{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:00:04Z","timestamp":1785387604041,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100020608","name":"Sunny Hill Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100020608","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008794","name":"Research Manitoba","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008794","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009415","name":"IWK Health Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009415","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["KMI\u2010181880"],"award-info":[{"award-number":["KMI\u2010181880"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n To examine the effectiveness of BRIGHT Coaching, a virtual coaching intervention, to increase parental empowerment in caregivers awaiting developmental services for their child.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n \n BRIGHT Coaching, a 12\u2010topic program, was developed by experts and parent\u2010partners to address caregivers' knowledge needs. Participants were caregivers of children aged 1\u2009year 6\u2009months to 4\u2009years 6\u2009months with suspected developmental delays, recruited from four Canadian provinces. This was a two\u2010arm, parallel\u2010group, pragmatic, multi\u2010site randomized clinical trial, with intervention (\n n<\/jats:italic>\n \u00a0=\u00a0154) and control (\n n<\/jats:italic>\n \u00a0=\u00a0152) groups that were comparable at baseline. Participants received either BRIGHT Coaching or usual care over 12\u2009months. Three outcome measures were administered at baseline, posttreatment (8\u2009months), and follow\u2010up (12\u2009months): the Family Empowerment Scale (FES; domains: family, services, community), Parenting Stress Index, and Parenting Sense of Competence Scale. Exit surveys explored participants' perspectives. Intention\u2010to\u2010treat analyses were applied.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Participants were predominantly mothers of males, with diverse income, education, and ancestry. In the baseline\u2010adjusted treatment\u2009\u00d7\u00a0time mixed model, FES total favored the intervention group at posttreatment (\n \u0394<\/jats:italic>\n \u00a0=\u00a0+0.17, 95% confidence interval 0.04\u20130.30; interaction\n p<\/jats:italic>\n \u00a0=\u00a00.028) and at follow\u2010up (\n \u0394<\/jats:italic>\n \u00a0=\u00a0+0.18, 95% confidence interval 0.05\u20130.31; interaction\n p<\/jats:italic>\n \u00a0=\u00a00.020). FES total was the single confirmatory outcome; subscale and secondary\u2010measure findings are exploratory (false\u2010discovery\u2010rate controlled). Both groups experienced changes in efficacy and satisfaction on the Parenting Sense of Competence Scale (\n p<\/jats:italic>\n \u2009<\u20090.001), favoring the intervention group. Clinically significant stress was lower in the intervention group (16.4%) than in the control group (28.9%,\n p<\/jats:italic>\n \u00a0=\u00a00.03). Participants reported numerous benefits and high satisfaction with the intervention.\n <\/jats:p>\n <\/jats:sec>\n \n Interpretation<\/jats:title>\n BRIGHT Coaching empowered caregivers with knowledge and skills while awaiting services, addressing service gaps and complementing existing services. It is a promising approach for families of children with emerging developmental delays.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/dmcn.70432","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T04:29:13Z","timestamp":1785385753000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["BRIGHT<\/scp>\n Coaching to empower caregivers of children with emerging developmental delays on waitlists for services: A\u00a0randomized controlled trial"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7712-3509","authenticated-orcid":false,"given":"Annette","family":"Majnemer","sequence":"first","affiliation":[{"name":"School of Physical and Occupational Therapy McGill University Montreal QC 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