title: A feasibility study using solution-focused coaching for health promotion in children and young people with Duchenne muscular dystrophy.
abstract: OBJECTIVE
  To evaluate the feasibility and acceptability of a coaching intervention (Solution-Focused Coaching in pediatric rehabilitation [SFC-Peds]) related to physical activity and diet in males with Duchenne muscular dystrophy.
  
  
  METHODS
  A pre-post design was employed. Participants had five coaching sessions over 8 weeks. The first session was face-to-face, followed by four virtual sessions. Feasibility criteria included recruitment rates, attrition, and intervention fidelity. The Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS) were employed to look at outcome trends. The acceptability was assessed using a survey.
  
  
  RESULTS
  Five males (11-19 years) participated. All feasibility criteria were met. Clinically significant increases were observed for GAS and COPM scores. Participants reported SFC-Peds to be acceptable. Broad barriers and facilitators to coaching success were identified.
  
  
  CONCLUSIONS
  A SFC-Peds intervention for health promotion is feasible and acceptable in children with DMD and their families. A rigorous efficacy study assessing SFC-Peds intervention is warranted.
authors.affiliation: a Bloorview Research Institute , Toronto , Ontario , Canada.|b Dalla Lana School of Public Health and Rehabilitation Sciences Institute, University of Toronto , Toronto , Ontario , Canada.
authors.forename: Amy C
authors.identifier: http://orcid.org/0000-0003-4186-3200
authors.initials: AC
authors.lastname: McPherson
authors.affiliation: a Bloorview Research Institute , Toronto , Ontario , Canada.|c Department of Paediatrics , University of Toronto , Toronto, Ontario , Canada.
authors.forename: Laura
authors.initials: L
authors.lastname: McAdam
authors.affiliation: a Bloorview Research Institute , Toronto , Ontario , Canada.|d Holland Bloorview Kids Rehabilitation Hospital , Toronto , Ontario , Canada.
authors.forename: Sarah
authors.initials: S
authors.lastname: Keenan
authors.affiliation: a Bloorview Research Institute , Toronto , Ontario , Canada.|d Holland Bloorview Kids Rehabilitation Hospital , Toronto , Ontario , Canada.
authors.forename: Heidi
authors.initials: H
authors.lastname: Schwellnus
authors.affiliation: a Bloorview Research Institute , Toronto , Ontario , Canada.|e The Institute of Biomaterials & Biomedical Engineering and Rehabilitation Sciences Institute, University of Toronto , Toronto , Ontario , Canada.
authors.forename: Elaine
authors.initials: E
authors.lastname: Biddiss
authors.affiliation: d Holland Bloorview Kids Rehabilitation Hospital , Toronto , Ontario , Canada.
authors.forename: Andrea
authors.initials: A
authors.lastname: DeFinney
authors.affiliation: d Holland Bloorview Kids Rehabilitation Hospital , Toronto , Ontario , Canada.
authors.forename: Kirsten
authors.initials: K
authors.lastname: English
mesh_terms: D000293:Adolescent; D002170:Canada; D002648:Child; D015444:Exercise; D005240:Feasibility Studies; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D000071252:Mentoring / Q000379:methods; D020388:Muscular Dystrophy, Duchenne / Q000534:rehabilitation*; D000066530:Neurological Rehabilitation / Q000379:methods*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Coaching; disability; health promotion; nutrition; physical activity