King Gillian, Schwellnus Heidi, Servais Michelle, Baldwin Patricia
a Bloorview Research Institute and Department of Occupational Science and Occupational Therapy , University of Toronto , Toronto , Ontario , Canada.
b Holland Bloorview Kids Rehabilitation Hospital , Toronto , Ontario , Canada.
Phys Occup Ther Pediatr. 2019;39(1):16-32. doi: 10.1080/01942638.2017.1379457. Epub 2017 Oct 23.
A qualitative study was conducted to investigate family experiences and outcomes of Solution-Focused Coaching in pediatric rehabilitation (SFC-peds).
Two interviews (5 months apart) were conducted with nine sets of family members who had received SFC-peds, within the past 6 months, from therapists with 3-10 years of experience using the approach. Transcripts were analyzed using thematic analysis and a phenomenological approach.
Participants experienced a goal-oriented collaborative process, high engagement, enhanced capacity and community participation, and empowered mindsets. The therapy process was seen as a collaborative solution-focused conversation, situated in the client's world, and involving individualized and co-created goals and plans. SFC-peds provided families with a supportive, structured, and paced goal-setting process. Reported enhancements to capacity included child/youth skill development, enhanced parent skills, enhanced parent knowledge of their child and options, and changes in parenting. Increased community participation was also reported. Empowered mindsets involved increased confidence, increased self-efficacy and self-determination, and broadened perspectives and expectations.
The study provides evidence for the utility of SFC-peds and the importance of engaging families in a goal-oriented collaborative process. Implications concern greater understanding of transactional dynamics in therapy and real-world client change, and the need to develop measures of client/family resiliency.
开展一项定性研究，以调查儿童康复中聚焦解决方案辅导（SFC - peds）的家庭体验及结果。
对过去6个月内接受过SFC - peds的9组家庭成员进行了两次访谈（间隔5个月），访谈者为使用该方法3至10年的治疗师。使用主题分析和现象学方法对访谈记录进行分析。
参与者经历了一个以目标为导向的协作过程、高度参与、能力增强和社区参与增加，以及心态得到强化。治疗过程被视为一场以协作解决问题为重点的对话，基于客户的世界，涉及个性化且共同制定的目标和计划。SFC - peds为家庭提供了一个支持性、结构化且有节奏的目标设定过程。报告的能力增强包括儿童/青少年技能发展、家长技能提高、家长对孩子及选择的了解增加，以及育儿方式的改变。还报告了社区参与的增加。心态得到强化包括信心增强、自我效能感和自我决定能力提高，以及观点和期望的拓宽。
该研究为SFC - peds的效用以及让家庭参与以目标为导向的协作过程的重要性提供了证据。其意义在于更深入理解治疗中的交互动态和现实世界中客户的改变，以及开发客户/家庭复原力测量方法的必要性。
