Collaboration: How does it work according to therapists and parents of young children? A systematic review

Child Care Health and Development, Journal Year: 2023, Volume and Issue: 50(1)

Published: Sept. 19, 2023

Abstract Background Collaboration between therapists and parents of children with developmental disabilities is a key element family‐centred care. In practice, collaboration appears to be challenging for both therapists. This systematic review aims make explicit how can optimise their young disabilities, according the perspectives Methods A was conducted using following databases: Medline (PubMed), CINAHL (OVID) PsychINFO (OVID). Those papers were selected, which focused on two‐way interaction parents, exploring and/or 2 6 years. Papers needed published in English or Dutch 1998 July 2021. Included synthesised qualitative analysis approach by two researchers independently. Results sections analysed line‐by‐line, codes formulated discussed all authors. Codes aggregated, resulting synthesis specific strategies combined strategy clusters. The search generated 3439 records. total, 24 selected. Data resulted an overview organised into five clusters: (1) continuously invest time your (2) aware important role (3) tailor approach, (4) get know family (5) empower become collaborative partner. Conclusions concrete use disabilities. enable consciously decide each individual parent. Making these facilitates change practice from therapist‐led child‐centred towards

Language: Английский

---

Capacity building for youth with disabilities: principles and key ingredients identified through a scoping review

Disability and Rehabilitation, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 25

Published: March 4, 2025

This knowledge synthesis aimed to 1) Map the extent and nature of literature on capacity building in field rehabilitation for transition-age youth with disabilities (12-30 years old) 2) Describe how is conceptualized identify principles key ingredients underpinning this concept. A scoping review using JBI methodology was employed. search six databases resulted 2169 English documents; 34 were retained. Two reviewers charted analyzed data, supported by third reviewer. Inductive content analysis used ingredients. Seven documents provided explicit definitions or building. Content revealed four describing as: individualized approach real-world application fostering a preferred future 3) taking ownership change 4) an ongoing process. Six detail build capacity: flexible natural context shared responsibility use accessible information resources cultivate strengths 5) opportunities full participation 6) facilitate reflection experiences. Clinicians researchers can draw upon identified support meaningful outcomes youth.

Language: Английский

---

Evaluating a Family Capacity-Building Service: Are We Doing More Good Than Harm?

Canadian Journal of Occupational Therapy, Journal Year: 2025, Volume and Issue: unknown

Published: March 13, 2025

Background. Parents of children with special needs are more likely to experience stress and have health-related problems. Pediatric occupational therapy interventions that build parents’ capacity often considered be effective. It remains unclear how they can offered without overburdening parents. Purpose. The purpose this article is share the findings from evaluation a flexible capacity-building service seven families. Method. A convergent parallel mixed methods design was used document therapists’ perspectives on services, including outcomes, strengths, weaknesses, opportunities, threats. Findings. reported understanding their better, having positive attitudes toward challenges experienced, feeling confident could help them, satisfactory family routines. importance for therapists develop nonjudgmental collaborative relationships, use time available families what matters most in daily lives came out particularly loudly. Conclusion. This study provides concrete example it possible families’ capacities them. also guidance establishments wishing take step back think about capacities.

Language: Английский

---

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

---

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

---

Perceived Impacts of Solution-Focused Coaching Training for Pediatric Rehabilitation Practitioners: A Qualitative Evaluation

Physical & Occupational Therapy In Pediatrics, Journal Year: 2021, Volume and Issue: unknown, P. 1 - 14

Published: Jan. 13, 2021

This qualitative evaluation study assessed perceived impacts of a solution-focused coaching (SFC) training rolled out in Canadian pediatric rehabilitation hospital from the perspective clinical service providers.Thirteen providers were interviewed six months after receiving 2-day SFC training. Participants retrospectively described and benefits challenges pertinent to implementation approach. Interview transcripts transcribed verbatim analyzed thematically.SFC was considered making valuable addition participants' toolbox, increasing their confidence developing positive therapeutic alliance with clients, enhancing strengths-based orientation. The also seen improving team cohesion promoting collaborative solution-finding among members. Structural barriers such as time constraints, lack continuous organizational support clear expectations around use approach reported factors impeding effective adaptation. need for tailoring unique contexts reported.Future initiatives should integrate team-based culturally sensitive lens help better assist clients identifying strengths. Follow-up mechanisms will be vital facilitating sustainable initial

Language: Английский

---

Solution-Focused Coaching for Friendship in Pediatric Rehabilitation: A Case Study of Goal Attainment, Client Engagement, and Coach Stances

Physical & Occupational Therapy In Pediatrics, Journal Year: 2021, Volume and Issue: 42(2), P. 154 - 171

Published: July 15, 2021

To examine goal attainment, engagement, and the stances used by coaches providing a solution-focused coaching intervention (SFC-peds) for young people with cerebral palsy pursuing friendship goals.The case study involved two clients (a child his mother, youth) their service providers. An interpretive descriptive approach was to analyze quantitative qualitative data. Friendship attainment assessed Canadian Occupational Performance Measure scaling, client engagement using Pediatric Rehabilitation Intervention of Engagement-Service Provider version. Information from post-intervention interviews identify coach relationships engagement.Participants met goals were considered be highly engaged coaches. Four identified: Respectful Inquiry, Strengths Presupposition, Implementation Curiosity, Inspiring Commitment. These stances, aligned tactics, on affective, cognitive, behavioral levels, impacted client's stance toward goal.SFC-peds appears an effective engaging disabilities working goals. The findings illustrate how coach's tactics engage clients, thus impacting own change.

