ADHD coaching is both a stand-alone support and a component of multimodal care for individuals with ADHD. Still, few studies have explored whether beneficial outcomes of ADHD coaching are sustained beyond the active coaching period. A prospective mixed-methods study of a 12-session ADHD coaching engagement included a 6-week post-coaching data collection for 42 adults. In addition to the gains achieved in the pre- to immediate post-coaching period, ADHD symptoms, executive functioning, and functional impairment all showed slight improvements after a 6-week follow-up period. For executive functioning and functional impairment, the changes were statistically significant with a small effect size. While the improvements from the end of the coaching engagement to the 6-week follow-up were small, coaches, consumers, and referring practitioners should be encouraged by the durability of gains. Further longitudinal study is warranted.
In the June 2024 issue of the Journal of Health and Social Behavior, sociologist Dr. Meredith Bergey, explores the profession of ADHD coaching. Bergey raises concerns that coaching often commercializes personal experience, lacks clear standards or oversight, blurs the line between professional and personal expertise, and simultaneously challenges and relies on a medical view of ADHD. In this response article, we address the assumptions and perspectives Bergey makes about the nature of ADHD coaching; share our own observations and concerns; and propose an alternative framework through which to view and understand the emergence of ADHD coaching.
Attention-Deficit/Hyperactivity Disorder (ADHD) persists into adulthood for many and can also be newly diagnosed in adults. ADHD coaching is a form of support that can be used independently or integrated into a multimodal treatment approach. This report presents pre-post intervention findings from a single-arm mixed-methods study of a 12-session individual ADHD coaching engagement for adults. Coaches meeting defined criteria recruited clients through their private practices, screening for study eligibility. The coaching engagement followed a manualized approach, and coach-client working alliance was high. Goal attainment yielded positive results; and from pre- to post-test, statistically significant improvements, with medium to large effect sizes, were found using validated instruments measuring ADHD symptoms, executive functioning (EF), and functional impairment. The training, credentialing, and experience of coaches and the fairly homogenous client sample (e.g., gender, race, and education) must be considered in generalizing the results.
Poetry can tap into feelings, stimulate creativity, and prompt inspiration and insight. Some coaches have reported these benefits when sharing poetry with clients, but little research has explored the use of poetry in the coaching engagement. This retrospective phenomenological study explored perceptions of poetry as a tool for health and wellness coaching among 40 coaches enrolled in an online advanced coaching skills class. Six overarching themes- discernment, logistics, impact on coaching, effect on the client, mechanisms, and the coach's personal experience-are illustrated using verbatim quotations. This study may prompt coaches and researchers to explore novel approaches, including poetry, for broadening the toolboxes and eliciting enhanced client insight and awareness.
Art has long been used as a common creative outlet and a therapeutic modality. Recently, coaches have begun to explore art-making in the coaching engagement. This retrospective, phenomenological study explored the experience of using intuitive collage as a tool for health and wellness coaches (n=41), enrolled in an online advanced coaching skills class. Data analysis suggested a narrative, including: being boxed-in, unlocking, a gateway, and revealing the inner self. An interplay of coach and client growth processes was appreciated. Intuitive collage may be a vehicle for expanding the coaching repertoire and accessing client creativity, intuition, and awareness. Future research could inform best practices for its use.
The Transtheoretical Model of Change identifies key stages in behavior change, including a maintenance stage occurring when a behavior has been upheld for at least 6 months. Health and wellness coaching has demonstrated support for health behavior change, but maintenance of gains has received little attention. Our rapid systematic literature review characterizes both the research exploring sustained gains with health and wellness coaching and what is known about sustained gains after the completion of a health and wellness coaching engagement. Guided by The Cochrane Rapid Reviews Methods Group "Interim Guidance," we drew 231 studies from the 2018 and 2020 Sforzo et al "Compendium of the health and wellness coaching literature," and "Addendum…" appendices. Initial screening and coding for inclusion and exclusion criteria yielded 28 studies for data extraction. We examined studies across outcome categories (physiological, behavioral, psychological, and health risk assessment) to determine whether outcome measures were: not sustained; partially sustained; fully sustained; or improved from immediate post-intervention to a later follow-up period. Twenty-five of the 28 studies reviewed demonstrated partially, or fully, sustained or improved outcomes in one or more variables studied, with sustained gains demonstrated across outcome categories, strengthening confidence in HWC as a facilitator of lasting change.
Attention-Deficit/Hyperactivity Disorder (ADHD) poses challenges for affected individuals in varied functional arenas and life domains. Research on specialized ADHD coaching demonstrates benefit across the age span. However, studies of ADHD coaching for adults have only focused on group coaching. We engaged eight expert coaches in an iterative process over five focus group meetings to develop components of a manualized intervention for a coaching engagement for individual adults with ADHD. The resultant guidelines, “ADHD Coaching Engagement: Manualized Intervention” (ACE-MI) offers both best practice guidance for coaching adults with ADHD and a consistent approach to a coaching engagement useful in supporting quality research in the field.
This pre-post exploratory feasibility study examined a 6-week, multifaceted, self-guided positive psychology intervention to support the well-being of health and wellness coaches during the COVID-19 pandemic. Nearly 40% of 634 participants completed the postintervention survey, using the interventions on 60% of possible days, a majority finding the intervention helpful or very helpful. Regressions demonstrated improvements post-intervention in anxiety, depression, and life satisfaction for participants whose initial scores were not optimal. The intervention appears well-received, feasible, and supportive of coach well-being. Future research might find this cost-effective, flexible, and convenient intervention useful in supporting well-being more broadly, including during future health crises.
