Clinical trial NCT04747210: Contextual Coaching Versus Training Workshop for Assistants in Special Education.
Official title: Improving Students' Participation in Daily Living Skills Through Contextual Coaching One-on-one for Special Needs Assistants.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Disabled Persons
Caregiver
Keywords: Special Need Assistants/paraprofessionals
Coaching
Occupational therapy
Self-care skills
Lead sponsor: Universidad de Zaragoza
Sponsor class: OTHER
First posted: 2021-02-10
Enrollment: 17
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This study is a quasi-experimental pretest-posttest design. Repeated measures on participants in both arms (as in an RCT) enable assessment of both within-person changes over time and between-arm differences.
Primary purpose: TREATMENT

Brief summary: Special Need Assistants/paraprofessionals serve an essential role in special education to support children with multiple disabilities, but they often lack adequate training and supervision. The study aims to examine the effects of the coaching program for assistants compared to a workshop outside working hours and evaluate the outcomes in students and assistants. The second aim is to measure fidelity implementation of coaching practices and if the intervention was participation-based.

Detailed description: This study addresses the training needs of assistants to minimize participation barriers of the students. The schools will be assigned to one of two groups: both groups will receive a 10 hours training workshop; only the intervention group will receive coaching one-to-one. The duration and number of coaching sessions will depend on the caregivers' time available, daily routines, and goals. Coaching sessions will be recorded for the assessment of treatment fidelity.

Eligibility criteria: Inclusion Criteria assistants:

* Special Need Assistant of students between 4-21 years of age.
* Speak, read and comprehend Spanish.
* Be available for workshop and one-on-one coaching.
* Able to verbalize changes in their own performance or their students' participation.
* Written consent.

Exclusion Criteria assistants:

* Have no students involved in the program.

Inclusion Criteria students:

* Present difficulties in Activities of Daily Living (ADLs).
* Have an assistant involved in the study.
* Informed consent signature (parents or legal tutors).

Exclusion Criteria students:

* Independence in activities of daily living.
* 70 or more points in the Care Dependency Scale for Pediatrics (CDS-P).

Primary outcomes:
measure: Change in The Canadian Occupational Performance Measure (COPM). Students
timeFrame: baseline- 3 month after intervention
measure: Change in Goal Attainment Scaling (GAS). Assistants.
timeFrame: Baseline - 3 month after intervention
Secondary outcomes:
measure: The Coaching Practices Rating Scale.
timeFrame: 12 month after intervention
measure: Natural Environments Rating Scale (NERS)
timeFrame: 12 month after intervention
measure: Change in learning. Social validity
timeFrame: 6 month
measure: Change in transfer and generalization of learning
timeFrame: 19-20 mounths after intervention
Other outcomes:
measure: Classification of goals and adaptations
timeFrame: 6 month
Locations:
Study officials:
affiliation: Departamento de Fisiatría y Enfermería. Universidad de Zaragoza
name: Maria J López-de-la-Fuente
role: PRINCIPAL_INVESTIGATOR
References:
citation: Lopez-de-la-Fuente MJ, Herrero P, Garcia-Foncillas R, Gomez-Trullen EM. Contextual, Client-Centred Coaching Following a Workshop: Assistants Capacity Building in Special Education. Int J Environ Res Public Health. 2021 Jun 11;18(12):6332. doi: 10.3390/ijerph18126332.