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[null,"              WELCOME TO THE PROGRESS NOTE INTERACTIVE TRAINING MODULE\n\nBelow are two trainings focused on the two Objectives that were identified in the introduction, namely develop sensitivity to the clinically relevancy/usfulness of each sentence in a Progress Note, and to understand how specific components of a Progress Note are related to each other.\n\n\n\n                                                                Training # 1 - \"What's this Sentence?\"\nTraining #1 focuses on identification of clinically relevant sentences, comprising the following steps:\n\n1.  Each sentence of the progress note you entered will be presented one sentence at a time\n\n2.  You will be asked to categorize each sentence by selecting one of the options in a drop-down menu \n\n3.  Once all selections have been made, a summary is provided that gives a breakdown of the percentage of sentences in the progress note that fit into each of the selected categories"]
[null,"                                                             Training # 2 - \"Do the Parts Fit Concisely?\"\nTraining #2 focuses on important components within the note, assessing their cohesive connection, and consists of the following:\n\n1.  You will be  asked to identify  components of the note, specifically the Goal of the session, the Interventions provided, the client Response to the interventions, and the Next Steps components\n\n\n\n\n\n\n\n2.  The different components you identified will be presented and you will evaluate the logical coherence between two presented components\n\n3.  A summary of the components, the coherence ratings, as well as measures of conciseness will be provided using word count ratio’s of different components of the note\n                                                                    When you are ready to start, please click CONTINUE"]

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[null,"\n\n\nSPECIALTY MENTAL HEALTH SERVICE REQUIREMENTS (SMHS)    &  PROGRESS NOTES\n\nThere are some key requirement elements for Medi-Cal, SMHS that need to be considered when writing a Progress Note.  Below are links to brief overviews of two of those important elements: Service Components and Medical Necessity.  Feel free to click on these links to review these requirements."]
[null,"For more information on the requirements for providing, claiming and documenting Specialty Mental Health Services please access the most current version of the Organizational Provider’s Manual under \"Manuals\" on the LACDMH website's Quality Assurance page: https://dmh.lacounty.gov/qa/qama/."]

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[null,"\n\nService Components"]
[null,"The State Department of Health Care Services (DHCS) has defined a list of specific services which are reimbursable--these services are termed “Service Components”.  Service Components are the reimbursable elements of Specialty Mental Health Services in the Medi-Cal program.  A Progress Note must document  that a service reimbursable by Medi-Cal was provided in order for a submitted claim to be reimbursed.   Therefore, it's important when documenting a service you wish to receive reimbursement for that the Progress Note include documentation that cleary describes a Service Component that was provided.  Examples of Service Components include (but are not limited to): Assessment, Therapy, Psychosocial Rehabilitation, Treatment Planning, and Referral and Linkages.                                                                                                                                                                               \n"]
[null,"For more information on Service Components please access the most current version of the Organizational Provider’s Manual under \"Manuals\" on the LACDMH website's Quality Assurance page: https://dmh.lacounty.gov/qa/qama/.      "]

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[null,"\nMedical Necessity"]
[null,"MEDICAL NECESSITY FOR SERVICES                                                                                       Specialty Mental Health Services must be medically necessary and clinically appropriate to address the client’s presenting condition.  For adults 21 and older services are medically necessary if reasonable and necessary to protect life, prevent significant illness/ disability, or alleviate severe pain.  For those under 21 services are medically necessary services if necessary to correct, improve, sustain, support, or make a mental illness or mental health condition more tolerable.                                                                                                                                                                     PROGRESS NOTES                                                                                                                        A Progress Note needs to include a brief description of how the service addressed the client’s behavioral health needs (e.g., symptom, condition, diagnosis, and/or risk factors).  Progress Note documentation need to support the service code(s) selected and should support effective clinical care/coordination among providers.  Also, Progress Notes need to include a brief summary of next steps including, planned action steps by the practitioner or client, collaboration with the client/other provider(s) and any update to the problems."]
[null,"For more information on Medical Necessity and Progress Note requirements, please access the most current version of the Organizational Provider’s Manual under \"Manuals\" on the LACDMH website's Quality Assurance page: https://dmh.lacounty.gov/qa/qama/.                              "]

