Reflexive thematic analysis of a coaching‐based, holistic approach to child development

Author:

Sehajpal Khushi1,McCrostie Claire1,Charles Lucy2,Hamill Arul2,Terei Pio3,Hamill James45ORCID

Affiliation:

1. Faculty of Medical and Health Sciences the University of Auckland New Zealand

2. Paediatric Occupational Therapy Auckland New Zealand

3. The Parenting Place Auckland New Zealand

4. Starship Children's Hospital New Zealand

5. Department of Paediatrics, Child and Youth Health Faculty of Medical and Health Sciences the University of Auckland New Zealand

Abstract

AbstractBackgroundThe F‐words Life Wheel (FWLW) approaches child development by hybridizing a holistic model in the F‐words for Child Development, and a coaching model in Occupational Performance Coaching, along with a life‐flow approach in the Kawa model. We report the impact of the FWLW as experienced by families.MethodsThis was a qualitative interview study of parents of children with developmental needs and experts in child development using reflexive thematic analysis.ResultsFrom 13 interviews, we developed three themes: 1) overwhelming, 2) power rebalance and 3) connectedness. The overwhelming theme addresses how life with developmental needs is challenging, engaging with the health and disability system is difficult and the focus on deficits can lead to a sense of being overwhelmed. The power rebalance theme addresses the transition from professionals calling the shots to giving agency to the child and family. Holistic goal setting empowers parents and children to direct and prioritize therapy, and helps shift from a deficit‐focused to a ‘can‐do’ attitude. The connectedness theme addresses the linkages between psychological health, physical health, the extended family and the planet as a whole.ConclusionsThe FWLW approach appears to be empowering and motivating for children and families.

Funder

University of Auckland

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,Developmental and Educational Psychology,Pediatrics, Perinatology and Child Health

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