{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T16:54:01Z","timestamp":1775148841554,"version":"3.50.1"},"reference-count":76,"publisher":"American Spinal Injury Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Coaching-in-Context (CinC) is a conversation-based process for working with people that draws on the tenets of positive psychology, is solution-focused and strength-based, and uses evidence-informed coaching techniques that create opportunities for clients to be at their best when engaging in the roles and activities that are desired, required, or expected of them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To explore the use of CinC with informal maternal care partners (mothers, grandmothers) of children with spinal cord injury (SCI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study was a multicenter, single group, pre-post treatment design. Participants received up to 10 sessions of CinC over a 10-week period. The Canadian Occupational Performance Measure (COPM), Parenting Stress Index, Fourth Edition Short Form (PSI-4-SF), and Pediatric Measure of Participation Short Form (PMoP SF) were administered before and after coaching. The number of coaching sessions completed, missed, and rescheduled was recorded. Descriptive and nonparametric statistics were used to summarize sample characteristics and to evaluate changed COPM scores. PSI-4-SF stress percentiles were examined descriptively. Wilcoxon signed-rank test was used to determine whether there was a statistically significant change between baseline and postcoaching COPM and PMoP SF scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Nine caregivers enrolled in the study; two had face-to-face coaching, five had phone coaching, and two dropped out. The seven who completed were mothers with an average age of 37.14 (range, 32\u201345;\n                      <jats:italic>SD<\/jats:italic>\n                      = 5.15) years, with children an average age of 10 (range, 7\u201313;\n                      <jats:italic>SD<\/jats:italic>\n                      = 2.89) years with paraplegia (\n                      <jats:italic>n<\/jats:italic>\n                      = 4) or tetraplegia (\n                      <jats:italic>n<\/jats:italic>\n                      = 3) sustained an average of 6.71 (range, 2\u201313;\n                      <jats:italic>SD<\/jats:italic>\n                      = 3.73) years prior to the study. Fifty-five (average = 7.86, mode = 9; range, 3\u201310) coaching sessions were provided; two sessions were missed and nine were rescheduled. After coaching, mean COPM performance scores increased by 2.48 (\n                      <jats:italic>SD<\/jats:italic>\n                      = 2.01) (\n                      <jats:italic>Z<\/jats:italic>\n                      = \u22124.057,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001), mean COPM satisfaction scores increased by 2.81 (\n                      <jats:italic>SD<\/jats:italic>\n                      = 1.33) (\n                      <jats:italic>Z<\/jats:italic>\n                      = \u22124.812,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001), and PMoP self scores increased (\n                      <jats:italic>Z<\/jats:italic>\n                      = \u22122.023,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .043).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study provides preliminary support for CinC with informal care partners of children with SCI. It also highlights several factors that are important to consider when implementing a coaching program, namely mode of delivery and time commitment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.46292\/sci21-00045","type":"journal-article","created":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T13:15:38Z","timestamp":1642598138000},"page":"99-113","source":"Crossref","is-referenced-by-count":6,"title":["Coaching-in-Context With Informal Maternal Care Partners of Children With Spinal Cord Injury"],"prefix":"10.46292","volume":"28","author":[{"given":"MJ","family":"Mulcahey","sequence":"first","affiliation":[{"name":"Center for Outcomes and Measurement & Department of Occupational Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Gerhardt","sequence":"additional","affiliation":[{"name":"Center for Outcomes and Measurement & Department of Occupational Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernadette","family":"Alpajora","sequence":"additional","affiliation":[{"name":"Virtua Early Intervention Program, Burlington, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina Calhoun","family":"Thielen","sequence":"additional","affiliation":[{"name":"Center for Outcomes and Measurement & Department of Occupational Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Winnie","family":"Dunn","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, University of Missouri, Columbia, 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One.