Recruiting subjects for research studies can be challenging. Respondent time and burden may pose challenges when trying to recruit busy professionals as participants. Holding a focus group during a research-oriented conference session is a novel way to address recruitment barriers for such subjects. In this field note, we address recruiting participants by word of mouth and snowball sampling for a focus group study held during a research session about Attention-Deficit/Hyperactivity Disorder (ADHD) coaching at a professional conference. We found that this novel approach yielded experienced participants, with a depth of perspective, who were already primed to think about important issues in the field and had a desire to contribute. Participants commented about the ease and convenience of engaging in a research study during a conference session while they had already set time aside from other professional obligations. This type of recruitment yields a convenience sample with both the benefits and drawbacks of a high degree of self-selection among participants. We found that participants engaged enthusiastically in our focus group study related to the emerging field of ADHD coaching. Study recruitment at a conference may be particularly suited to research on “hot topics” or an emerging field that would easily attract and engage participant interest.
Multimodal care, including Attention deficit/hyperactivity disorder (ADHD) coaching, is considered optimal in ADHD treatment. Still, little research has explored the topic of interprofessional communication and collaboration for this population. Following COREQ guidelines, this report of focus group research identifies attitudes and experiences of ADHD coaches regarding communication and collaboration with other professionals in support of their clients. Key themes in the data suggest a perception that collaboration is important but that there are barriers to overcome. Interprofessional learning opportunities, training in collaborative approaches, and research on varied professionals' perspectives related to collaboration might all enhance optimal support for individuals with ADHD.
Attention Deficit/Hyperactivity Disorder (ADHD) is associated with difficulty initiating and following-through with tasks. When coaching clients with ADHD (a type of coaching called 'ADHD coaching'), providing for additional communication between coaching sessions may be an effective approach to support progress on goals a client has established. However, little is known about the process of between-session contact in ADHD coaching. This phenomonolgical study employed a focus group to explore the experiences and perceptions of eight experienced, self-identified ADHD coaches regarding their between-session communication with clients. Qualitative data was analyzed using thematic analysis, and four key themes pertaining to betweensession communication emerged. Further research is needed to provide a more full understanding of this important component of ADHD coaching. PRACTICE POINTS:. This manuscript is particularly relevant to coaching for individuals with Attention Deficit/Hyperactivity Disorder (ADHD) This study provides a unique contribution to the coaching literature, and coaching practice, by exploring the underexamined topic of between-session communication between coach and client.. Practitioners will understand the following aspects of betweensession communication: Its value and relevance to clients, particularly those with ADHD Its purposes and functions Common approaches to designing the agreement Challenges that may be encountered
Free AccessADHD Coaching: Evolution of the FieldElizabeth Ahmann and Micah SavietElizabeth AhmannSearch for more papers by this author and Micah Saviet1 An ADHD and health and wellness coach; Professor of Health and Wellness Coaching at Maryland University of Integrative Health; and Research Director at Springer Institute. She can be contacted by email at [email protected] or by mail at 3307 Belleview Ave., Cheverly, M.D. 20785.2 A social worker in clinical practice, researcher, and Director of Springer Institute. His email address is: [email protected].Search for more papers by this authorPublished Online:September 2021https://doi.org/10.1521/adhd.2021.29.6.1PDFPDF PLUS ShareShare onFacebookTwitterLinkedInRedditEmail ToolsAdd to favoritesDownload CitationsTrack Citations AboutREFERENCESADHD Coaches Organization. (2021). We are the ADHD Coaches Organization, and we are here to help. https://www.adhd-coaches.org/ Google ScholarAhmann E., & Saviet M. (2019). 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The Institute for Patient-and Family-Centered Care (IPFCC) has become a resource and clearinghouse for how to maintain the ‘essence’ of patient-and family-centered care during the COVID pandemic Suggestions for language, maintaining connection, working with patient and family advisors, and other useful strategies and best practices can be accessed on the IPFCC website (https://www ipfcc org/bestpractices/covid-19/index html) Additionally, the Institute's online learning community PFCCConnect now includes a COVID-19 community (register at https://pfcc connect ipfcc org/home) © 2020, Anthony J Jannetti Inc All rights reserved
Until recently, children have not been central in news of the COVID-19 pandemic;however, the pandemic has certainly impacted them Recent studies suggest that both parental and children’s mental health has worsened since the onset of the pandemic These changes are most pronounced in families facing more hardship, and children already at high risk for mental health concerns are even more vulnerable as a result of the pandemic Children’s hospitals have responded in varied ways to these concerns, providing telehealth mental health visits, offering webinars on perti-nent topics, and adding supportive content on their web-sites This article features specific programs of Children’s Mercy with hospitals in both Kansas City, MO, and Overland Park, KS, as well as several other institutions, and outlines resources for nurses to share with families © 2020, Anthony J Jannetti Inc All rights reserved
[ ]many health settings were welcoming families not as 'visitors' but as 'care partners,' recognizing their important role in the quality, safety, and experience of care (Dokken et al , 2020;Dokken, Kaufman et al , 2015;Dokken, Parent et al , 2015) According to New York's governor, Andrew Cuomo, "It is terrible to have someone in the hospital and then that person is isolated, not being able to see their family and friends" (Cuomo, in Passy, 2020) In the upcoming Septe mber/October 2020 issue, a group of family leaders involved with the Vermont Oxford Network will share experiences about restricted family presence and suggest ways to better integrate family 'voices' moving forward Since March 2020, dramatic events and changes have occurred in our country