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[null,"Please enter your progress note by clicking the button below and following instructions.  (Please ensure that your progress note is not missing any periods, as this is critical for the functioning of the training modules.)  Make sure you delete all the data before entering or re-entering a Progress Note.   When you wish to re-do a training, make sure to delete all data and re-enter the Progress Note.  You may then choose which training you would like to conduct."]
[null,"Please note the questions to be answered in the trainings below may be \nambiguous at times, and you will be asked to provide your best response "]
[]
[]
[null,"\"What is this sentence?\" Training"]
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[]
[]
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[]
[null,"\"Do the parts fit concisely?\" Training  "]
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[]
[null,"\"Did I Use Clear Concise Language?\" \nTraining (in development)"]

{"sheet":"CatResults","index":7,"n_rows":7,"n_cols":16,"rows_kept":7,"cut":false,"hidden":false,"merged":[]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"The table below indicates the percentage of Category Types that were selected for each sentence of the note entered.   The white box below summarizes the portion of sentences in the progress note describing Reimbursable Activities, Clinical Activities and Non-Clinical Activities based on the sentence Categories selected."]
["SENTENCE CATEGORY","PROPORTION OF SENTENCE CATEGORY IN THE NOTE",null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,20]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,80]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Service Components (Service Components are one of the requirements for a reimbursable note):\n\r-Sentences documenting Service Components consisted a total of 20 percent of the progress note sentences\n\r\n\rOther Non-Clinical or Administrative Activities:\n\r-Sentences documenting non-clinical activities or Administrative activities (for example, talking about the client's favorite movies or Rescheduling an appointment)consisted a total of 0 percent of the progress note sentences\n\r\n\rOther Clinical Activities (not Service Components):\n\r-Sentences documenting clinical activities (not Service Components), for example reviewing how client is using breathing techniques during the week, consisted a total of 80 percent of the progress note sentences"]