\n\t\t\t\t\t2019;\n\t\t\t\t\t14(\n\t\t\t\t\t8):\n\t\t\t\t\te0221848.\n\t\t\t\t\tdoi:10.1371\/journal.pone.0221848."},{"issue":"1","key":"i1945-5763-28-1-99-b31","series-title":"Can J Occup Ther","first-page":"38","article-title":"Occupational performance coaching for mothers of children with disabilities in India","volume":"88","year":"2021","unstructured":"Angelin\n              C,\n            \n            \n              Sugi\n              S,\n            \n            \n              Rajendran\n              K.\n            \n          \n          Occupational performance coaching for mothers of children with disabilities in India.\n\t\t\t\t\tCan J Occup Ther.\n\t\t\t\t\t2021;\n\t\t\t\t\t88(\n\t\t\t\t\t1):\n\t\t\t\t\t38\u2013\n\t\t\t\t\t47. doi.org\/10.1177\/0008417420972868"},{"issue":"1","key":"i1945-5763-28-1-99-b32","series-title":"Am J Occup Ther","first-page":"10","article-title":"Effectiveness of occupational performance coaching in improving children\u2019s and 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     MCC.\n            \n          \n          Students\u2019 perceptions of occupational therapy-led coaching in post-secondary education.\n\t\t\t\t\tOpen J Occup Ther.\n\t\t\t\t\t2021;\n\t\t\t\t\t9(\n\t\t\t\t\t2):\n\t\t\t\t\t1\u2013\n\t\t\t\t\t13. https:\/\/doi.org\/10.15453\/2168-6408.1790"},{"key":"i1945-5763-28-1-99-b1","series-title":"Australian OTJ","first-page":"127","article-title":"Impact of caring for a school-aged child with a disability: Understanding mothers\u2019 perspectives","volume":"57","year":"2010","unstructured":"Bourke-Taylor\n              H,\n            \n            \n              Howie\n              L,\n            \n            \n              Law\n              M.\n            \n          \n          Impact of caring for a school-aged child with a disability: Understanding mothers\u2019 perspectives.\n\t\t\t\t\tAustralian OTJ.\n\t\t\t\t\t2010;\n\t\t\t\t\t57:\n\t\t\t\t\t127\u2013\n\t\t\t\t\t136."},{"issue":"4","key":"i1945-5763-28-1-99-b2","series-title":"Qual Health Res","first-page":"515","article-title":"A metasynthesis: Mothering other than normal children","volume":"12","year":"2002","unstructured":"Nelson\n              A.\n            \n          \n          A metasynthesis: Mothering other than normal children.\n\t\t\t\t\tQual Health Res.\n\t\t\t\t\t2002;\n\t\t\t\t\t12(\n\t\t\t\t\t4):\n\t\t\t\t\t515\u2013\n\t\t\t\t\t530."},{"key":"i1945-5763-28-1-99-b3","series-title":"NeuroRehabilitation","first-page":"27","article-title":"Caregiver functioning after traumatic injury","volume":"13","year":"1999","unstructured":"Kolakowsky-Hayner\n              SA,\n            \n            \n              Kishore\n              R.\n            \n          \n          Caregiver functioning after traumatic injury.\n\t\t\t\t\tNeuroRehabilitation.\n\t\t\t\t\t1999;\n\t\t\t\t\t13:\n\t\t\t\t\t27\u2013\n\t\t\t\t\t33."},{"key":"i1945-5763-28-1-99-b4","series-title":"Spinal Cord","first-page":"882","article-title":"Rehabilitation and future participation of youth following spinal cord injury: Caregiver perspectives","volume":"47","year":"2009","unstructured":"House\n              LA,\n            \n            \n              Russell\n              HF,\n            \n            \n              Kelly\n              EH,\n            \n          \n          .\n\t\t\t\t\tRehabilitation and future participation of youth following spinal cord injury: Caregiver perspectives.\n\t\t\t\t\tSpinal Cord.\n\t\t\t\t\t2009;\n\t\t\t\t\t47:\n\t\t\t\t\t882\u2013\n\t\t\t\t\t886."},{"issue":"6","key":"i1945-5763-28-1-99-b5","series-title":"J Spinal Cord Med","first-page":"576","article-title":"Obstacles to community participation among youth with spinal cord 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Rehabil.\n\t\t\t\t\t2016;\n\t\t\t\t\t22(\n\t\t\t\t\t2):\n\t\t\t\t\t149\u2013\n\t\t\t\t\t157."