Implementation of a Family Centered Telecoaching Intervention for Parents of Children with Motor Difficulties: A Multimethod Process Evaluation

This multimethod process evaluation aimed to explore the implementation of a telehealth coaching intervention for parents of children with motor difficulties. Four therapists and 59 parents participated. The dosage of 525 sessions was compared to the study protocol. Thirty-three external rater assessments, 62 therapists' self-adherence and 59 parent satisfaction surveys were analyzed descriptively for adherence, parent responsiveness and intervention quality. Therapists' interviews were analyzed thematically for implementation experience. A median of nine sessions per family was provided; only 58% were received within the prescribed timeframe. Adherence (83%), participant responsiveness (91%), and intervention quality (85%) were high, along with therapists' self-adherence (84%) and parent satisfaction (87%). Therapists reported partnering effectively with parents in the intervention and maintaining a family-oriented approach. Regular feedback and mentorship were the most effective implementation strategies identified by therapists. Telehealth coaching interventions can be implemented with high fidelity when therapists receive proper training and support.