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["NO MISSING GIRP COMPONENTS",null,null,null,null,null,null,null,null,null,null,null,null,null,"The data listed below summarizes the ratings between components (the Goal, Intervention, and Next Steps), and if any of the components were missing (did not have any sentences).   To access data summarizing word counts for each GIRP component, please click on the button below, \"Go to Word-Count Table\".",null,"NO MISSING GIRP COMPONENTS"]
["MISSING GIRP COMPONENTS","GOAL- INTERVENTION CONNECTION RATING","RESPONSE-NEXT STEPS  CONNECTION RATING","GOAL- NEXT STEPS CONNECTION RATING","AVERAGE CONNECTION RATING (0 TO 2)",null,null,null,null,null,null,null,null,null,"Missing GIRP Components:  NO MISSING GIRP COMPONENTS (Missing components may indicate that information is missing in your note)\n\r\n\rThe connection rating (0=poor; 1=adequate; 2=good) between the Goal and Intervention sections of the note is 2\n\r\n\rThe connection rating (0=poor; 1=adequate; 2=good) between the Intervention and Response of client sections of the note is 2\n\r\n\rThe connection rating (0=poor; 1=adequate; 2=good)between the Response of client sections of the note and the Next Steps section is 2\n\r\n\rThe total Average connection rating (0=poor; 1=adequate; 2=good) of the note is 2"]
[null,null,null,null,2]
[]
[]
[]
[]
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[null,"\nMissing GIRP Components: \n (Missing components may indicate that information is missing in your note)\n",{"$f":"\"     \"&A3&\"   \"&A4&\"   \"&A5&\"   \"&A6","v":"              "}]
[null,"The connection rating between the Goal and Intervention sections of the note is:",{"$f":"B3","v":0}]
[null,"The connection rating between the Intervention and Response of client sections of the note is:",{"$f":"C3","v":0}]
[null,"The connection rating between the Response of client sections of the note and the Next Steps section is: ",{"$f":"D3","v":0}]
[null,"The total Average connection rating (0 TO 2) of the note is:",{"$f":"E3","v":2}]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"The summary below displays percentages for key sections in the progress note (Goal, Intervention, Response of client, and Plan for treatment – GIRP). This percentage represents the amount of words from the note which has been contributed to each section. Additionally, a \"Non-GIRP Word Count\" is provided, indicating words outside these sections that might be unnecessary. The findings are summarized below. To access the sentences/words for each GIRP section,  please click the red button below."]
["TOTAL WORD COUNT","NON-GIRP COMPONENT WORD COUNT RATIO","GOAL WORD COUNT RATIO","INTERVENTION WORD COUNT RATIO","RESPONSE WORD COUNT RATIO","NEXT STEPS (PLAN) WORD COUNT RATIO",null,null,null,null,null,null,null,null,"The results shown in the table are summarized below:\n\r\n\rThe total number of words in the progress note is 81\n\r\n\rThe number of words of sentence that did not provide information to any GIRP component consisted of 0% of the total note\n\r\n\rThe number of words of sentences providing information to the Goal section of the note consisted of 18.51% of the total note\n\r\n\rThe number of words of sentences providing information to the Intervention section of the note consisted of 25.92% of the total note\n\r\n\rThe number of words of sentences providing information to the Response section of the note consisted of 34.56% of the total note\n\r\n\rThe number of words of sentences providing information to the Next Steps section of the note consisted of 13.58% of the total note"]
[]
[]
[]
[]
[null,null,"The total number of words in the progress note is:",null,{"$f":"A3","v":0}]
[null,{"$f":"B3","v":0},"of the total note did not provide information to any GIRP component"]
[null,{"$f":"C3","v":0},"of the total note provided information to the Goal section "]
[null,{"$f":"D3","v":0},"of the total note providing information to the Intervention section"]
[null,{"$f":"E3","v":0},"of the total note provided information to the Response section"]
[null,{"$f":"F3","v":0},"of the total note provided information to the Next Steps section"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"The table below shows the Sentences that are included in each of the Note GIRP sections, as well as the sentences that are not included in the GIRP sections (referred to below as \"Outside the GIRP Structure\").  Those sentences that are not included in the GIRP sections could be regarded as less relevant to the Note."]
["Sentences Outside GIRP Structure","Sentences Part of Goal Section","Sentences Part of Intervention Section","Sentences Part of Response Section","Sentences Part of Next Steps Section"]
[null,"Therapist met with mother to go over implementation of the Parenting  point system with client.","  Reviewed with mother how to set consequences for next day given the score 0, 1 , or 2 prior end of day.","  Mother reported that she went through the first week and tried to implement the steps.  Client appears to understand and plans to implement these steps this coming week.","  Will review with mother progress in implementation of point system next session."]