},{"issue":"1","key":"i1945-5763-28-1-99-b8","series-title":"J Spinal Cord Med","first-page":"58","article-title":"Family dynamics and psychosocial functioning in children with SCI\/D from Colombia, South America","volume":"39","year":"2016","unstructured":"Nicolais\n              CJ,\n            \n            \n              Perrin\n              PB,\n            \n            \n              Panyavin\n              I,\n            \n          \n          .\n\t\t\t\t\tFamily dynamics and psychosocial functioning in children with SCI\/D from Colombia, South America.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2016;\n\t\t\t\t\t39(\n\t\t\t\t\t1):\n\t\t\t\t\t58\u2013\n\t\t\t\t\t65."},{"issue":"2","key":"i1945-5763-28-1-99-b9","series-title":"Gerontologist","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1093\/geront\/gnu177","article-title":"Informal caregiving and its impact on health: A 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Spec.\n\t\t\t\t\t2015;\n\t\t\t\t\t29(\n\t\t\t\t\t3):\n\t\t\t\t\tE8\u2013\n\t\t\t\t\t15.\n\t\t\t\t\tdoi:10.1097\/NUR.0000000000000122."},{"issue":"2","key":"i1945-5763-28-1-99-b12","series-title":"Scand J Caring Sci","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1111\/scs.12643","article-title":"Parents caring for children with normal life span threatening disabilities: A narrative review of literature","volume":"33","year":"2019","unstructured":"Geuze\n              L,\n            \n            \n              Goossensen\n              A.\n            \n          \n          Parents caring for children with normal life span threatening disabilities: A narrative review of literature.\n\t\t\t\t\tScand J Caring Sci.\n\t\t\t\t\t2019;\n\t\t\t\t\t33(\n\t\t\t\t\t2):\n\t\t\t\t\t279\u2013\n\t\t\t\t\t297.\n\t\t\t\t\tdoi:10.1111\/scs.12643."},{"issue":"1","key":"i1945-5763-28-1-99-b13","series-title":"Pediatr Clin North 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Retrieved June 2017."},{"issue":"5","key":"i1945-5763-28-1-99-b23","series-title":"J Rehabil Res Dev","first-page":"517","article-title":"Responsiveness of the Canadian Occupational Performance Measure","volume":"48","year":"2011","unstructured":"Eyssen\n              IC,\n            \n            \n              Steultjens\n              MP,\n            \n            \n              Oud\n              TA,\n            \n          \n          .\n\t\t\t\t\tResponsiveness of the Canadian Occupational Performance Measure.\n\t\t\t\t\tJ Rehabil Res Dev.\n\t\t\t\t\t2011;\n\t\t\t\t\t48(\n\t\t\t\t\t5):\n\t\t\t\t\t517\u2013\n\t\t\t\t\t528."},{"key":"i1945-5763-28-1-99-b24","series-title":"Foundations in Clinical Research. Applications to Practice.","year":"2015","unstructured":"Portney\n              LG,\n            \n            \n              Watkins\n              MP.\n            \n          \n          \n            Foundations in Clinical Research. Applications to Practice.\n          \n          3rd ed.\n\t\t\t\t\tPhiladelphia:\n\t\t\t\t\tFA Davis;\n\t\t\t\t\t2015."},{"key":"i1945-5763-28-1-99-b25","series-title":"Enabling Positive Change. Coaching Conversation in Occupational Therapy.","article-title":"What is coaching?","year":"2016","unstructured":"Pentland\n              W,\n            \n            \n              Heinz\n              A.\n            \n          \n          What is coaching?\n          In:\n          \n            \n              Pentland\n              W,\n            \n            \n              Isaacs-Young\n              J,\n            \n            \n              Gash\n              J,\n            \n            \n              Heinz\n              A.\n            \n          \n          \n            Enabling Positive Change. Coaching Conversation in Occupational Therapy.\n          \n          Ottawa:\n\t\t\t\t\tCAOT Pub;\n\t\t\t\t\t2016."},{"key":"i1945-5763-28-1-99-b26","series-title":"Am J Occup Ther","first-page":"10","article-title":"Effectiveness of occupational performance coaching in improving children\u2019s and mothers\u2019 performance and mothers\u2019 self-competence","volume":"67","year":"2013","unstructured":"Graham\n              F,\n            \n            \n              Rodger\n              S,\n            \n            \n              Ziviani\n              G.\n            \n          \n          Effectiveness of occupational performance coaching in improving children\u2019s and mothers\u2019 performance and mothers\u2019 self-competence.\n\t\t\t\t\tAm J Occup Ther.\n\t\t\t\t\t2013;\n\t\t\t\t\t67:\n\t\t\t\t\t10\u2013\n\t\t\t\t\t18."