Fidelity of Occupational Performance Coaching: Importance of Accuracy in Intervention Identification

Graham, Fiona; Ziviani, Jenny; Kennedy‐Behr, Ann; Kessler, Dorothy; Hui, Caroline

doi:10.1177/1539449217738926

Cited by 3 publications

(1 citation statement)

References 16 publications

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“…Therapists also faced some issues in using OPC in India such as with the degree of comfort with client-centered practice and the extent to which mothers were willing to be decision-makers and active participants in their therapy. This finding is consistent with the results of the study done by Graham and colleagues (2018).…”

Section: Discussionsupporting

confidence: 94%

Occupational Performance Coaching for Mothers of Children with Disabilities in India

Angelin¹,

Sugi²,

Rajendran³

2020

Can J Occup Ther

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Background. Occupational Performance Coaching (OPC) aims to help mothers plan and manage theirs and their children’s occupational performance. Purpose. To assess the effectiveness of OPC in improving occupational performance and parenting competence of mothers of children with disabilities in an Indian context. Methods. Mixed method design was used. Thirty-six mothers were assigned to intervention or control groups. Occupational performance and parenting competence were measured at three time points. Semi-structured interviews were used. Findings. OPC had significant effects on children’s occupational performance ( p < 0.001), mothers’ occupational performance ( p < 0.001), and self-competence ( p = 0.003). There was also a significant difference between control and intervention groups in occupational performance ( p = 0.001) and satisfaction ( p = 0.003). Interviews revealed three themes: acceptance, self-learning, and challenges during OPC. Implications. OPC is effective in improving the occupational performance and parenting competence of mothers of children with disabilities in varied cultural contexts.

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Section: Discussionsupporting

confidence: 94%

Occupational Performance Coaching for Mothers of Children with Disabilities in India

Angelin¹,

Sugi²,

Rajendran³

2020

Can J Occup Ther

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Coaching While Waiting for Autism Spectrum Disorder Assessment: Protocol of a Pilot Feasibility Study for a Randomized Controlled Trial on Occupational Performance Coaching and Service Navigation Support

Bernie¹,

Williams²,

Graham³

et al. 2021

JMIR Res Protoc

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Background In Australia, the average time between a first concern of autism spectrum disorder (ASD) and diagnosis is over 2 years. After referral for assessment, families often wait 6-12 months before their appointment. This can be a time of uncertainty and stress for families. For some families, other forms of assistance are not accessible and thus timely intervention opportunities are missed. There is little evidence about how to provide the best support for children or caregivers while on assessment waiting lists. Objective The aim of this study is to determine whether use of a coaching intervention called Occupational Performance Coaching (OPC) combined with service navigation support is feasible for families waiting for ASD assessment, as a crucial first step in planning a randomized controlled trial. Methods A pilot and feasibility study will be conducted using recommended constructs and associated measures, which will be reported using CONSORT (Consolidated Standards or Reporting Trials) guidance. Participants will be child and caregiver dyads or triads, recruited within 4 months of their child (aged 1-7 years) being referred to one of two services for an ASD assessment in Victoria, Australia. A blinded randomization procedure will be used to allocate participants to one of three trial arms: (1) coaching and support intervention delivered face to face, (2) coaching and support intervention via videoconference, and (3) usual care. Descriptive statistics will be used to describe the sample characteristics of parents and children, inclusive of service access at baseline and follow up. Recruitment rates will be reported, and retention rates will be evaluated against a predicted rate of 70%-80% in each intervention arm. Goal attainment, using the Canadian Occupational Performance Measure, will indicate preliminary evidence for efficacy within the intervention arms, with an increase of 2 or more points on a 10-point performance and satisfaction scale considered clinically significant. Results The study was approved by The Royal Children’s Hospital Research Ethics and Governance Department in September 2018. As of October 2020, 16 families have been recruited to the study. Data analysis is ongoing and results are expected to be published in 2021. Conclusions Study findings will support planning for a future randomized controlled trial to assess the efficacy of OPC and service navigation support for caregivers of children awaiting ASD assessment. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12620000164998; www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378793&isReview=true International Registered Report Identifier (IRRID) DERR1-10.2196/20011

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Coaching While Waiting for Autism Spectrum Disorder Assessment: Protocol of a Pilot Feasibility Study for a Randomized Controlled Trial on Occupational Performance Coaching and Service Navigation Support (Preprint)

Bernie¹,

Williams²,

Graham³

et al. 2020

Preprint

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BACKGROUND In Australia the average time between first concern of ASD and diagnosis is over 2 years. After referral for assessment families often wait six to twelve months before their appointment. This can be a time of uncertainty and stress for families. For some families other forms of assistance are not accessible and timely intervention opportunities are missed. There is little evidence about how to provide best support for children or caregivers whilst on assessment waiting lists. OBJECTIVE To determine whether use of a coaching intervention, called Occupational Performance Coaching (OPC), combined with service navigation support, is feasible for families waiting for ASD assessment, as a crucial first step in planning a randomised trial. METHODS A pilot and feasibility study will be conducted using recommended constructs and associated measures, and reported using CONSORT guidance. Participants will be recruited within four months of their child, aged one to seven years, being referred to one of two Victorian services for an ASD assessment. Participants will be randomised to one of three trial arms: (1) intervention delivered face-to-face, (2) intervention via telehealth, and (3) usual care. RESULTS Descriptive statistics will be used to describe the sample characteristics of parents and children. Recruitment rates will be reported, and retention rates evaluated against a predicted rate of 70-80% in each intervention arm. Goal attainment, using the Canadian Occupational Performance Measure, will indicate preliminary evidence for efficacy within the intervention arms, with an increase of two or more points on a 10-point performance and satisfaction scale considered clinically significant. CONCLUSIONS Study findings will support planning for a future randomised controlled trial to assess the efficacy of OPC and serviced navigation support for caregivers of children awaiting ASD assessment. CLINICALTRIAL Australia and New Zealand Clinical Trials Registry: ACTRN12620000164998; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378793

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Fidelity of Occupational Performance Coaching: Importance of Accuracy in Intervention Identification

Cited by 3 publications

References 16 publications

Occupational Performance Coaching for Mothers of Children with Disabilities in India

Occupational Performance Coaching for Mothers of Children with Disabilities in India

Coaching While Waiting for Autism Spectrum Disorder Assessment: Protocol of a Pilot Feasibility Study for a Randomized Controlled Trial on Occupational Performance Coaching and Service Navigation Support

Coaching While Waiting for Autism Spectrum Disorder Assessment: Protocol of a Pilot Feasibility Study for a Randomized Controlled Trial on Occupational Performance Coaching and Service Navigation Support (Preprint)

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