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["NOTE","SENTENCES",null,"CATEGORY","CATEGORY FREQ","CATEGORY RATE","BLANK","INITIAL NOTE","GOAL","INTERVENTION","RESPONSE","NEXT STEPS","RATING GOAL-INT","RATING RESP-NXT STEPS","RATING GOAL-NXT STEPS","NOTE","INITIAL-SENTENCES","GOAL-SENTENCES","INT-SENTENCES","RESP-SENTENCES","NXT STPS-SENTENCES","EXTRA SENTENCES","SENTENCES2",null,null,null,"NOTE2","BUFFER SENT","SWITCH","MARKER G-I","MARKER R-NS","MARKER G-NS","BUFFER2","TEMP","BACK","NEW","LAST ENTRY","O-LAST E","BACK-COUNT"]
[null,"  Therapist reviewed with client neurological correlates of mindfulness and relaxation using Poly Vagal Theory.",null,null,null,null,null,"Therapist met with client  to go over relaxation and anxiety reducing strategies.  Client  reported that she used breathing and Mindfulness techniques throughout the day, every day, this past week.  Client reports that she is noting a clear reduction in anxiety and estimates that her anxiety moved from a 7 out of 10 average to a 4 out of 10 average.  Therapist reviewed with client neurological correlates of mindfulness and relaxation using Poly Vagal Theory.  Client will continue to implement mindfulness and breathing techniques this week.  Will review with effects of these techniques next week.",null,null,null,null,null,null,null,"Therapist met with client  to go over relaxation and anxiety reducing strategies.  Client  reported that she used breathing and Mindfulness techniques throughout the day, every day, this past week.  Client reports that she is noting a clear reduction in anxiety and estimates that her anxiety moved from a 7 out of 10 average to a 4 out of 10 average.  Therapist reviewed with client neurological correlates of mindfulness and relaxation using Poly Vagal Theory.  Client will continue to implement mindfulness and breathing techniques this week.  Will review with effects of these techniques next week.",null,null,null,null,null,null,"Therapist met with client  to go over relaxation and anxiety reducing strategies.",null,null,null,"Therapist met with client  to go over relaxation and anxiety reducing strategies.  Client  reported that she used breathing and Mindfulness techniques throughout the day, every day, this past week.  Client reports that she is noting a clear reduction in anxiety and estimates that her anxiety moved from a 7 out of 10 average to a 4 out of 10 average.  Therapist reviewed with client neurological correlates of mindfulness and relaxation using Poly Vagal Theory.  Client will continue to implement mindfulness and breathing techniques this week.  Will review with effects of these techniques next week.",0,null,0,0,0,null,"  Client reports that she is noting a clear reduction in anxiety and estimates that her anxiety moved from a 7 out of 10 average to a 4 out of 10 average.",0,0,2,null,0]
[null,"  Client will continue to implement mindfulness and breathing techniques this week.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  Client  reported that she used breathing and Mindfulness techniques throughout the day, every day, this past week."]
[null,"  Will review with effects of these techniques next week.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  Client reports that she is noting a clear reduction in anxiety and estimates that her anxiety moved from a 7 out of 10 average to a 4 out of 10 average."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  Therapist reviewed with client neurological correlates of mindfulness and relaxation using Poly Vagal Theory."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  Client will continue to implement mindfulness and breathing techniques this week."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  Will review with effects of these techniques next week."]

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["Note you entered>>>>>>>>>>>>>>>>>>>>>>>>>>>>","Therapist met with client  to go over relaxation and anxiety reducing strategies.  Client  reported that she used breathing and Mindfulness techniques throughout the day, every day, this past week.  Client reports that she is noting a clear reduction in anxiety and estimates that her anxiety moved from a 7 out of 10 average to a 4 out of 10 average.  Therapist reviewed with client neurological correlates of mindfulness and relaxation using Poly Vagal Theory.  Client will continue to implement mindfulness and breathing techniques this week.  Will review with effects of these techniques next week.",null,null,null,null,null,null,null,null,null,null,null,null,"1) Client response to treatment, for example use of relaxation techniques, response to medication, coping with stressors",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148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["Sentence being evaluated (underlined above)>>>>","  Client reports that she is noting a clear reduction in anxiety and estimates that her anxiety moved from a 7 out of 10 average to a 4 out of 10 average.",null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,"1) Client response to treatment, for example use of relaxation techniques, response to medication, coping with stressors"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,"2) Activities or situations in life not  related to treatment, for example movies seen, activities with friends"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3) Activities or situations in life shown to be related to treatment response, for example how increase in activities with friends indicates improved mood"]
["Please select from the drop-down menu below the Category that best matches the the underlined sentence indicated in the Progress Note above",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4) Session context, for example location of the session, if client arrived late, etc.…"]
["by pointing and clicking on your selection.  After you make your selection press Continue.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5) Mental status of client during session"]
[null,"Click on the cell below in white, and then click on the arrow to the right to see the drop down menu",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6) Plan for future treatment"]