},{"issue":"2","key":"i1945-5763-28-1-99-b27","series-title":"Phys Occup Ther Pediatr","first-page":"253","article-title":"Coaching mothers of children with autism: A qualitative study for occupational therapy","volume":"33","year":"2013","unstructured":"Foster\n              L,\n            \n            \n              Dunn\n              W,\n            \n            \n              Lawson\n              LM.\n            \n          \n          Coaching mothers of children with autism: A qualitative study for occupational therapy.\n\t\t\t\t\tPhys Occup Ther Pediatr.\n\t\t\t\t\t2013;\n\t\t\t\t\t33(\n\t\t\t\t\t2):\n\t\t\t\t\t253\u2013\n\t\t\t\t\t263."},{"issue":"4","key":"i1945-5763-28-1-99-b28","series-title":"Dev Neurorehabil","first-page":"191","article-title":"Children\u2019s reports of activity and participation after sustaining spinal cord injury: A cognitive interviewing study","volume":"12","year":"2009","unstructured":"Mulcahey\n              MJ,\n            \n            \n              Calhoun\n              C,\n            \n            \n              Riley\n              A,\n            \n            \n              Haley\n              S.\n            \n          \n          Children\u2019s reports of activity and participation after sustaining spinal cord injury: A cognitive interviewing study.\n\t\t\t\t\tDev Neurorehabil.\n\t\t\t\t\t2009;\n\t\t\t\t\t12(\n\t\t\t\t\t4):\n\t\t\t\t\t191\u2013\n\t\t\t\t\t200."},{"issue":"4","key":"i1945-5763-28-1-99-b29","series-title":"Am J Occup Ther","first-page":"605","article-title":"Children\u2019s and parents\u2019 perspectives of activity performance and participation following spinal cord injury","volume":"64","year":"2010","unstructured":"Mulcahey\n              MJ,\n            \n            \n              DiGiovanni\n              N,\n            \n            \n              Calhoun\n              C,\n            \n          \n          .\n\t\t\t\t\tChildren\u2019s and parents\u2019 perspectives of activity performance and participation following spinal cord injury.\n\t\t\t\t\tAm J Occup Ther.\n\t\t\t\t\t2010;\n\t\t\t\t\t64(\n\t\t\t\t\t4):\n\t\t\t\t\t605\u2013\n\t\t\t\t\t613."},{"issue":"8","key":"i1945-5763-28-1-99-b30","series-title":"PLoS One","doi-asserted-by":"publisher","first-page":"e0221848","DOI":"10.1371\/journal.pone.0221848","article-title":"Systematic review of patient and caregivers\u2019 satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients\u2019 health","volume":"14","year":"2019","unstructured":"Orlando\n              JF,\n            \n            \n              Beard\n              M,\n            \n            \n              Kumar\n              S.\n            \n          \n          Systematic review of patient and caregivers\u2019 satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients\u2019 health.\n\t\t\t\t\tPLoS One.\n\t\t\t\t\t2019;\n\t\t\t\t\t14(\n\t\t\t\t\t8):\n\t\t\t\t\te0221848.\n\t\t\t\t\tdoi:10.1371\/journal.pone.0221848."},{"issue":"1","key":"i1945-5763-28-1-99-b31","series-title":"Can J Occup Ther","first-page":"38","article-title":"Occupational performance coaching for mothers of children with disabilities in India","volume":"88","year":"2021","unstructured":"Angelin\n              C,\n            \n            \n              Sugi\n              S,\n            \n            \n              Rajendran\n              K.\n            \n          \n          Occupational performance coaching for mothers of children with disabilities in India.\n\t\t\t\t\tCan J Occup Ther.\n\t\t\t\t\t2021;\n\t\t\t\t\t88(\n\t\t\t\t\t1):\n\t\t\t\t\t38\u2013\n\t\t\t\t\t47. doi.org\/10.1177\/0008417420972868"},{"issue":"1","key":"i1945-5763-28-1-99-b32","series-title":"Am J Occup Ther","first-page":"10","article-title":"Effectiveness of occupational performance coaching in improving children\u2019s and mothers\u2019 performance and mothers\u2019 self-competence","volume":"67","year":"2013","unstructured":"Graham\n              F,\n            \n            \n              Rodger\n              S,\n            \n            \n              Ziviani,\n              J.\n            \n          \n          Effectiveness of occupational performance coaching in improving children\u2019s and mothers\u2019 performance and mothers\u2019 self-competence.\n\t\t\t\t\tAm J Occup Ther.\n\t\t\t\t\t2013;\n\t\t\t\t\t67(\n\t\t\t\t\t1):\n\t\t\t\t\t10\u2013\n\t\t\t\t\t18."