph (your visual representation of the process can be modified per your
instructor). Use phase change lines between baseline and intervention. Draw an arrow to
denote significant changes that may affect the data (e.g., began medication, fire drill).

Graph will be completed when data is collected

You must be able to demonstrate that you used visual analysis (i.e., examined graph) to make
decisions regarding the intervention. Write a summary of what you did and what you learned;
submit this information along with your graph to your supervisor.

Student's Initials: PM Time Period: 10:20-10:40

Age: 4 Data Points:

Grade: Pre-K Gender: F

Targeted Behavior: attending to an adult led task of completing sentence strips

Data Collection Form: graph- tally marks used on graph to reflect number of prompts and total
correct

Intervention: Student will be given up to three verbal, gestural, and visual prompts to complete a
sentence strip in a story book.

Summary: graph attached to next page

Week Visual
prompt
Verbal
prompt
Gestural
prompt
Hand-
over-hand
# of
sentences
model correct
1
day 1

1
day 2

2
day 1

2
day 2

3
day 1

3
day 2

4
day 1

4
day 2

5
day 1

5
day 2