Pediatric tele-coaching fidelity evaluation: Feasibility, perceived satisfaction and usefulness of a new measure
BackgroundTo promote and ensure coaches' fidelity in delivering an online health coaching program to parents of children with suspected developmental delay, we developed and implemented a novel coaching fidelity rating tool, CO-FIDEL (COaches Fidelity in Intervention DELivery). We aimed to (1)...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Rehabilitation Sciences |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fresc.2023.1057641/full |
| _version_ | 1797901812572880896 |
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| author | Tatiana Ogourtsova Tatiana Ogourtsova Tatiana Ogourtsova Annette Majnemer Annette Majnemer Annette Majnemer Amelie Brown Helen Jillian Filliter Helen Jillian Filliter Kristy Wittmeier Kristy Wittmeier Kristy Wittmeier Jessica Hanson Jessica Hanson Jessica Hanson Maureen O’Donnell Maureen O’Donnell |
| author_facet | Tatiana Ogourtsova Tatiana Ogourtsova Tatiana Ogourtsova Annette Majnemer Annette Majnemer Annette Majnemer Amelie Brown Helen Jillian Filliter Helen Jillian Filliter Kristy Wittmeier Kristy Wittmeier Kristy Wittmeier Jessica Hanson Jessica Hanson Jessica Hanson Maureen O’Donnell Maureen O’Donnell |
| author_sort | Tatiana Ogourtsova |
| collection | DOAJ |
| description | BackgroundTo promote and ensure coaches' fidelity in delivering an online health coaching program to parents of children with suspected developmental delay, we developed and implemented a novel coaching fidelity rating tool, CO-FIDEL (COaches Fidelity in Intervention DELivery). We aimed to (1) Demonstrate CO-FIDEL's feasibility in evaluating coaches' fidelity and its change over time; and (2) Explore coaches' satisfaction with and usefulness of the tool.MethodsIn an observational study design, coaches (n = 4) were assessed using the CO-FIDEL following each coaching session (n = 13–14 sessions/parent-participant) during the pilot phase of a large randomized clinical trial involving eleven (n = 11) parent-participants. Outcome measures included subsections' fidelity measures, overall coaching fidelity, and coaching fidelity changes over time analyzed using descriptive and non-parametric statistics. In addition, using a four-point Likert Scale and open-ended questions, coaches were surveyed on their satisfaction and preference levels, as well as facilitators, barriers, and impacts related to the use of CO-FIDEL. These were analyzed using descriptive statistics and content analysis.ResultsOne hundred and thirty-nine (n = 139) coaching sessions were evaluated with the CO-FIDEL. On average, overall fidelity was high (88.0 ± 6.3 to 99.5 ± 0.8%). Four coaching sessions were needed to achieve and maintain a ≥ 85.0% fidelity in all four sections of the tool. Two coaches showed significant improvements in their coaching skills over time in some of the CO-FIDEL sections (Coach B/Section 1/between parent-participant B1 and B3: 89.9 ± 4.6 vs. 98.5 ± 2.6, Z = −2.74, p = 0.00596; Coach C/Section 4/between parent-participant C1 and C2: 82.4 ± 7.5 vs. 89.1 ± 4.1, Z = −2.66; p = 0.00758), and in overall fidelity (Coach C, between parent-participant C1 and C2: 88.67 ± 6.32 vs. 94.53 ± 1.23, Z = −2.66; p = 0. 00758). Coaches mainly reported moderate-high satisfaction with and usefulness of the tool, and pointed out areas of improvement (e.g., ceiling effect, missing elements).ConclusionsA new tool ascertaining coaches' fidelity was developed, applied, and shown to be feasible. Future research should address the identified challenges and examine the psychometric properties of the CO-FIDEL. |
| first_indexed | 2024-04-10T09:07:51Z |
| format | Article |
| id | doaj.art-919f5dfcb00e4a01835194cdf9ccf5f6 |
| institution | Directory Open Access Journal |
| issn | 2673-6861 |
| language | English |
| last_indexed | 2024-04-10T09:07:51Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Rehabilitation Sciences |
| spelling | doaj.art-919f5dfcb00e4a01835194cdf9ccf5f62023-02-21T05:49:34ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612023-02-01410.3389/fresc.2023.10576411057641Pediatric tele-coaching fidelity evaluation: Feasibility, perceived satisfaction and usefulness of a new measureTatiana Ogourtsova0Tatiana Ogourtsova1Tatiana Ogourtsova2Annette Majnemer3Annette Majnemer4Annette Majnemer5Amelie Brown6Helen Jillian Filliter7Helen Jillian Filliter8Kristy Wittmeier9Kristy Wittmeier10Kristy Wittmeier11Jessica Hanson12Jessica Hanson13Jessica Hanson14Maureen O’Donnell15Maureen O’Donnell16Jewish Rehabilitation Hospital, Laval, QC, CanadaFaculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, QC, CanadaCentre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, CanadaFaculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, QC, CanadaCentre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, CanadaMontreal Children’s