{"sheet":"Sentence Ratings SC","index":13,"n_rows":9,"n_cols":16384,"rows_kept":9,"cut":false,"hidden":false,"merged":[]}
["Note you entered>>>>>>>>>>>>>>>>>>>>>>>>>>>>","Therapist met with client  to go over relaxation and anxiety reducing strategies.  Client  reported that she used breathing and Mindfulness techniques throughout the day, every day, this past week.  Client reports that she is noting a clear reduction in anxiety and estimates that her anxiety moved from a 7 out of 10 average to a 4 out of 10 average.  Therapist reviewed with client neurological correlates of mindfulness and relaxation using Poly Vagal Theory.  Client will continue to implement mindfulness and breathing techniques this week.  Will review with effects of these techniques next week.",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"B9","v":"6) Information not relevant to any Type of Service intervention"},null,null,null,null,null,null,null,null,null,null,"1) Information relevant to Mental Health, Therapy intervention",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,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["Sentence being evaluated (underlined above)>>>>","  Client reports that she is noting a clear reduction in anxiety and estimates that her anxiety moved from a 7 out of 10 average to a 4 out of 10 average.",null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,"2) Information relevant to Mental Health, Assessment"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3) Information relevant to Mental Health, Rehab intervention"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4) Information relevant to TCM , Assessment"]
["Select the Service Component category below from the drop-down menu that best matches the underlined indicated in the Progress Note  above, by pointing  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5) Information relevant to TCM , Referral and linkage"]
["and clicking on your selection, then press Continue.  If the sentence does not describe a Service Component, press the corresponding selection (number 6), and ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6) Information not relevant to any Type of Service intervention"]
["will be redirected to another set of categories for you to rate  the same sentence"]
[null,"Click on the cell below in white, and then click on the arrow to the right to see the drop down menu"]
[null,"6) Information not relevant to any Type of Service intervention"]

{"sheet":"Sentence Ratings Org","index":14,"n_rows":7,"n_cols":16384,"rows_kept":7,"cut":false,"hidden":false,"merged":[]}
["Note you entered>>>>>>>>>>>>>>>>>>>>>>>>>>>>",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"B8","v":0},0,0,null,null,null,null,null,null,null,null,"1) This sentence belongs in the 'Goal' section                 ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,148,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["Sentence being evaluated (underlined above)>>>>",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2) This sentence belongs in the 'Intervention' section         "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3) This sentence belongs in the 'Response' section             "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4) This sentence belongs in the 'Next Steps' section           "]
["Please select a component from the drop-down list below iidcating  whether the sentence being evaluated and underlined in the note belongs to the \"Goal\", \"Intervention\", below",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5) This sentence does not describe the Goal, Intervention, Response, or Next Steps of the note      "]
["  \"Response\", or \"Next Steps\" section of the note down menuby selecting the  response from the drop-Note above.   After you have selected please click on \"Continue\"."]
[null,"Click on the cell below in white, and then click on the arrow to the right to see the drop down menu"]

{"sheet":"Note","index":15,"n_rows":6,"n_cols":1,"rows_kept":6,"cut":false,"hidden":false,"merged":[]}
["IMPORTANT!   Instructions to paste your note "]
["1)   Copy the note you would like to paste into the training module"]
["2)   Then Left-Click with cursor  in the Note box below"]
["3)  Then press right click while pointing to the Note Box and select \"Paste\".  Click \"Continue\" once you have pasted the note."]
["NOTE"]
["Therapist met with client  to go over relaxation and anxiety reducing strategies.  Client  reported that she used breathing and Mindfulness techniques throughout the day, every day, this past week.  Client reports that she is noting a clear reduction in anxiety and estimates that her anxiety moved from a 7 out of 10 average to a 4 out of 10 average.  Therapist reviewed with client neurological correlates of mindfulness and relaxation using Poly Vagal Theory.  Client will continue to implement mindfulness and breathing techniques this week.  Will review with effects of these techniques next week."]

