Coaching approaches in early intervention and paediatric rehabilitation.
Schirin Akhbari Ziegler, Mijna Hadders-Algra
PMID 32065385WHAT IT FOUND
Coaching in early intervention is not one method.
The review argues the word should mean collaborative, family-centred coaching, not parent training, and says therapists need more than 4 days of supported education to change how they work.
Key findings
01The term coaching covers approaches ranging from direct parent training to relationship-directed family-centred coaching.
02The authors recommend reserving coaching for relationship-directed, family-centred intervention and calling intervener-directed work parent training.
03Coaching is hard to implement because it changes the therapist's role, and education may need more than 4 days.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
No search strategy or appraisal method is reported, so it is not clear how the cited studies were chosen. The paper is a review, not a new trial, so it cannot establish whether coaching works or how much it works. The authors say they do not know which components of coaching produce positive results. The authors say they do not know whether coaching is effective only in specific types of family. The review discusses health care professionals generally and does not report discipline-specific outcomes for PT, OT, or SLP.
The easy way to misread this
Do not treat the review's positive statements about coaching as evidence that it works. It is a review, not a new trial, and the authors say understanding of the merits and difficulties of different forms of coaching is still insufficient.