Language: Английский

---

Co-constructing engagement in pediatric rehabilitation: a multiple case study approach

Disability and Rehabilitation, Journal Year: 2021, Volume and Issue: 44(16), P. 4429 - 4440

Published: April 18, 2021

Purpose To explore engagement principles and contextual conditions in high-engagement therapy sessions involving youth with disabilities service providers.Method From a larger project on engagement, dyadic case analysis was conducted three ages 8–15 their providers. Participants were interviewed about experiences after focusing speech articulation, transition goals, physical mobility. Data analyzed thematically, an emphasis illustrated by the cases.Results There four provider principles: (a) clients differ what engages them how they display (Individual Variation Principle), (b) there are multiple ways to engage (Personalizing (c) is cultivated through relationship (Relationship (d) it important monitor be attuned client's level of over session (Monitoring Principle). Service providers' use strategies varied due conditions, including type youths' interests preferences.Conclusions The findings indicate value awareness dynamics personalized clients, fundamental importance cultivating good monitoring client during therapy.IMPLICATIONS FOR REHABILITATIONService providers may benefit from being aware common underlying co-construction between clients.Service can variety heighten work cultivate positive relationship.It clients' non-verbal verbal signs respond disengagement therapy.Contextual affecting include nature provided preferences.

Language: Английский

---

Exploring Relational Dialogue in Solution-Focused Coaching Sessions: An Analysis of Co-Construction and Reflection

Developmental Neurorehabilitation, Journal Year: 2020, Volume and Issue: 23(6), P. 390 - 401

Published: Jan. 6, 2020

Purpose: To examine solution-focused coaching (SFC) as a means to enhance clinicians' professional development.Methods: Six pediatric rehabilitation clinicians (three physical, two occupational, and one behavior therapist) each received SFC sessions targeting clinical listening goals. Conversational intervals were noted in session transcriptions. Frequencies of relational strategies conversational calculated. The meaning > 10 s was examined.Results: most frequent indicated that facilitates reflection critical thinking, encourages action. An appreciable number long (>10 s) occurred, indicating substantial by participants. These embedded dialogue sequences involving coach questions formulations, participant pauses.Conclusions: findings support the use development tool substantiate view 'works' through coach's designed facilitate collaborative conversations build solutions an emphasis on

Language: Английский

---

A multi-center, pragmatic, effectiveness-implementation (hybrid I) cluster randomized controlled trial to evaluate a child-oriented goal-setting approach in paediatric rehabilitation (the ENGAGE approach): a study protocol

BMC Pediatrics, Journal Year: 2022, Volume and Issue: 22(1)

Published: June 29, 2022

Abstract Background Child-oriented goal-setting in pediatric rehabilitation may improve child motivation, engagement therapy, outcomes related to and service delivery efficiency. The primary objective of this trial is determine the effectiveness a principles-driven, child-focused approach goal-setting, Enhancing Child Engagement Goal-Setting (ENGAGE), on compared usual practice. three secondary objectives are 1) compare costs ENGAGE practice, 2) influence child, parent therapist characteristics therapy outcomes, 3) identify barriers facilitators implementation ENGAGE. Methods This research protocol describes pragmatic, multi-site, cluster, effectiveness-implementation (hybrid type 1 design) randomized controlled trial. Therapists ( n = 12 clusters two therapists) at participating sites 6) will be intervention group, or care (control) using computer-generated, permuted-block randomization sequence with site as stratification variable designed by statistician (RR). Each recruit four children 5–12 years old neurodevelopmental conditions 96), who receive care, according group allocation. therapists trained use 'toolbox' evidence-driven, theory-informed principles optimize process, performance feedback strategies. Outcomes include goal (primary outcome), functional abilities, participation, quality life. Qualitative interviews children, parents, therapists, managers explore challenges potential mitigation Mixed effects multiple linear regression models developed for each outcome assess differences adjusted clustering. A cost-effectiveness analysis combine cost measure into an incremental ratio. data analyzed inductively (thematic analysis) deductively established science frameworks. Discussion study evaluate collaborative inform effective practices. Trial Registration NCT05017363 (registered August 23, 2021 ClinicalTrials.gov).

Language: Английский

---