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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Solution-Focused Coaching to Support Clinicians’ Professional Development: An Analysis of Relational Strategies and Co-constructed Outcomes

Developmental Neurorehabilitation, Journal Year: 2021, Volume and Issue: 25(3), P. 205 - 216

Published: Dec. 3, 2021

To explore solution-focused coaching (SFC) as a means to enhance pediatric rehabilitation practitioners' development of listening skills.Six clinicians each participated in two SFC sessions with an experienced coach who used practice model developed for (SFC-peds). The transcribed interviews were analyzed by inductive content analysis identify the coach's use relational strategies and nature what was being co-constructed sessions.The six (e.g., supporting reflective critical thinking). Through dialogue reflection, clinician four important outcomes, including shared meaning, awareness discovery strengths values, opportunities, forward movement.The study informs our understanding processes benefits conversations. These conversations appear provide optimal learning space professional development, facilitating co-creation awareness, intentionality.

Language: Английский

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Coaching in an Acute Pediatric Setting: A Qualitative Approach to Understanding the Perspectives of Occupational Therapists

Physical & Occupational Therapy In Pediatrics, Journal Year: 2022, Volume and Issue: 43(2), P. 212 - 227

Published: Oct. 17, 2022

To identify barriers and enablers to implementing coaching in acute pediatric settings from the perspective of occupational therapists develop an implementation plan address identified at a large metropolitan hospital.Participatory Action Research was used, two stages focus groups were conducted with 17 working hospital. Reflexive thematic analysis employed for data analysis.Stage one themes; (1) Lack clarity around definition, (2) Acute setting coaching, (3) Family acceptance appropriateness, (4) Enablers coaching. Stage Addressing skepticism about Logistics approvals, Implementation strategies In Two, participants researchers developed plan.Occupational perceived as hard implement due acuity caseloads traditional medical models. The six-step aims enhance therapist knowledge motivation well reduce environmental barriers, aim embedding into settings.

Language: Английский

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A case study of a strategic initiative in pediatric rehabilitation transition services: An insiders' perspective on team principles and practices

Frontiers in Rehabilitation Sciences, Journal Year: 2022, Volume and Issue: 3

Published: Dec. 9, 2022

The aim was to describe an innovative initiative that took place in a pediatric rehabilitation hospital. goal of this organization-wide strategic initiative, called the Transition Strategy, improve service delivery children/youth with disabilities and their families at times life transition. research question was: What are key elements have contributed success from perspective team members? objectives were describe: (a) guiding principles underlying functioning practices, (b) enablers positive functioning, (c) nature effective (d) lessons learned.A holistic descriptive case study conducted, utilizing historical documents, tracked outcome data, experiences insights multidisciplinary members (the authors). Reflecting insiders' perspective, impressions sources data. perspectives used generate teamwork principles, learnings.Team identified four humanistic (respect, support, partnership, open communication). These underpinned three novel practices effectiveness eyes members: supportive relational human-centered co-design, solution-focused communication. Key style leadership, climate innovation, autonomy, trust, supported by organizational vision. This fostered sense psychological safety, thereby encouraging both experimentation learning failure.This article provides information for other healthcare organizations interested understanding Strategy's value its implementation. It practical example how adopt approach health care, leading development thriving among members.

Language: Английский

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Using the capability, opportunity, and motivation model of behaviour to assess provider perception of implementing solution-focused goal-setting in paediatric rehabilitation

Journal of Child Health Care, Journal Year: 2023, Volume and Issue: unknown

Published: Aug. 16, 2023

Adoption of family and child goal-setting in paediatric rehabilitation is important to positive long-term outcomes. Solution-focused coaching (SFC) has been identified as a promising approach ensuring this type occurs, while the actual implementation SFC by health care providers (HCPs) low. This study utilized capacity, opportunity, motivation model behaviour change (COM-B) identify which strengths difficulties perceived with respect rehabilitation. A self-report survey was developed administered HCPs at hospital. Each question based upon COM-B sub-component. Demographic information collected from HCPs, descriptive statistics were used rank components strongest weakest. Results indicate view provision an practice, they also perceive delivery due to: lack adequate individual skill, experience goal-setting, insufficient preparation for clients engage sharing their goals. organizational processes support practice within teams. Recommendations intervention are provided.

Language: Английский

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The funnel of optimal functioning: A model of coach education

The Coaching Psychologist, Journal Year: 2022, Volume and Issue: 18(2), P. 42 - 57

Published: Dec. 1, 2022

Although a proliferation of coaching in health care has demonstrated positive outcomes and implications for both providers patients, there is little consensus regarding effective models used to educate train clinicians. To address this issue model known as The Funnel Optimal Functioning was created help clinicians learn embed skills into clinical practice. founded on principles theory optimal functioning, well the neuroscience neurobiology language. funnel provides framework that enables assess their client’s emotional state respond with most appropriate strategic dialogic tools facilitate functioning across various settings contexts.

Language: Английский

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