During a preference assessment, what is the first step you should take according to OAT?

The first step in a preference assessment is to observe the patient. This initial observation allows the practitioner to gather essential contextual information about the patient's behavior, interests, and reactions to different stimuli in their environment. By closely monitoring how the patient interacts with various objects or activities, one can identify preferences that may not be immediately apparent through verbal communication or structured assessments.

Noting these behavioral cues can help in tailoring future interventions or selecting appropriate reinforcers, as it provides insight into what the patient may find motivating or engaging. This foundational step is critical because it lays the groundwork for any subsequent assessments or interventions, ensuring they are aligned with the patient's actual preferences and needs.

Other methods, such as asking the patient directly or using trial-based techniques, can be valuable later in the process, but initial observations are key to understanding the individual’s preferences effectively. Documenting findings comes after this observation, as it is essential to record the insights gained during the assessment for future reference and to inform treatment planning.