'Ask someone, what is their Dreaming?': Exploring occupational performance coaching with service providers supporting Aboriginal and Torres Strait Islander families.
Laine B Chilman, Laura Burritt, Sharnna Duncan and 3 others
PMID 40990155WHAT IT FOUND
Staff said the word 'goal' in occupational performance coaching did not fit the Aboriginal and Torres Strait Islander families they work with.
They suggested framing plans around a family's Dreaming instead, which is ongoing, not something that ends. Building relationships over time came first.
Key findings
01Participants said talking about a family's Dreaming fitted the coaching idea of picturing a preferred future, but the word 'goal' did not, because goals sound like something that finishes.
02Participants described deliberately building trust with families and community over time, through things like walking through town and sitting with the community, before offering any expertise.
03Participants described their role as slowing down systems that move too fast for the families they work with.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Everyone came from one region and one large health service, and the authors say the findings should not be generalised to families in other parts of Australia. Only 12 of 47 eligible staff took part, and none of the families or communities were asked. The authors call for families' views in future work. No coaching was delivered and nothing was measured. The study records what service providers thought about whether the approach would fit, not what it does. The authors acknowledge that blending Indigenous and non-Indigenous research methods needs careful reflection about positionality and interpretation. By design, quotes are not linked to any demographic details and no pseudonyms are used, so a reader cannot tell which participant said what.
Declared interests
The authors declare no conflict of interest. The work was funded by a University of the Sunshine Coast grant. University and health service authors were involved in all stages of the study, including the design, the analysis, and writing and editing the manuscript.
The easy way to misread this
Do not read this as evidence that occupational performance coaching works with Aboriginal and Torres Strait Islander families. No coaching was delivered and no family was asked. Twelve staff at one Queensland health service gave their views on whether the approach would fit, and the authors themselves say families' perspectives are needed before it is used more widely.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →