Comparing three coaching approaches in pediatric rehabilitation : contexts, outcomes, and mechanisms

King, Gillian; Graham, Fiona; Akhbari Ziegler, Schirin

doi:10.1080/09638288.2023.2229731

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Comparing three coaching approaches in pediatric rehabilitation : contexts, outcomes, and mechanisms
Authors:	King, Gillian Graham, Fiona Akhbari Ziegler, Schirin
et. al:	No
DOI:	10.1080/09638288.2023.2229731
Published in:	Disability and Rehabilitation
Issue Date:	29-Jun-2023
Publisher / Ed. Institution:	Taylor & Francis
ISSN:	0963-8288 1464-5165
Language:	English
Subjects:	COPCA; Capacity building; OPC; SFC-peds; Empowerment; Engagement; Goal attainment
Subject (DDC):	615.82: Physical therapy 618.92: Pediatrics
Abstract:	Purpose: This Perspectives paper advances understanding of coaching in pediatric rehabilitation. We compare three coaching approaches designed for pediatric rehabilitation: Coping with and Caring for Infants with Special Needs (COPCA), Occupational Performance Coaching (OPC), and Solution-Focused Coaching in Pediatric Rehabilitation (SFC-peds). Objectives: Our objectives are to contrast the theory underpinning the approaches, discuss the evidence for outcomes and hypothesized mechanisms of change, consider the necessary mindsets of effective coaches, and propose directions for research and practice. Summary: The coaching approaches have different theoretical bases and are designed for specific contexts, yet are similar in their mechanisms of change and intended outcomes. There is growing evidence of important effects of coaching on coachees’ goal achievement, empowerment, and capacity building. Studies indicate that stakeholders value coaching, and provide a preliminary understanding of the mechanisms, including engagement and self-efficacy, by which coaching approaches support clients’ self-directed and sustained change. Open, curious, and client centered practitioner mindsets are fundamental to effective coaching. Conclusions: Coaching is a distinctive group of relational, goal-oriented, and evidence-based approaches that support goal achievement and empowerment. These approaches reflect and advance an ongoing paradigm shift in pediatric rehabilitation—a movement from therapist-as-expert approaches to those that build empowerment and capacity.
Further description:	Implications for Rehabilitation: • Coaching is a distinctive group of theory-based approaches that support clients’ goal achievement and empowerment, and build capacity • Coaching practitioners are collaborative facilitators who assist clients and families with their own discovery of solutions that fit their everyday contexts • The evidence suggests that coaching triggers engagement and self-efficacy, which are the mechanisms by which changes in longer-term outcomes occur • Open, curious, and client/family-centered practitioner mindsets are fundamental to effective coaching
URI:	https://digitalcollection.zhaw.ch/handle/11475/28300
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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King, G., Graham, F., & Akhbari Ziegler, S. (2023). Comparing three coaching approaches in pediatric rehabilitation : contexts, outcomes, and mechanisms. Disability and Rehabilitation. https://doi.org/10.1080/09638288.2023.2229731

King, G., Graham, F. and Akhbari Ziegler, S. (2023) ‘Comparing three coaching approaches in pediatric rehabilitation : contexts, outcomes, and mechanisms’, Disability and Rehabilitation [Preprint]. Available at: https://doi.org/10.1080/09638288.2023.2229731.

G. King, F. Graham, and S. Akhbari Ziegler, “Comparing three coaching approaches in pediatric rehabilitation : contexts, outcomes, and mechanisms,” Disability and Rehabilitation, Jun. 2023, doi: 10.1080/09638288.2023.2229731.

KING, Gillian, Fiona GRAHAM und Schirin AKHBARI ZIEGLER, 2023. Comparing three coaching approaches in pediatric rehabilitation : contexts, outcomes, and mechanisms. Disability and Rehabilitation. 29 Juni 2023. DOI 10.1080/09638288.2023.2229731

King, Gillian, Fiona Graham, and Schirin Akhbari Ziegler. 2023. “Comparing Three Coaching Approaches in Pediatric Rehabilitation : Contexts, Outcomes, and Mechanisms.” Disability and Rehabilitation, June. https://doi.org/10.1080/09638288.2023.2229731.

King, Gillian, et al. “Comparing Three Coaching Approaches in Pediatric Rehabilitation : Contexts, Outcomes, and Mechanisms.” Disability and Rehabilitation, June 2023, https://doi.org/10.1080/09638288.2023.2229731.