Hospital, Research Institute of the McGill University Health Centre, Montreal, QC, CanadaMontreal Children’s Hospital, Research Institute of the McGill University Health Centre, Montreal, QC, CanadaDepartment of Pediatrics, Dalhousie University, Halifax, NS, CanadaAutism Team, IWK Health Centre, Halifax, NS, CanadaRehabilitation Centre for Children, Winnipeg, MB, CanadaDepartment of Pediatrics and Child Health Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, CanadaChildren’s Hospital Research Institute of Manitoba, Winnipeg, MB, CanadaJewish Rehabilitation Hospital, Laval, QC, CanadaFaculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, QC, CanadaCentre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada0Provincial Health Services Authority BC, Vancouver, BC, Canada1Faculty of Medicine, Department of Pediatrics, University of British Columbia, Vancouver, BC, CanadaBackgroundTo promote and ensure coaches' fidelity in delivering an online health coaching program to parents of children with suspected developmental delay, we developed and implemented a novel coaching fidelity rating tool, CO-FIDEL (COaches Fidelity in Intervention DELivery). We aimed to (1) Demonstrate CO-FIDEL's feasibility in evaluating coaches' fidelity and its change over time; and (2) Explore coaches' satisfaction with and usefulness of the tool.MethodsIn an observational study design, coaches (n = 4) were assessed using the CO-FIDEL following each coaching session (n = 13–14 sessions/parent-participant) during the pilot phase of a large randomized clinical trial involving eleven (n = 11) parent-participants. Outcome measures included subsections' fidelity measures, overall coaching fidelity, and coaching fidelity changes over time analyzed using descriptive and non-parametric statistics. In addition, using a four-point Likert Scale and open-ended questions, coaches were surveyed on their satisfaction and preference levels, as well as facilitators, barriers, and impacts related to the use of CO-FIDEL. These were analyzed using descriptive statistics and content analysis.ResultsOne hundred and thirty-nine (n = 139) coaching sessions were evaluated with the CO-FIDEL. On average, overall fidelity was high (88.0 ± 6.3 to 99.5 ± 0.8%). Four coaching sessions were needed to achieve and maintain a ≥ 85.0% fidelity in all four sections of the tool. Two coaches showed significant improvements in their coaching skills over time in some of the CO-FIDEL sections (Coach B/Section 1/between parent-participant B1 and B3: 89.9 ± 4.6 vs. 98.5 ± 2.6, Z = −2.74, p = 0.00596; Coach C/Section 4/between parent-participant C1 and C2: 82.4 ± 7.5 vs. 89.1 ± 4.1, Z = −2.66; p = 0.00758), and in overall fidelity (Coach C, between parent-participant C1 and C2: 88.67 ± 6.32 vs. 94.53 ± 1.23, Z = −2.66; p = 0. 00758). Coaches mainly reported moderate-high satisfaction with and usefulness of the tool, and pointed out areas of improvement (e.g., ceiling effect, missing elements).ConclusionsA new tool ascertaining coaches' fidelity was developed, applied, and shown to be feasible. Future research should address the identified challenges and examine the psychometric properties of the CO-FIDEL.https://www.frontiersin.org/articles/10.3389/fresc.2023.1057641/fullcoachingchildhood disabilitycoaching fidelitydevelopmental disabilityhealth coaching |
| spellingShingle | Tatiana Ogourtsova Tatiana Ogourtsova Tatiana Ogourtsova Annette Majnemer Annette Majnemer Annette Majnemer Amelie Brown Helen Jillian Filliter Helen Jillian Filliter Kristy Wittmeier Kristy Wittmeier Kristy Wittmeier Jessica Hanson Jessica Hanson Jessica Hanson Maureen O’Donnell Maureen O’Donnell Pediatric tele-coaching fidelity evaluation: Feasibility, perceived satisfaction and usefulness of a new measure Frontiers in Rehabilitation Sciences coaching childhood disability coaching fidelity developmental disability health coaching |
| title | Pediatric tele-coaching fidelity evaluation: Feasibility, perceived satisfaction and usefulness of a new measure |
| title_full | Pediatric tele-coaching fidelity evaluation: Feasibility, perceived satisfaction and usefulness of a new measure |
| title_fullStr | Pediatric tele-coaching fidelity evaluation: Feasibility, perceived satisfaction and usefulness of a new measure |
| title_full_unstemmed | Pediatric tele-coaching fidelity evaluation: Feasibility, perceived satisfaction and usefulness of a new measure |
| title_short | Pediatric tele-coaching fidelity evaluation: Feasibility, perceived satisfaction and usefulness of a new measure |
| title_sort | pediatric tele coaching fidelity evaluation feasibility perceived satisfaction and usefulness of a new measure |
| topic | coaching childhood disability coaching fidelity developmental disability health coaching |
| url | https://www.frontiersin.org/articles/10.3389/fresc.2023.1057641/full |
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