Solution-Focused Coaching in Pediatric Rehabilitation: Investigating Transformative Experiences and Outcomes for Families

Physical & Occupational Therapy In Pediatrics, Journal Year: 2017, Volume and Issue: 39(1), P. 16 - 32

Published: Oct. 23, 2017

Aims: A qualitative study was conducted to investigate family experiences and outcomes of Solution-Focused Coaching in pediatric rehabilitation (SFC-peds). Methods: Two interviews (5 months apart) were with nine sets members who had received SFC-peds, within the past 6 months, from therapists 3–10 years experience using approach. Transcripts analyzed thematic analysis a phenomenological Results: Participants experienced goal-oriented collaborative process, high engagement, enhanced capacity community participation, empowered mindsets. The therapy process seen as solution-focused conversation, situated client's world, involving individualized co-created goals plans. SFC-peds provided families supportive, structured, paced goal-setting process. Reported enhancements included child/youth skill development, parent skills, knowledge their child options, changes parenting. Increased participation also reported. Empowered mindsets involved increased confidence, self-efficacy self-determination, broadened perspectives expectations. Conclusions: provides evidence for utility importance engaging Implications concern greater understanding transactional dynamics real-world client change, need develop measures client/family resiliency.

Language: Английский

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The Nature, Value, and Experience of Engagement in Pediatric Rehabilitation: Perspectives of Youth, Caregivers, and Service Providers

Developmental Neurorehabilitation, Journal Year: 2019, Volume and Issue: 23(1), P. 18 - 30

Published: May 1, 2019

Purpose: To conduct a qualitative investigation of engagement in pediatric rehabilitation therapy.Methods: Interviews were conducted with 10 youth, caregivers, and service providers. Transcripts analyzed thematically using an inductive approach.Results: Themes illustrated three perspectives: as connection components the therapy process, working together, affective motivational process. Engagement created valued connections forward momentum for therapy.Conclusions: The themes supported view complex, transactional, multidimensional. Participants focused on different, yet not discrepant, aspects engagement. Youth having fun personal Caregivers provided more complex perspective encompassing both their own child's engagement, emphasis relationship, understanding what is taking place, feeling Service providers highlighted goal attainment value bringing about outcomes.

Language: Английский

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Impact of animal‐assisted intervention on therapy engagement in hospitalized children with traumatic brain injuries

PM&R, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 14, 2025

Abstract Background Individuals who sustained traumatic brain injuries in childhood may experience global challenges including disorders of consciousness, motor dysfunctions, and sensory impairments. Occupational physical therapy are important parts recovery from an acute injury, addressing deficits that directly affect functional return to age‐appropriate activities daily living. Difficulty with active engagement tasks can limit the effectiveness therapeutic interventions. Therapists search for methods increase patient bolster progress. Objective To examine effect animal‐assisted interventions on participation children injuries. Design Prospective, crossover design observational study each serving as their own control. Setting This was conducted a pediatric rehabilitation unit. Participants Nine participants completed all sessions. Intervention Study four visits, two intervention without intervention. Outcomes Measures The Pediatric Rehabilitation Measure Engagement, length session, breaks needed. Results use resulted significantly greater mean scores affective behavioral scores. No significant differences were found cognitive score, session tolerated, or number required. had decreased when used. Conclusions Animal‐assisted has potential recovering

Language: Английский

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The effect of sleep fragmentation on therapeutic engagement and rehabilitation progress after brain injury in a pediatric inpatient sample

Brain Injury, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 6

Published: March 24, 2025

This study evaluated the effect of sleep fragmentation after brain injury on therapeutic engagement and rehabilitation progress in pediatric inpatients. Participants (N = 29) wore a wrist accelerometer for one week to calculate index measuring restlessness during period. Therapists completed ratings functional independence (using WeeFIM) (effort active participation physical therapy sessions measured using Rehabilitation Therapy Engagement Scale). Controlling time from admission, is negatively associated with (defined as improvement WeeFIM scores admission discharge per day rehabilitation). Hierarchical regression demonstrated significant negative association between progress. However, when was added model it accounted portion variance no longer predictor Findings demonstrate detrimental impact also suggest possible mediating role

