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Why Do We Care About Coaching in Early Intervention?

Pam Smithy, MS, OTR/L, Rhonda Mattingly Williams, Ed.D, CCC-SLP

February 1, 2026

Question

Why do we care about coaching in early intervention?

 

Answer

When I consider why we care so much about coaching in early intervention, I turn to the literature to help explain it. Salisbury and Copeland (2013) examined how parents and children are impacted when coaching is implemented in a particular, high-fidelity manner targeted toward early intervention. What they found was that when coaching was delivered with strong fidelity, parents reported improved self-efficacy and felt more empowered to help their own child. They also perceived improvements in their child’s motor skills and social skills. That kind of observable progress is incredibly motivating for families because they can see that what they are doing is making a real difference. For children, the study showed significant gains across six developmental domains, which further supports the idea that coaching can positively influence outcomes and fuel parents’ intrinsic motivation to continue.

This Ask the Expert is an edited excerpt from the course, Using Adult Learning Theory to Enhance Coaching in Early InterventionPam Smithy, MS, OTR/L, Rhonda Mattingly Williams, EdD, CCC-SLP.


pam smithy

Pam Smithy, MS, OTR/L

Pam Smithy, MS, OTR/L, serves as a Professor and Program Director of the Occupational Therapy Assistant Program at Jefferson Community and Technical College. She teaches a diverse range of courses, including pediatrics, physical disabilities, mental health, community practice, and professional transitions/management.

With over 37 years of occupational therapy practice and 28 years as a private practice owner, Pam has extensive experience collaborating with speech-language pathologists, physical therapists, and occupational therapy assistants to deliver comprehensive, interdisciplinary care. She remains actively involved in the Kentucky Occupational Therapy Association. She is a member of several other professional organizations, reflecting her ongoing commitment to advancing the profession and fostering collaboration across disciplines.


rhonda mattingly williams

Rhonda Mattingly Williams, Ed.D, CCC-SLP

Rhonda Mattingly Williams, EdD, CCC-SLP, is a professor in the Department of Otolaryngology, H/N Surgery, and Communicative Disorders at the University of Louisville. She teaches courses in early language evaluation and intervention, pediatric feeding and swallowing, cognitive-communicative disorders, and professional issues.

Dr. Williams has been practicing for over 35 years and currently provides clinical services to neonates, adolescents, and adults with a variety of disorders, including aphasia, cognitive impairment, voice dysfunction, slow feeding of the newborn, and dysphagia within the University of Louisville Healthcare System. She is active in research, publishes in scholarly journals, maintains membership in several professional organizations, and provides interdisciplinary continuing education to professionals across the globe.

 


Related Courses

Using Adult Learning Theory to Enhance Coaching in Early Intervention
Presented by Pam Smithy, MS, OTR/L, Rhonda Mattingly Williams, EdD, CCC-SLP
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Pam Smithy, MS, OTR/LRhonda Mattingly Williams, EdD, CCC-SLP
Course: #11331Level: Intermediate1 Hour
  'applicable to all the trainings in EI currently'   Read Reviews
This course examines how adult learning theory can be effectively applied to coaching practices within early intervention settings. The course reviews strategies to support family engagement, promote responsive practice, and enhance caregiver efficacy through evidence-based adult education principles. This course is part of the Adult Learning Theory to Enhance Coaching series, but can be viewed as a stand-alone learning experience.

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This course describes the application of adult learning theory to coaching within pediatric feeding and swallowing interventions. Grounded in adult learning principles, participants will gain tools to effectively collaborate with caregivers to share knowledge, utilize evidence-based strategies, and foster confidence to encourage positive feeding and swallowing outcomes. This course is part of the Using Adult Learning Theory to Enhance Coaching series, but can be viewed as a stand-alone learning experience.

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