2024 Volume 43 Issue 2 Pages 239-246
Evidence for a top-down approach utilizing Goal-Directed Training in pediatric occupational therapy is presented. The purpose of this report is to assess the efficacy of a home program for the goals of child with attention-deficit/hyperactivity disorder and her mother. In the present report, child with attention-deficit/hyperactivity disorder and her mother engaged in collaborative goal setting with mother and child, a home program adapted to the home context, and timely coaching, which resulted in improved Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS) scores and changes in targeted activities. This study demonstrates that a home program focused on meaningful work with child and mother has the potential to facilitate goal achievement through the provision of supportive parenting within the context of parenting.