Setting Up a Home Program

This article explains how to set up a Neurofit home program for a client, what to tell them before they start, how to structure frequency and progression, and how to review home data at their next clinic visit.

Clients access Neurofit activities at https://activity.neurofit.ca/ from any device with a browser — desktop, tablet, or mobile. No app download is required. Activities are available in Practice Mode (self-directed) and Homework Mode (assigned). For home programs, clients use Homework Mode, which is what you assign from the Neurofit dashboard.

To assign a home activity: log into your Neurofit dashboard, open the client's profile, navigate to the Homework tab, select the activity, and set the frequency. The client will see their assignment the next time they log in at activity.neurofit.ca.

Before assigning a home program, confirm the following: The client has completed at least one supervised session of the activity and understands the task rules. The client has a device and internet connection they can use reliably at home. The client knows how to log in at activity.neurofit.ca. The client understands that hint use is allowed and expected — it is not "cheating." The client (or caregiver) knows how to navigate back to the activity if they accidentally close it.

For most clients, 3 sessions per week is a clinically appropriate starting frequency — enough to build a trend across 2–3 weeks without being burdensome. For clients with higher energy levels or strong motivation, 5 sessions per week is reasonable. For clients with fatigue, lower cognitive tolerance, or complex home environments, 2 sessions per week is a better starting point. Adjust based on compliance at the next clinic visit.

Session length: most Neurofit activities take 5–15 minutes per session. This is an appropriate cognitive load for a home program — significant enough to be therapeutic, short enough to be sustainable. Do not instruct clients to do multiple activities per session in the early stages of a home program.

Give clients these instructions verbally and/or in writing at the time of assignment: Go to activity.neurofit.ca and log in. Select the assigned activity. Read the instructions carefully before clicking Start — what you need to remember is shown before the activity begins. Use hints freely if you need them. The goal right now is to complete the activity, not to do it without help. Try to do your sessions at roughly the same time of day — cognitive performance varies with fatigue and time of day, and consistent timing makes your results more meaningful. If you feel frustrated or overwhelmed, stop and try again another day. Contact me if you have trouble accessing the activity.

At the client's next clinic visit, review their home data from the Reporting & Analytics section of the dashboard. Look at: number of sessions completed vs. assigned (compliance), accuracy trend across sessions, time trend, and Assist Function / hint use. If the client completed all assigned sessions, acknowledge it explicitly — compliance is a clinical outcome. If they missed sessions, explore why without judgment before adjusting the program.

Useful questions to ask: "How did it feel doing this at home compared to here?" "Did you use the hint? When?" "Was there a particular session that felt harder or easier?" This qualitative data often explains what the metrics don't show.

Progress the home program when the client is consistently achieving their session goals (e.g., completing the return leg without hints for 3 consecutive sessions, or accuracy above 90% for 4 sessions). Progression options: increase frequency, restrict hint use, switch to a more demanding activity, or add a second activity. Regression is appropriate when compliance drops significantly, performance declines over multiple sessions, or the client reports the program is too burdensome.