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

Area of Science:

• Rehabilitation science
• Occupational therapy
• Physiotherapy

Background:

• Occupational Performance Coaching (OPC) is a proposed intervention for caregivers to achieve goals for themselves and their children.
• Preliminary studies suggest OPC's effectiveness, but therapist perceptions of its implementation in practice are needed.
• Understanding contextual factors influencing OPC adoption is crucial for its successful integration into service delivery.

Purpose of the Study:

• To explore physiotherapists' and occupational therapists' experiences using OPC with caregivers of children with disabilities.
• To identify therapists' perceptions of contextual factors influencing OPC implementation in their practice.
• To understand how OPC impacts therapists' service delivery and perceived outcomes.

Main Methods:

• Qualitative study involving interviews and a focus group with physiotherapists (n=4) and occupational therapists (n=12).
• Thematic analysis was used to analyze data from therapists' perspectives on applying OPC.
• Explored therapists' experiences and perceptions of contextual factors affecting OPC implementation.

Main Results:

• The overarching theme was 'Listening better,' supported by three major themes: 'Sharing power,' 'Reprioritising processes,' and 'Liberating but challenging.'
• Implementing OPC utilized familiar therapist skills and aligned with existing values, yet challenged some practice aspects.
• Therapists reported changes in therapy processes and outcomes, with OPC enhancing person-centered care delivery.

Conclusions:

• Occupational Performance Coaching (OPC) is applicable across various pediatric service settings.
• Therapist and service-level flexibility are key contextual factors for adhering to OPC principles.
• OPC enables greater operationalization of person-centered principles, enhancing therapy delivery and service user benefits, though service structure flexibility may be required.