Week 2 - Occupational Performance Coaching (OPC)

Question 1

What are the 3 interacting domains of OPC?

Answer 1

Connect, Structure, Share

Question 2

What is the primary characteristics of OPC?

Answer 2

A person-centered, relational approach to promote occupational performance and social participation

Question 3

What makes up the domain of ‘Connect’?

Answer 3

Listening, Emphasising, Partnering

Question 4

What makes up the domain of ‘Structure’?

Answer 4

• Establishing valued participatory goal
• Collaboratively analysing performance
• Supporting client to act on goals
• Evaluating goal setting and effectiveness of strategies
• Generalizing effective strategies to other life situations

Question 5

What makes up the domain of ‘Share’?

Answer 5

• Ask first
• Be curious
• Prompt reflection
• Teach principles
• Expect resourcefulness

Question 6

How can we cultivate mindful listening?

Answer 6

Bringing attention to a part of our body (i.e. heart rate, breathing, hands)

Question 7

What are some ways to consciously express empathy?

Answer 7

• Convey empathy in words: 1-2 words that client has used
• Letting your compassion flow: consciously relaxing your body
• Finding a point of shared human experience with clients: a place, clothing, shared interest, etc
• Notice your own emotions
• Listen mindfully: asking open-ended questions to allow yourself to listen to

Question 8

How can we cultivate partnership (in connect domain) with clients?

Answer 8

• Positioning self at eye level of client
• Avoid having a barrier between you and the client
• Minimise note taking in front of the client unless strictly needed
• Frame things as ‘we’ instead of ‘you/I’
• Avoid ramble of your expertise
• Choice of clothing, makeup, handshake
• Avoid summarising in your own words on what the client has shared
• Convey curiosity and naivety, check if you have understood correctly
• Paraphrase while using the words that the client has used

Question 9

What are the pros & cons of having both subjects present during OPC with multiple clients?

Answer 9

• Pros: vivo coaching through performance analysis & strategy development
• Cons: may need to express thoughts / feelings that are not helpful / unhealthy for the dependent to hear

Question 10

What are the components of Collaborative Performance Analysis (CPA) in the ‘Structure’ domain?

Answer 10

• Envision - guiding clients to envision how they want things to be
• Explore - focus on possibilities & solutions about how the problem will be solved / alleviated; led by client rather than practitioner
• Engage - client’s engagement in the process of analysing goal situations & making changes in their lives (SDT)

Question 11

Aspects to consider while ‘exploring’ in CPA?

Answer 11

• Person: motivation, knowledge about the task, ability to do the task
• Environment: proximity, intensity, complexity, consistency
• Task: number of sequence, expected standard of the task (level of independence, speed of completion, quality of outcome, avenues to solution)

Question 12

What are the ‘5 SS to Act’ when coaching clients to choose actions (Structure: Act)?

Answer 12

• Keep it small: small steps
• Keep it simple: simple action within plan
• Let client state: what they plan to do
• Snowball effect: small initial step leading on to bigger steps
• Real changes sticks

Question 13

What are the 2 areas to evaluate after a plan has taken action?

Answer 13

1. Progress towards goal
2. How effective was the plan

Question 14

How can we guide clients to generalise a successful strategy?

Answer 14

• Thinking about how it can be used in a different context, with different tasks and at different times
• Thinking about the factors that makes the strategy more generalisable (e.g. setting, time, people)

Question 15

What are the strategies to encourage sharing in OPC?

Answer 15

• Ask first: asking a question before offering advice; 8-:20 rule; open-ended questions; pacing questions
• Prompting reflection: thinking about a different situation from a different perspective

Question 16

When should we share information / opinions with clients (share domain)?

Answer 16

• When it related directly to client’s goals
• When it builds on to what the client has already expressed
• When it links directly to the actions that could be taken

Question 17

What are the 2 coaching approaches / techniques?

Answer 17

1. Relational Invitational Approach
2. PROPER coaching framework

Question 18

How does RIA look like?

Answer 18

• Engaging: consist of intention & problem
• Motivating: consist of values, bigger goals and indicator of progress (how will it look like)
• Exploring: of strategies & methods to use
• Planning: of action plan (steps to take) & change plan (how to carry out the action plan; support strategies)
• Doing: carrying out the plan
• Consolidating: what has worked, what needs to be revised

Question 19

What does PROPER stands for?

Answer 19

• Priority (what is important to client. why do they want to work on this area)
• Reality (what strategies have they tried, anticipated obstacles)
• Opportunities (any potential actions / solutions, ideas that they have)
• Plan (when to start, confidence scale)
• Evaluate (how to increase chances of plan working)
• Review (effectiveness, what happened, any adjustments needed)