Language: Английский

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The complexities and synergies of engagement: an ethnographic study of engagement in outpatient pediatric rehabilitation sessions

Disability and Rehabilitation, Journal Year: 2019, Volume and Issue: 43(16), P. 2353 - 2365

Published: Dec. 17, 2019

To investigate client (youth/caregiver) and service provider engagement in outpatient pediatric rehabilitation therapy sessions.In an ethnographic study, five research assistants attended 28 sessions, mostly delivered by occupational, physical, speech-language therapists, rated signs of client, provider, relational using the Pediatric Rehabilitation Intervention Measure Engagement - Observation version. Post-session interviews were conducted individually with 13 youth, 15 caregivers, 26 providers.Overall, there was a moderate to great extent engagement. Provider as higher than engagement, particularly sessions activities focusing on body structure/function. The indicated associations among engagement-related constructs: (a) expectations influenced engagement/disengagement progress, (b) associated positive affect relationships, (c) strongly relationships collaboration.Engagement is central process within complex system psychosocial constructs operating therapy. emergent, synergistic, change-inducing it emanates from, involves, influences multiple aspects Notably, ties two pivotal elements collaboration, progress. Implications for practice include understanding how providers manage therapeutic context work foster engagement.Implications rehabilitationEngagement, its various elements, plays role shaping clients, parents, clinicians value encounters.Optimal often thought collaboration; importance expectations, affect, perceptions progress are frequently overlooked.Engagement motivation may be maximized when youth caregivers asked explicitly about they view their therapy.In addition clarifying aligning can enhance intentionally creating enjoyable meaningful interactions, developing negotiating consensus goals plans, demonstrating progress.Service harness related listening communicating effectively, entering world family, being aware of, anticipating, responding disengagement.

Language: Английский

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A Solution-Focused Coaching Intervention with Children and Youth with Cerebral Palsy to Achieve Participation-Oriented Goals

Physical & Occupational Therapy In Pediatrics, Journal Year: 2020, Volume and Issue: 40(4), P. 423 - 440

Published: Jan. 15, 2020

Background: The ultimate goal of therapeutic intervention is meaningful participation in one's world. For people with Cerebral Palsy (CP), limitations can often become a focus care.Aim: Our purpose was to investigate the impact Solution-Focused Coaching designed for pediatric rehabilitation (SFC-peds) on attainment goals children/youth CP.Method: Twelve participants participated repeated measures quantitative study and qualitative interviews. Children youth (ages 6-19) their families three five coaching sessions, including an initial baseline setting session, one additional follow-up session as well Canadian Occupational Performance Measure Goal Attainment Scaling were incorporated into sessions then re-administered by blind assessor within month post-intervention. Qualitative interviews conducted at this time.Results: Statistically significant improvements found performance, satisfaction, attainment. Interview data included consideration both content (what practitioner doing) unique SFC-peds process (how client feels about intervention).Conclusions: may present effective approach working CP achieve self-selected participation-oriented relatively short time-period.

Language: Английский

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Comparing three coaching approaches in pediatric rehabilitation: contexts, outcomes, and mechanisms

Disability and Rehabilitation, Journal Year: 2023, Volume and Issue: 46(12), P. 2708 - 2719

