A Solution-Focused Coaching Intervention with Children and Youth with Cerebral Palsy to Achieve Participation-Oriented Goals. (3rd July 2020)

• Record Type: Journal Article
• Authors: Schwellnus, Heidi; King, Gillian; Baldwin, Patricia; Keenan, Sarah; Hartman, Laura R.
• Is Part Of: Physical & occupational therapy in pediatrics. Volume 40:Number 4(2020)
• Page Start: 423
• Page End: 440
• Publication Date: 2020-07-03
• Subjects: Cerebral palsy -- coaching -- multiple methods -- pediatric rehabilitation -- solution focused; Physical therapy for children -- Periodicals; Occupational therapy for children -- Periodicals; Child development deviations -- Periodicals; 615.82083
• DOI: 10.1080/01942638.2020.1711841
• Languages: English
• ISSNs: 0194-2638

Abstract

Abstract: Background: The ultimate goal of therapeutic intervention is meaningful participation in one's world. For people with Cerebral Palsy (CP), limitations can often become a focus of care. Aim: Our purpose was to investigate the impact of a Solution-Focused Coaching intervention designed for pediatric rehabilitation (SFC-peds) on the attainment of participation goals for children/youth with CP. Method: Twelve participants participated in a repeated measures quantitative study and in qualitative interviews. Children and youth (ages 6-19) and their families participated in three to five coaching sessions, including an initial baseline goal setting session, with one additional follow-up session as well as the qualitative interviews. The Canadian Occupational Performance Measure and Goal Attainment Scaling were incorporated into initial coaching sessions and then re-administered by a blind assessor within one month post-intervention. Qualitative interviews were conducted at this time. Results: Statistically significant improvements were found in goal performance, satisfaction, and attainment. Interview data included consideration of both the content of the intervention ( what the practitioner is doing) and the unique SFC-peds process ( how the client feels about the intervention). Conclusions: SFC-peds may present an effective approach for working with children/youth with CP to achieve self-selected participation-oriented goals in a relatively short time-period.