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Occupational Performance Coaching in Children: A Scoping Review
Zahra Morovati1, Saeid Fatorehchy1, Ebrahim Pishyareh2
1Department of Occupational Therapy, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Physical & Occupational Therapy in Pediatrics
|July 28, 2026
Summary
Occupational Performance Coaching (OPC) effectively improves occupational outcomes for children with neurodevelopmental conditions. This caregiver-mediated approach enhances child performance and parent well-being, showing cultural adaptability.
Area of Science:
- Occupational therapy
- Pediatric neurodevelopmental conditions
- Evidence synthesis
Background:
- Occupational Performance Coaching (OPC) is an intervention for children with neurodevelopmental conditions.
- Evidence on OPC's effectiveness, characteristics, and cultural adaptations needs synthesis.
Purpose of the Study:
- To map and synthesize evidence on OPC for children with neurodevelopmental conditions.
- To describe intervention characteristics and evaluate parent/child outcomes.
- To identify diagnostic and cultural patterns influencing OPC effectiveness.
Main Methods:
- Scoping review using Arksey and O'Malley framework and PRISMA-ScR guidelines.
- Searched seven databases for empirical studies of OPC in children aged 1-18.
- Narrative synthesis of intervention parameters, outcomes, and cultural adaptations.
Main Results:
- Twelve studies included children with autism spectrum disorder, cerebral palsy, ADHD, and learning disorders.
- OPC interventions (3-16 sessions) were culturally adaptable and delivered in various formats.
- All studies reported improved child occupational performance and goal attainment; parents reported increased self-efficacy and reduced stress.
Conclusions:
- OPC is a flexible, culturally adaptable, caregiver-mediated intervention for children's occupational outcomes.
- Findings support OPC as a key component of family-centered occupational therapy.
- Future research should examine mechanisms, long-term effects, and implementation strategies.
