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Table 1 Overview of the intervention's presumed mechanisms of change and outcome

From: Children’s, parents’, and teachers’ experiences of the feasibility of a telerehabilitation intervention for children with acquired brain injury in the chronic phase – a qualitative study of acceptability and participation in the Child In Context Intervention (CICI)

Mechanisms of change

Outcome

Assumptions about how the delivered intervention produces positive change

Desired outcomes and change

CICI-specific mechanisms:

• Individualized and family-centered SMART goals based on the main ABI-related problems for families

• Developing, adjusting, and implementing treatment strategies in the child’s context (at home and in school)

• Increasing knowledge/understanding of symptoms through written and oral psychoeducation (CICI handbook/material and interactive lectures about common child ABI symptoms)

• Promoting a shared understanding of children’s needs and improved collaboration between schools and families

• Sharing experiences and feelings with other parents in a comparable situation in a therapist-led environment to enhance intervention motivation and parenting self-efficacy

General mechanisms:

• Degree of motivation, participation and involvement

• Participants’ experiences of alliance and support

• Therapists’ competencies and background

• Participants’ resources and backgrounds

• School resources and facilities

• Enhanced participation and everyday functioning of the child in everyday life and school

• Improved family functioning

• Increased child self-efficacy

• Increased parenting self-efficacy

• Decreased burden of ABI symptoms for child and parents