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. 2024 Mar;91(1):4-16.
doi: 10.1177/00084174231160976. Epub 2023 Mar 15.

Occupational Performance Coaching for Children With Neurodisability: A Randomized Controlled Trial Protocol

Fiona P Graham, Jonathan A Williman, Laura N Desha, Deborah Snell, Bernadette Jones, Tristram R Ingham, Anna Latu, Jasjot K Maggo, Annemarei Ranta, Jenny Ziviani

Occupational Performance Coaching for Children With Neurodisability: A Randomized Controlled Trial Protocol

Fiona P Graham et al. Can J Occup Ther. 2024 Mar.

Abstract
in English, French

Background. Occupational Performance Coaching (OPC) is a goal-oriented approach in which client agency takes precedence in goal selection, analysis, choice of action, and evaluation of success. The intended outcomes of OPC are improved occupational performance and participation in clients' life situations. Randomized clinical trials are needed to determine the effectiveness of OPC. Purpose. This study protocol outlines a randomized controlled trial (RCT) of OPC compared to usual care with caregivers of children with neurodisability in improving child, caregiver, and family occupational performance. Method. A single-blind, 2-arm parallel-group, cluster RCT of OPC compared to usual care is planned. Therapists delivering the intervention (N = 14) are randomized to "OPC training" or "usual care" groups. The primary outcome is occupational performance improvement in caregiver (N = 84) identified goals. Implications. Findings will provide translational evidence of the effectiveness of OPC and clarify intervention processes. Areas of future OPC research and development will be indicated.

Description. Le coaching en rendement occupationnel (CRO) est une approche axée sur les objectifs à atteindre dans laquelle l’agentivité de la clientèle joue un rôle prédominant dans la sélection des objectifs, l’analyse, le choix des actions et l’évaluation du succès. Les résultats attendus du CRO sont l’amélioration du rendement occupationnel et de la participation aux activités de la vie de la personne. Des essais cliniques randomisés sont nécessaires pour déterminer l’efficacité du CRO. But. Ce protocole de recherche décrit un essai clinique randomisé réalisé auprès des aidants d’enfants ayant une expérience du handicap neurologique et comparant les résultats du CRO avec ceux des soins habituels pour l’amélioration du rendement occupationnel de l’enfant, du proche aidant et de la famille. Méthodologie. Un essai clinique randomisé en grappe, en simple aveugle et à deux groupes parallèles comparant le CRO aux soins habituels est prévu. Les thérapeutes chargés de l’intervention (N = 14) sont répartis aléatoirement dans les groupes « formation CRO » ou « soins habituels ». Le résultat primaire est l’amélioration du rendement occupationnel dans les objectifs identifiés par les aidants (N = 84). Conséquences. Les résultats fourniront des preuves translationnelles de l’efficacité du CRO et clarifieront les processus d’intervention. Les domaines de recherche et de développement futurs du CRO seront indiqués.

Keywords: Autodétermination; Child development; International classification of functioning-disability and health; Neurodisability; Self-determination; Translational research; classification internationale du fonctionnement, du handicap et de la santé; développement de l’enfant; handicaps neurologiques; recherche translationnelle.

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Figures

Figure 1.
Figure 1.
MANA study flowchart. The study population and handling were consistent with the CONsolidated Standards of Reporting Trials (CONSORT).
Figure 2.
Figure 2.
Collaborative Performance Coaching is a unique analytical technique within Occupational Performance Coaching (OPC).
See this image and copyright information in PMC

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