Frontiers in Pediatrics | |
BRIGHT Coaching: A Randomized Controlled Trial on the Effectiveness of a Developmental Coach System to Empower Families of Children With Emerging Developmental Delay | |
article | |
Annette Majnemer1  Ana Hanlon-Dearman3  Jillian Helen Filliter4  Lucyna Lach6  Theresa McElroy7  Patrick McGrath4  William McKellin9  Anton Miller1,11  Hema Patel2  Gina Rempel3  Michael Shevell2  Maureen O'Donnell1,13  Kristy Wittmeier3  Tatiana Ogourtsova1  Bahar Kasaai2  Marilyn Ballantyne1,16  Eyal Cohen1,17  Jean-Paul Collet1,13  Tammie Dewan1,18  Mayada Elsabbagh2  | |
[1] Faculty of Medicine, School of Physical and Occupational Therapy, McGill University;Montreal Children's Hospital, Research Institute of the McGill University Health Center;Department of Pediatrics and Child Health, University of Manitoba;IWK Health Centre;Department of Pediatrics, Dalhousie University;McGill University Health Centre;Child-Health BC;Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia;Rare Disease Foundation;Department of Anthropology, University of British Columbia;Child and Family Research Institute;Children's Hospital Winnipeg;Department of Pediatrics, Faculty of Medicine, University of British Columbia;Winnipeg Health Sciences Centre;Children's Hospital Research Institute of Manitoba;Holland Bloorview Kids Rehabilitation Hospital;Hospital for Sick Children;BC Children's Hospital | |
关键词: health coaching; coaching; childhood disability; parents; family; developmental delay; | |
DOI : 10.3389/fped.2019.00332 | |
学科分类:社会科学、人文和艺术(综合) | |
来源: Frontiers | |
【 摘 要 】
Background: In preschool-aged children with, or at elevated risk for, developmental disabilities, challenges and needs arise from vulnerabilities linked to critical and newly emerging cognitive, speech, motor, behavioral, and social skills. For families, this can be a stressful period as they witness the gradual unfolding of their child's differences and await to receive care. Nationally and internationally, service delivery models during this critical period are not standardized nor are they nimble or sufficient enough, leading to long wait times, service gaps and duplications. Given these struggles, there is a need to examine whether “health coaching”, a structured educational program that is deliverable by different and more accessible means, can be effective in empowering families, by delivering information, providing social supports, and decreasing the demands on the overwhelmed health and developmental services. The primary objective is to evaluate the feasibility and the effectiveness of a coaching intervention (in comparison to usual and locally available care), for parents of children with emerging developmental delays. Method/Design: A multi-centered pragmatic randomized controlled trial design will be used. Families will be recruited from a representative sample of those awaiting publicly-funded regional child health services for children with developmental delays in four Canadian provinces. The target sample size is 392 families with children aged 1.5 to 4.5 years at recruitment date. Families will be randomly assigned to receive either the BRIGHT Coaching intervention (coach supported, hardcopy and online self-managed educational resources: 14 sessions, 2 sessions every 4 weeks for 6–9 months) or usual care that is locally available. In addition to the feasibility and acceptability measures, outcomes related to family empowerment, parental satisfaction and efficacy with caregiver competency will be evaluated at baseline, post-treatment (8 months), and follow-up (12 months). Discussion: This manuscript presents the background information, design, description of the interventions and of the protocol for the randomized controlled trial on the effectiveness of BRIGHT Coaching intervention for families of children with emerging developmental delays. Trial Registration:ClinicalTrials.gov , U.S. National Library of Medicine, National Institutes of Health # {"type":"clinical-trial","attrs":{"text":"NCT03880383","term_id":"NCT03880383"}} NCT03880383 , 03/15/2019. Retrospectively registered.
【 授权许可】
CC BY
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