The skill-specific focus of the top-down approach is a more effective instructional approach compared to the bottom-up approach for working with a student who has severe motor delays.

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The top-down approach focuses on teaching specific skills that the student needs to accomplish a task, while the bottom-up approach focuses on teaching individual components of the task. For a student with severe motor delays, the top-down approach may be more effective as it emphasizes the end goal and breaks it down into manageable steps, rather than solely addressing individual motor skills.

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