Coaching in early physical therapy intervention: the COPCA program as an example of translation of theory into practice

Abstract

Background: Coaching is en vogue in pediatric physiotherapy, but often applied rather unspecific and undefined. Methods: This paper aims to describe coaching in early physiotherapy intervention, taking the specific coaching approach of the family-centered program "COPing with and CAring for infants with special needs" (COPCA) as a case in point. Results: The theoretical underpinnings of coaching in COPCA, including a meta-model, family-centered practice, the Neuronal Group Selection Theory and the goal-oriented coaching approach, are discussed. Next, the translation of theory into practical ingredients for coaching of families of a child with special needs is presented. The latter includes the appreciation of family autonomy and attitudes, and the creativity to ask specific questions to support the families in making their own decisions to promote their child's development during daily care-giving routines. Conclusion: It is concluded that the approach of coaching is demanding for both families and pediatric physiotherapists. It requires an active role of the family members in the intervention process and for therapists that they incorporate the attitude of a coach that largely differs from the attitude of the traditional therapist. For families and pediatric physiotherapists appreciating these changes in attitude, COPCA's coaching offers a promising form of early intervention. Implications for rehabilitation We recommend the implementation of the promising approach of goal-oriented and solution-focused coaching in pediatric rehabilitation and/or early intervention. We recommend applying coaching methods that are based on explicit theoretical background and clinical knowledge. We recommend formal training in coaching before professionals apply coaching in pediatric rehabilitation and/or early intervention.

Keywords: COPCA; Neuronal Group Selection Theory; coaching; early intervention; family-centered practice; pediatric physiotherapy.