In backward chaining, which step is done independently by the patient?

In backward chaining, the process begins with teaching the last step of a task first, as this can often provide the most immediate satisfaction and success for the patient. The idea behind this method is to enhance the patient's confidence and motivation by allowing them to experience the completion of the task early on. By performing the last step independently, the patient can see the end result of the activity, which can be incredibly reinforcing.

This method contrasts with other chaining techniques, where initial steps are taught first, making it potentially more challenging for the patient as they do not see the immediate result of their efforts. The last step serves as the culmination of the task, and when a patient can execute it independently, it ignites further interest in learning the preceding steps.