Strategies Identified as Effective by Mothers During Occupational Performance Coaching

Graham, Fiona, Rodger, Sylvia, Ziviani, Jenny and Jones, Virginia (2015) Strategies Identified as Effective by Mothers During Occupational Performance Coaching. Physical and Occupational Therapy in Pediatrics, 1-13. doi:10.3109/01942638.2015.1101043

Author Graham, Fiona
Rodger, Sylvia
Ziviani, Jenny
Jones, Virginia
Title Strategies Identified as Effective by Mothers During Occupational Performance Coaching
Journal name Physical and Occupational Therapy in Pediatrics   Check publisher's open access policy
ISSN 1541-3144
Publication date 2015-12-07
Year available 2015
Sub-type Article (original research)
DOI 10.3109/01942638.2015.1101043
Open Access Status Not yet assessed
Start page 1
End page 13
Total pages 13
Place of publication Philadelphia, PA, United States
Publisher Taylor & Francis
Language eng
Formatted abstract
Aims: This study examined strategies mothers reported as effective in facilitating children's successful performance in activities they identified as goals during Occupational Performance Coaching (OPC).

Methods: Twenty-nine mothers of children with occupational performance issues engaged in OPC. A random sample of 44 /157 (28%) coaching sessions were video-recorded from which the audio recording was analyzed using a general inductive approach to explore the nature of strategies reported as effective by mothers.

Results: Two major themes emerged: (1) Context-focused; or (2) Child-focused. Context-focused strategies were characterized by mothers’ actions that made the performance context more conducive to children's success. The emphasis of mothers’ intention in Context-focused strategies was achievement of the task with minimal stress. Context-focused strategies included subthemes of Adjust Manner, Create Distance, Add Structure and Routine, and Teach. Child-focused strategies required higher levels of engagement with children in the application of strategies and were focused on children's skill development. Subthemes included Collaboration and Offer Choice.

Conclusions: Mothers engaged in coaching identified strategies which they found supported children's performance, attesting to the existing capacity of mothers in identifying and evaluating effective ways of enhancing children's performance. Findings suggest the potential of coaching as a capacity-building, context-based intervention to improve children's performance.
Keyword Autonomy
Family-centered care
Occupational therapy
Pediatric rehabilitation
Qualitative study
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
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