Occupational Performance Coaching for Mothers of Children with Disabilities in India

Abstract

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.

Randomized controlled trial of occupation performance coaching for families of children with autism spectrum disorder by means of telerehabilitation

“…One of the areas in which telerehabilitation can be used is coaching in parents of children with ASD. Coaching has attracted considerable interest as a strategy for working with parents and children with disabilities (Ahmadi Kahjoogh et al, 2019; Angelin et al, 2021; Graham et al, 2013). It has been recommended as an evidence-based intervention that involves parents of children in pediatric rehabilitation (Chien et al, 2020).…”

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

“…OPC is a function-focused coaching approach where participants are supported to develop and implement strategies in the context of self-identified participatory goals (Graham et al, 2020 ). The approach has been used with a variety of populations, including parents of children with disabilities (Angelin et al, 2021 ; Graham et al, 2020 ; Kessler et al, 2017 ). Goal-directed coaching has been delivered via face-to-face (f2f) and telehealth or videoconference modalities with reported success (Boisvert et al, 2010 ; Little et al, 2018 ; Ward et al, 2019 ).…”

Occupational Performance Coaching With Parents to Promote Community Participation of Young Children With Developmental Disabilities: Protocol for a Feasibility and Pilot Randomized Control Trial

“…The OPC is a familycentered, goal-directed, and ecologically oriented intervention through coaching parents (33) and, therefore, it is possible to address children's participation difficulties through OPC. Despite an increasing number of studies of OPC (35)(36)(37)(38)(39)42), there is a lack of high quality evidence on its effect specific to community participation. Community participation is not the primary focus of current early intervention services in Hong Kong.…”

“…The results of the proposed pilot RCT will shed light on the potential mechanism of action; that is, parents' selfdetermination derived from satisfaction of three psychological needs of autonomy, competence, and relatedness. Among the three needs, parents' increased competence has been identified in most studies examining the effect of OPC (35,37,39,42). By contrast, the needs for autonomy and relatedness were seldom studied.…”

“…OPC has been shown to be potentially effective in increasing children's participation in various life situations (35)(36)(37)(38)(39). One of the first studies was an exploratory case study in Australia (36), in which three mothers of 5-to 9-year-old children experiencing difficulties in adaptive skills participated in 10 OPC sessions.…”