Table 3.
Intervention component | Intervention techniques | Delivery of the techniquesa |
---|---|---|
Training sessions: two face-to-face, full-day events |
Goal specified |
A task sheet for the whole service to discuss and to agree on a caseload management goal that they will achieve in the next six months. |
Contract | ||
Graded tasks |
Group tasks (two to three people) starting easy and becoming increasingly difficult. The tasks focus on the target behaviours in various contexts. Component skills learnt in earlier tasks are repeated in subsequent tasks. |
|
Rehearsal | ||
Social processes of encouragement, support, and pressure |
Processes within the above group tasks. |
|
Modeling/demonstration by others |
DVD clips from interviews with parents and other occupational therapists. |
|
Feedback |
Facilitator’s and peer’s comments during the above group tasks. |
|
Tools for change: |
|
|
1) Pre-appointment question |
Graded tasks |
A question to elicit goals from parents and school to make it easier for therapist to have this information. |
2) Statement for appointment letters |
Social processes of pressure |
A statement of therapist’s commitment to formulate and agree goals and evaluate progress with patients. |
Team workbooks to be used after the training sessions in actual context of practice |
Goal specified |
The goal-contract from the training sessions (above) was included as the first page of the workbooks. |
Contract |
||
Self-monitoring |
Team-level, paper-based tasks for teams to complete in weekly 45-min meetings. The tasks consisted of broad, open-ended questions to the teams, related to (i) their progress towards the agreed upon service-level goal and (ii) their performance of the target behaviours. |
|
Feedback |
Peer’s comments that are guided by the workbook tasks |
|
Social processes of encouragement, support, and pressure |
Guidance for the team on how to structure the weekly meetings. The guidance has been designed so as to activate these two techniques. |
|
Modeling/demonstration by others |
aThe frequency and duration for which the techniques should be applied were also specified for each task included in the component; the full specification is available from the first author.