Solution Focused Coaching Strategy Within a Paediatric Multidisciplinary Neuromuscular Clinic

February 15, 2019 updated by: Holland Bloorview Kids Rehabilitation Hospital

Implementation and Evaluation of Solution Focused Coaching Strategy Within a Paediatric Multidisciplinary Neuromuscular Clinic

The purpose of this study is to implement Solution Focused Coaching in pediatric rehabilitation (SFC-peds) within the multidisciplinary neuromuscular clinic at Holland Bloorview Kids Rehabilitation Hospital and evaluate its effect on children's ability to set and attain personally meaningful goals. A secondary goal is to determine the impact of SFC-peds on self-determination in children with neuromuscular conditions. This study aims to compare two methods of SCF-peds delivery, a single coaching session vs. intensive coaching (5 sessions) on goal attainment. This study will also help researchers and clinicians understand the types of goals that are set by children with neuromuscular conditions. Lastly, this study is going to explore with the participants their perception of the feasibility of using this methodology within a clinical context.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

Nationally, standards of care have been published for paediatric neuromuscular (NM) conditions to optimize care, improve quality of life and increase life span. Children with NM conditions are followed in regional multidisciplinary clinics in Ontario and across Canada. At each visit they can be seen by 8 health care providers each focusing on and making recommendations for the different aspects of their care. Currently, there are no evidenced based interventions for children with NM conditions evaluating the ability of children to set and attain their care goals and/or other personally meaningful goals.

Self-determination is defined as the ability to "use skills, knowledge and beliefs that enable a person to engage in goal directed, self-regulated, autonomous behavior." The development of self-determination is a process that begins in childhood. Solution Focused Coaching (SFC) is a strengths- based, client-centered approach to service delivery that supports clients to build on their existing capacity to move closer to meaningful goals. This study will evaluate the impact of SFC on goal setting, achievement and self determination in children with NM conditions.

Study Type

Interventional

Enrollment (Anticipated)

40

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

10 years to 18 years (Child, Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • child has a primary NM diagnosis
  • child ages 10-18 years
  • child able to converse orally in English
  • child has a willingness to engage in the coaching intervention
  • child is aware that they have a neuromuscular condition
  • child is followed clinically in the Neuromuscular Clinic at Holland Bloorview Kids Rehabilitation Hospital at 4-6 month intervals
  • child has internet access at home and a device to connect to the internet with a camera
  • child is able to demonstrate capacity to consent
  • parent is able to read and write in English

Exclusion Criteria:

-child has a moderate to severe intellectual disability

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Intensive Solution Focused Coaching
Participants will engage in 5 solution focused coaching sessions, each up to 60 minutes in duration
Behavioral: Intensive Solution Focused Coaching
Intensive SFC is an approach that uses strategic questioning to help the client envision what they would like to be different and how they will take action towards achieving their goals.
Active Comparator: Solution Focused Coaching
Participants will engage in 1 solution focused coaching session up to 60 minutes in duration
Behavioral: Solution Focused Coaching
SFC is an approach that uses strategic questioning to help the client envision what they would like to be different and how they will take action towards achieving their goals.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Change on Canadian Occupational Performance Measure (COPM)
Time Frame: Week 0 and Week 14
Week 0 and Week 14
Change on Goal Attainment Scaling (GAS)
Time Frame: Week 0 and Week 14
Week 0 and Week 14

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
American Research Council's Self Determination Scale (ARC SDS)
Time Frame: Week 0 and Week 14
Week 0 and Week 14
Solution-Focused Fidelity Instrument (SFFI)
Time Frame: Weeks: 2, 3, 4, 6, 10 and 14
Done after each coaching session
Weeks: 2, 3, 4, 6, 10 and 14
Thematic Analysis of Interview Questions Exploring Solution Focused Coaching Process
Time Frame: Week 14
Week 14

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Holland Bloorview Kids Rehabilitation Hospital

Collaborators

AHSC AFP Innovation Fund- Ontario Government

Investigators

  • Principal Investigator: Laura McAdam, MD, Holland Bloorview Kids Rehabilitation Hospital

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2017

Primary Completion (Anticipated)

November 1, 2019

Study Completion (Anticipated)

November 1, 2019

Study Registration Dates

First Submitted

November 30, 2016

First Submitted That Met QC Criteria

December 15, 2016

First Posted (Estimate)

December 20, 2016

Study Record Updates

Last Update Posted (Actual)

February 18, 2019

Last Update Submitted That Met QC Criteria

February 15, 2019

Last Verified

July 1, 2018

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 16-651

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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