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. 2024 Jan;50(1):e13205.
doi: 10.1111/cch.13205. Epub 2023 Dec 11.

Reflexive thematic analysis of a coaching-based, holistic approach to child development

Khushi Sehajpal  1 , Claire McCrostie  1 , Lucy Charles  2 , Arul Hamill  2 , Pio Terei  3 , James Hamill  4   5
Affiliations

Reflexive thematic analysis of a coaching-based, holistic approach to child development

Khushi Sehajpal et al. Child Care Health Dev. 2024 Jan.

Abstract

Background: The F-words Life Wheel (FWLW) approaches child development by hybridizing a holistic model in the F-words for Child Development, and a coaching model in Occupational Performance Coaching, along with a life-flow approach in the Kawa model. We report the impact of the FWLW as experienced by families.

Methods: This was a qualitative interview study of parents of children with developmental needs and experts in child development using reflexive thematic analysis.

Results: From 13 interviews, we developed three themes: 1) overwhelming, 2) power rebalance and 3) connectedness. The overwhelming theme addresses how life with developmental needs is challenging, engaging with the health and disability system is difficult and the focus on deficits can lead to a sense of being overwhelmed. The power rebalance theme addresses the transition from professionals calling the shots to giving agency to the child and family. Holistic goal setting empowers parents and children to direct and prioritize therapy, and helps shift from a deficit-focused to a 'can-do' attitude. The connectedness theme addresses the linkages between psychological health, physical health, the extended family and the planet as a whole.

Conclusions: The FWLW approach appears to be empowering and motivating for children and families.

Keywords: F-words; biopsychosocial model; child wellbeing; coaching; family-centred care.

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References

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