{"sheet":"Load Goal","index":16,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}

{"sheet":"Load Intervention","index":17,"n_rows":1,"n_cols":2,"rows_kept":1,"cut":false,"hidden":false,"merged":[]}
[null,"Clinician and dient discussed client's desire to continue feeling better."]

{"sheet":"Load Response","index":18,"n_rows":1,"n_cols":2,"rows_kept":1,"cut":false,"hidden":false,"merged":[]}
[null," It is very important, therefore, that each note for which you wish to receive reimbursement must document that a Service Component was provided in the service."]

{"sheet":"Load Next Steps","index":19,"n_rows":1,"n_cols":2,"rows_kept":1,"cut":false,"hidden":false,"merged":[]}
[null," It is very important, therefore, that each note for which you wish to receive reimbursement must document that a Service Component was provided in the service."]

{"sheet":"Rate Goal-Int","index":20,"n_rows":10,"n_cols":26,"rows_kept":10,"cut":false,"hidden":false,"merged":[]}
["GOAL","INTERVENTION",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"B10","v":"2=There is a strong logical connection between the Goal and Intervention sections"},null,null,null,null,null,null,null,null,null,null,"0=There is no logical connection between the Goal and Intervention sections"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Instructions: Indicate the  rating below that best indicates the logical connection between the Goal and Intervention sections above by pointing and clicking on your selection from the drop-down menu below",null,null,null,null,null,null,null,null,null,null,"1=There is a weak to moderate logical connection between the Goal and Intervention sections"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2=There is a strong logical connection between the Goal and Intervention sections"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3=Not applicable because one of the sections is missing (blank)"]
[]
[]
[]
[]
[null,"Click on the cell below in white, and then click on the arrow to the right to see the drop down menu"]
[null,"2=There is a strong logical connection between the Goal and Intervention sections"]

{"sheet":"Rate Resp-NextSteps","index":21,"n_rows":10,"n_cols":26,"rows_kept":10,"cut":false,"hidden":false,"merged":[]}
["RESPONSE","NEXT STEPS",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"B10","v":"2=There is a strong logical connection between between the Response and Next-Steps sections"},null,null,null,null,null,null,null,null,null,null,"0=There is no logical connection between the Response and Next-Steps sections"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Instructions: Indicate the  rating below that best indicates the logical connection between the Response and Next Steps sections above by pointing and clicking on your selection from the drop-down menu below",null,null,null,null,null,null,null,null,null,null,"1=There is a weak to moderate logical connection between the Response and Next-Steps sections"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2=There is a strong logical connection between between the Response and Next-Steps sections"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3=Not applicable because one of the sections is missing (blank)"]
[]
[]
[]
[]
[null,"Click on the cell below in white, and then click on the little to the right to see the drop down menu"]
[null,"2=There is a strong logical connection between between the Response and Next-Steps sections"]

{"sheet":"Rate Goal-NextSteps","index":22,"n_rows":11,"n_cols":26,"rows_kept":11,"cut":false,"hidden":false,"merged":[]}
["GOAL ","NEXT STEPS",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"B11","v":"2=There is a strong logical connection between between the Goal and Next-Steps sections"},null,null,null,null,null,null,null,null,null,null,"0=There is no logical connection between the Goal and Next-Steps sections"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Instructions: Indicate the  rating below that best indicates the logical connection between the Goal and Next Steps sections above by pointing and clicking on your selection from the drop-down menu below",null,null,null,null,null,null,null,null,null,null,"1=There is a weak to moderate logical connection between the Goal and Next-Steps sections"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2=There is a strong logical connection between between the Goal and Next-Steps sections"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3=Not applicable because one of the sections is missing (blank)"]
[]
[]
[]
[]
[]
[null,"Click on the cell below in white, and then click on the arrow to the right to see the drop down menu"]
[null,"2=There is a strong logical connection between between the Goal and Next-Steps sections"]