},{"issue":"3","key":"i1945-5763-28-1-99-b33","series-title":"Int J Ther Rehabil","first-page":"1","article-title":"Occupational performance coaching: Goal barriers and beneficial facilitators","volume":"27","year":"2020","unstructured":"Kahjoogh\n              MA,\n            \n            \n              Kessler\n              D,\n            \n            \n              Khankeh\n              HR,\n            \n          \n          .\n\t\t\t\t\tOccupational performance coaching: Goal barriers and beneficial facilitators.\n\t\t\t\t\tInt J Ther Rehabil.\n\t\t\t\t\t2020;\n\t\t\t\t\t27(\n\t\t\t\t\t3):\n\t\t\t\t\t1\u2013\n\t\t\t\t\t10."},{"issue":"4","key":"i1945-5763-28-1-99-b34","series-title":"Br J Occup Ther","first-page":"213","article-title":"Randomized controlled trial of occupational performance coaching for mothers of children with cerebral palsy","volume":"82","year":"2019","unstructured":"Kahjoogh,\n              MA,\n            \n            \n              Kessler,\n              D,\n            \n            \n              Hosseini\n              SA,\n            \n          \n          .\n\t\t\t\t\tRandomized controlled trial of occupational performance coaching for mothers of children with cerebral palsy.\n\t\t\t\t\tBr J Occup Ther.\n\t\t\t\t\t2019;\n\t\t\t\t\t82(\n\t\t\t\t\t4):\n\t\t\t\t\t213\u2013\n\t\t\t\t\t219. https:\/\/doi.org\/10.1177\/0308022618799944"},{"issue":"2","key":"i1945-5763-28-1-99-b35","series-title":"Am J Occup Ther","first-page":"1","article-title":"Occupation-based coaching by means of telehealth for families of young children with autism spectrum disorder","volume":"72","year":"2018","unstructured":"Little,\n              LM,\n            \n            \n              Pope\n              E,\n            \n            \n              Wallisch\n              A,\n            \n            \n              Dunn\n              W.\n            \n          \n          Occupation-based coaching by means of telehealth for families of young children with autism spectrum disorder.\n\t\t\t\t\tAm J Occup Ther.\n\t\t\t\t\t2018;\n\t\t\t\t\t72(\n\t\t\t\t\t2):\n\t\t\t\t\t1\u2013\n\t\t\t\t\t7."},{"issue":"5","key":"i1945-5763-28-1-99-b36","series-title":"Am J Occup Ther","first-page":"520","article-title":"Impact of a contextual intervention on child participation and parent competence among children with autism spectrum disorders: A pretest-posttest repeated-measures design","volume":"66","year":"2012","unstructured":"Dunn\n              W,\n            \n            \n              Cox\n              J,\n            \n            \n              Foster\n              L,\n            \n            \n              Lawson,\n              LM,\n            \n            \n              Tanquary\n              J.\n            \n          \n          Impact of a contextual intervention on child participation and parent competence among children with autism spectrum disorders: A pretest-posttest repeated-measures design.\n\t\t\t\t\tAm J Occup Ther.\n\t\t\t\t\t2012;\n\t\t\t\t\t66(\n\t\t\t\t\t5):\n\t\t\t\t\t520\u2013\n\t\t\t\t\t528."},{"key":"i1945-5763-28-1-99-b37","series-title":"Disabil Rehabil","first-page":"1386","article-title":"Occupational therapists\u2019 and physiotherapists\u2019 perceptions of implementing occupational performance coaching","volume":"40","year":"2018","unstructured":"Graham\n              F,\n            \n            \n              Boland\n              P,\n            \n            \n              Ziviani,\n              J,\n            \n            \n              Rodger\n              S.\n            \n          \n          Occupational therapists\u2019 and physiotherapists\u2019 perceptions of implementing occupational performance coaching.\n\t\t\t\t\tDisabil Rehabil.\n\t\t\t\t\t2018;\n\t\t\t\t\t40:\n\t\t\t\t\t1386\u2013\n\t\t\t\t\t1392. https:\/\/doi.org\/10.1080\/09638288.2017.1295474."},{"issue":"2","key":"i1945-5763-28-1-99-b38","series-title":"Open J Occup Ther","first-page":"1","article-title":"Students\u2019 perceptions of occupational therapy-led coaching in post-secondary education","volume":"9","year":"2021","unstructured":"Harrington\n              E,\n            \n            \n              Santos\n              G,\n            \n            \n              Potvin,\n              MCC.\n            \n          \n          Students\u2019 perceptions of occupational therapy-led coaching in post-secondary education.\n\t\t\t\t\tOpen J Occup Ther.\n\t\t\t\t\t2021;\n\t\t\t\t\t9(\n\t\t\t\t\t2):\n\t\t\t\t\t1\u2013\n\t\t\t\t\t13. https:\/\/doi.org\/10.15453\/2168-6408.1790"}],"container-title":["Topics in Spinal Cord Injury 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