Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada.
Bloorview Research Institute, Toronto, Ontario, Canada.
Phys Occup Ther Pediatr. 2020;40(4):423-440. doi: 10.1080/01942638.2020.1711841. Epub 2020 Jan 15.
The ultimate goal of therapeutic intervention is meaningful participation in one's world. For people with Cerebral Palsy (CP), limitations can often become a focus of care. Our purpose was to investigate the impact of a Solution-Focused Coaching intervention designed for pediatric rehabilitation (SFC-peds) on the attainment of participation goals for children/youth with CP. Twelve participants participated in a repeated measures quantitative study and in qualitative interviews. Children and youth (ages 6-19) and their families participated in three to five coaching sessions, including an initial baseline goal setting session, with one additional follow-up session as well as the qualitative interviews. The Canadian Occupational Performance Measure and Goal Attainment Scaling were incorporated into initial coaching sessions and then re-administered by a blind assessor within one month post-intervention. Qualitative interviews were conducted at this time. Statistically significant improvements were found in goal performance, satisfaction, and attainment. Interview data included consideration of both the content of the intervention ( the practitioner is doing) and the unique SFC-peds process ( the client feels about the intervention). SFC-peds may present an effective approach for working with children/youth with CP to achieve self-selected participation-oriented goals in a relatively short time-period.
治疗干预的最终目标是有意义地参与自己的世界。对于脑瘫（CP）患者来说，限制往往会成为关注的焦点。我们的目的是研究为儿科康复设计的以问题解决为导向的辅导干预（SFC-peds）对实现脑瘫儿童/青少年参与目标的影响。12 名参与者参加了一项重复测量的定量研究和定性访谈。儿童和青少年（6-19 岁）及其家庭参加了三到五次辅导课程，包括初始基线目标设定课程，以及另外一次后续课程和定性访谈。加拿大职业表现测量和目标实现量表被纳入初始辅导课程，并在干预后一个月内由盲评员重新进行评估。此时进行了定性访谈。在目标表现、满意度和实现方面都发现了显著的改善。访谈数据包括对干预内容（从业者正在做的事情）和独特的 SFC-peds 过程（客户对干预的感受）的考虑。SFC-peds 可能是一种有效的方法，可以在相对较短的时间内帮助脑瘫儿童/青少年实现自我选择的以参与为导向的目标。