{"sheet":"Trans Tables1","index":23,"n_rows":9,"n_cols":1,"rows_kept":9,"cut":false,"hidden":false,"merged":[]}
["Congratulations for completing the first segment of the \"What is this Sentence\" training!  Hopefully you were able to gain"]
["awareness of how each sentence in a Progress Note serves a function in conveying clinical information."]
["When you click on \"Continue\" below, you will be sent to a screen showing information about the sentences of the Progress Note,"]
["based on the ratings you provided.   The screenshot below shows what the next screen will look like."]
[]
["On the left of the screenshot below is a Table showing the different Category Types that were selected for each sentence."]
["For example, \"Information relevant to Mental Health Therapy Intervention\"  applied to 60% of the sentences in the Progress Note."]
["The Text Box on the right indicates the proportion of Sentences that describe a Reimbursable Activity.   For example 60% of the "]
["sentences described Reimbursable Activities.  Please click on \"Continue\" when you are ready to go to the next screen."]

{"sheet":"Trans Ratings","index":24,"n_rows":12,"n_cols":1,"rows_kept":12,"cut":false,"hidden":false,"merged":[]}
["You have just completed the training segment in which you were asked to rate whether a  sentence best fits as belonging in the Goal, "]
["Intervention, Response, or Next Steps components of the Progress Note.  In what follows, you will be asked to rate the logical"]
["relatedness of components (as outlined in the introduction).  Specifically you will be asked to rate the logical connection"]
[" between the sentences of the Goal and Intervention components, the Response and Next Steps components, and the "]
["Goal and Next Steps components.  The screenshot below shows the next screen.   "]
[]
[]
["On the next screen, as shown below, there will be a table with  Headers, each listing one of the components to be rated.  In this case, "]
["the \"Goal\" and \"Intervention\" components.  In the cells below the Headers the sentences associated with each Header will  be listed.  Below the table,  "]
["there will be a  dropdown list from which you will chose the rating that best describes the logical relatedness between the   "]
["components (the ratings range from 0 to 2, in addition a rating is included indicating that one of the components is empty)"]
["When you are ready to go to the next screen please click on \"Continue\"."]

{"sheet":"Trans Tables2","index":25,"n_rows":11,"n_cols":1,"rows_kept":11,"cut":false,"hidden":false,"merged":[]}
["Congratulations on completing the ratings segment of the \"Do the Pieces Fit\" training!  We hope that this experience"]
["has helped you gain an understanding of how different components of the Progress Notes are  interrelated."]
[]
["In what follows you will be presented summary outlines of the data ratings you made:   "]
[".In the first screen you will be shown a summary of the Logical Connections ratings, indicating the extent to which the different components are "]
["logically connected"]
[".In the second screen will be shown a summary of the Word Counts  of each component, indicating the number of words in the sentences of  "]
["each component"]
[".In the third screen you will be shown the actual sentences that have been ascribed to each of the Progress Note components."]
[]
["Please click \"Continue\" to go to the data summary screens."]

{"sheet":"Trans SC","index":26,"n_rows":6,"n_cols":1,"rows_kept":6,"cut":false,"hidden":false,"merged":[]}
["You are about the begin the \"What is this Sentence?\" training, which is intended to develop awareness"]
["of purpose/function of each sentence in a progress.  Below is a screenshot of the next screen. "]
[]
["At the top of the screen you will see the note you entered, and below that the sentence you are asked to rate."]
["Below this, there are instructions indicating how you are to access the dropdown menu to rate the sentence."]
["When you are ready to go to the next screen, please press the red \"Continue\" button."]

{"sheet":"Sheet2","index":27,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}

{"sheet":"Trans Org","index":28,"n_rows":6,"n_cols":1,"rows_kept":6,"cut":false,"hidden":false,"merged":[]}
["You are about the begin the \"Do the Parts Fit?\" training, which is intended to develop awareness"]
["of how different parts of the note are related to each other.  Below is a screenshot of the next screen. "]
[]
["At the top of the screen you will see the note you entered, and below that the sentence you are asked to rate."]
["Below this, there are instructions indicating how you are to access the dropdown menu to rate the sentence."]
["When you are ready to go to the next screen, please press the red \"Continue\" button."]