Occupational therapists’ and physiotherapists’ perceptions of implementing Occupational Performance Coaching

Graham, Fiona, Boland, Pauline, Ziviani, Jenny and Rodger, Sylvia (2017) Occupational therapists’ and physiotherapists’ perceptions of implementing Occupational Performance Coaching. Disability and Rehabilitation, 1-7. doi:10.1080/09638288.2017.1295474

Author Graham, Fiona
Boland, Pauline
Ziviani, Jenny
Rodger, Sylvia
Title Occupational therapists’ and physiotherapists’ perceptions of implementing Occupational Performance Coaching
Journal name Disability and Rehabilitation   Check publisher's open access policy
ISSN 1464-5165
Publication date 2017-03-13
Sub-type Article (original research)
DOI 10.1080/09638288.2017.1295474
Open Access Status Not yet assessed
Start page 1
End page 7
Total pages 7
Place of publication Abingdon, Oxfordshire, United Kingdom
Publisher Taylor & Francis
Language eng
Formatted abstract
Purpose: Occupational Performance Coaching (OPC) has been proposed as an intervention for working with caregivers towards achievement of goals for themselves and their children. Preliminary studies indicate the effectiveness of OPC; however, translation into practice requires an understanding of therapists’ perceptions of applying OPC in their service delivery settings. This study explored physio- and occupational-therapists’ experiences of using OPC and their perceptions of the contextual factors which influence its implementation.

Method: Interviews and a focus group were used to gather physio- (n = 4) and occupational- (n = 12) therapists’ perspectives of applying OPC in their work with caregivers of children with disabilities. Data were analysed thematically.

Results: One overarching theme and three major themes emerged. The overarching theme, “Listening better” pervaded all other themes. Three major themes, each with subthemes, were: (1) Sharing power, (2) Reprioritising processes, and (3) Liberating but challenging. Implementing OPC drew on skills that were familiar to therapists and aligned with existing values when working with families but challenged some aspects of their practice.

Conclusions: From physio- and occupational-therapists’ perspectives, OPC is applicable in a range of paediatric service environments. However, therapist and service-level flexibility appeared to be key contextual factors in adhering to intervention principles.

Implications for Rehabilitation: Occupational Performance Coaching (OPC) is a strengths-focused intervention in which caregiver engagement and active involvement is prioritised.Therapists reported distinct changes to the process of therapy and outcomes achieved following OPC training and implementation.Most therapists indicated that OPC enabled them to operationalisation person-centred principles to a greater extent which they perceived enhanced the way therapy was delivered and the benefit to services users.Some flexibility in service structures may be needed to implement OPC in the way it was intended.
Keyword Coaching
Family-centred practice
Occupational therapy
Paediatric rehabilitation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
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Created: Tue, 28 Mar 2017, 00:20:19 EST by Web Cron on behalf of Learning and Research Services (UQ Library)