Published: June 29, 2023

Purpose This Perspectives paper advances understanding of coaching in pediatric rehabilitation. We compare three approaches designed for rehabilitation: Coping with and Caring Infants Special Needs (COPCA), Occupational Performance Coaching (OPC), Solution-Focused Pediatric Rehabilitation (SFC-peds).Objectives Our objectives are to contrast the theory underpinning approaches, discuss evidence outcomes hypothesized mechanisms change, consider necessary mindsets effective coaches, propose directions research practice.Summary The have different theoretical bases specific contexts, yet similar their change intended outcomes. There is growing important effects on coachees' goal achievement, empowerment, capacity building. Studies indicate that stakeholders value coaching, provide a preliminary mechanisms, including engagement self-efficacy, by which support clients' self-directed sustained change. Open, curious, client-centered practitioner fundamental coaching.Conclusions distinctive group relational, goal-oriented, evidence-based achievement empowerment. These reflect advance an ongoing paradigm shift rehabilitation—a movement from therapist-as-expert those build empowerment capacity.Implications For RehabilitationCoaching theory-based capacityCoaching practitioners collaborative facilitators who assist clients families own discovery solutions fit everyday contextsThe suggests triggers changes longer-term occurOpen, client/family-centered

Language: Английский

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Strategies Used by Professionals in Pediatric Rehabilitation to Engage the Child in the Intervention Process: A Scoping Review

Physical & Occupational Therapy In Pediatrics, Journal Year: 2024, Volume and Issue: 44(4), P. 461 - 488

Published: Jan. 11, 2024

To investigate strategies used by professionals in pediatric rehabilitation to engage children every step of the intervention process, including assessment, goal setting, planning and implementation intervention, results evaluation.

Language: Английский

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A measure of parent engagement: plan appropriateness, partnering, and positive outcome expectancy in pediatric rehabilitation sessions

Disability and Rehabilitation, Journal Year: 2021, Volume and Issue: 44(14), P. 3459 - 3468

Published: Jan. 4, 2021

Purpose To examine the psychometric properties of a parent-report measure engagement in pediatric rehabilitation.Method 113 parents (of children 4 months to 18 years, varying diagnoses) were recruited from standard outpatient/inpatient, early intervention, and life skills programs, sampled different sites Canada, US, Australia. Parents completed Pediatric Rehabilitation Intervention Measure Engagement—Parent version (PRIME-P) twice, after two therapy sessions approximately weeks apart. Analyses examined factor structure, internal consistency, test-retest reliability, assessed construct validity hypotheses concerning participant characteristics contextual factors.Results The resulting 11-item PRIME-P has three factors capturing terms Plan Appropriateness, Partnering, Positive Outcome Expectancy. displayed strong consistency reliability (Partnering demonstrated slightly weaker reliability). Construct was shown by significant associations between scales parents' presence versus absence during sessions, as well service providers' years experience.Conclusions captures parent multifaceted involving appropriateness plan, sense active partnership intervention process, an expectation for positive outcome. promise research, clinical practice, educational purposes.IMPLICATIONS FOR REHABILITATIONThe is psychometrically sound tool that fills gap how researchers practitioners can process.To enhance engagement, providers encourage collaboration planning, foster working partnership, convey hope.The findings point need pay attention beliefs about plan outcomes, addition their behavioral involvement.The promising rehabilitation be used investigate role crucial, yet poorly understood variable process.

Language: Английский

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Solution-Focused Coaching in Pediatric Rehabilitation: Perceived Therapist Impact

Physical & Occupational Therapy In Pediatrics, Journal Year: 2019, Volume and Issue: 40(3), P. 263 - 278

Published: Oct. 28, 2019

Aims: This qualitative descriptive study explored perceived impacts of solution-focused coaching in pediatric rehabilitation (SFC-peds) from the viewpoint experienced therapists.Methods: Semi-structured in-depth interviews were conducted with six participants (four occupational therapists and two physical therapists) who had incorporated SFC-peds into their practice for three years or longer. Participants asked to describe differences has made clinical practice, service provision, relationships clients families. Interview transcripts analyzed using method thematic analysis.Results: Three major themes, each subthemes, identified: 1) changes therapists' perception roles; 2) increased effectiveness; 3) enhanced client capacity. Through long-term engagement SFC-peds, have a role shift an expert adviser collaborative facilitator assists families capacity building self-discovery solutions everyday environments.Conclusions: The findings suggest that can help reframe professional expertise integrate principles family-centred care day-to-day practice. Individual- system-level support, along flexibility structures processes, may be needed further implementation delivery.

Language: Английский

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