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

• Published in: Canadian journal of occupational therapy (1939) Vol. 91; no. 1; pp. 4 - 16
• Main Authors: Graham, Fiona P., Williman, Jonathan A., Desha, Laura N., Snell, Deborah, Jones, Bernadette, Ingham, Tristram R., Latu, Anna, Maggo, Jasjot K., Ranta, Annemarei, Ziviani, Jenny
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01-03-2024
• Subjects: Original; développement de l’enfant; recherche translationnelle; Translational research; Child development; Autodétermination; classification internationale du fonctionnement, du handicap et de la santé; Neurodisability; International classification of functioning-disability and health; Self-determination; handicaps neurologiques
• ISSN: 0008-4174; 1911-9828
• DOI: 10.1177/00084174231160976

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.