Electronic Thesis and Dissertation Repository

Collaborative Coaching in Pediatric Rehabilitation: An Effectiveness-Implementation Study of the Applied Coaching Model

Zoe Daviault, The University of Western Ontario

Abstract

Learner-centered models have become more prevalent within early childhood interventions. However, it is still unclear which components are being implemented in clinical practice and if therapists are receiving the proper training to implement these strategies (Ward et al., 2020). The primary objective of this study is to evaluate the implementation outcomes of appropriateness, adoption, acceptability, and fidelity of a novel coaching intervention, the Applied Coaching Model (ACM), and practice support tool, the Applied Coaching Tool (ACT). An effectiveness-implementation Hybrid Type 1 design was used to gather information on the ACM and ACT delivery and implementation at the Early Childhood Rehabilitation Program associated with Alberta Health Services. This study demonstrates that the ACM and ACT meet the acceptability, appropriateness, adoption, and fidelity criteria of implementation within the pediatric rehabilitation context. These findings will provide the Alberta Children’s Hospital, Alberta Health Services, and other pediatric rehabilitation programs with confidence to create a larger implementation plan and expand training to all healthcare professionals providing care to children under the age of five years.