Four researches conducted since the pandemic have helped form the recently-feted Quezon City Kabahagi Center鈥檚 flexicoaching program, which was recognized in March 17, 2025 by the Department of Science and Technology – Philippine Center for Health Research and Development. The flexicoaching program was feted with the 2025 Gelia Castillo Award for Research on Social Innovations in Health (GCARSIH).
Beginning with the crisis response
With the mobility restrictions brought about by the COVID-19 pandemic, community-based rehabilitation (CBR) services also had to shift modality. The paper 鈥溇派�-based rehabilitation in the time of pandemic: Experiences of parents of children with disability鈥� (co-authored by BS Occupational Therapy students Balangue, Chua, Ilagan, Juan, Labaco, and Noh, and academic staff Asst. Prof. Karen S. Sagun) conducted focus groups with parents whose children received CBR and found that they saw the potential of telecoaching to continue availing services, provided that the digital divide and initial doubt on technology can be overcome.
Building on the previous year鈥檚 focus groups, a second study was conducted a year later, focused this time on access of low-income households to community-based telerehabilitation. The paper 鈥淓xploring the accessibility of community-based telerehabilitation for children with disabilities from low-income households鈥� was co-authored by BSOT students Ryanne Nicole H. Alava, Kristine Therese S. Cablay, Katelyn A. Dagdag, Francis Rowelle P. Lagman, Kvaern Edgar S. Nocos, Jamela Y. Quidilla, Nina Mari M. Tan, along with Sagun. It was recently published in the International Journal of Telerehabilitation (Volume 16, Issue 2).
The second study found the need to provide a comprehensive approach to helping low-income households overcome access issues. In particular, affordable technology, family support, and policy advocacy must be provided by a combination of stakeholders: healthcare professionals, policy makers, and family beneficiaries. If the needed support is provided, technological competency and service delivery flexibility as well as telerehabiltation sustainability may be attained.
Transitioning to the blended modality
It was not only classes that transitioned to the blended delivery, as CBR for indigent children with disabilities (CWD) also eventually adopted the blended mode. Dubbed Flexicoaching, the QC Kabahagi Center鈥檚 CBR program was tested for its effectiveness using a quasi-experimental research design that delved into retrospective records review. This the third study conducted by Thomasian researchers, this time by Sagun, along with students Balloon, Defi帽o, Guerrero, Managuelod, Oliva, and Ri帽oza in 2024. The paper, entitled 鈥淓xamining the caregiver鈥檚 perception of occupational performance and satisfaction in community-based rehabilitation using blended online and onsite therapy,鈥� found primary caregivers鈥� perceived occupation performance and CWDs鈥� satisfaction were positive in a blended modality. The program enhanced 鈥渟ocial and educational participation, validating its potential as a sustainable service delivery model for children with disabilities in urban poor communities.鈥�
Scaling the efforts
The fourth paper, entitled 鈥淓ffectiveness of community-based flexicoaching from low socioeconomic background using goal attainment scaling, used pre-test and post-design for the quasi-experimental study alongside the Goal Attainment Scale to measure intervention success for CWDs. The Flexicoaching program was found potentially valuable not just for occupational therapists, but also for physical therapists, and speech therapists, after validating remarkable effectiveness among 88.67% of the participants, who were part of the 406 cases reviewed.
According to QC Kabahagi Center Director and Department of Occupational Therapy academic staff Asst. Prof. Karen S. Sagun, MSOT, MRS, 鈥渢he partnership between UST and QC Government through the Kabahagi Center exemplifies how academe-government collaboration can advance multiple Sustainable Development Goals, particularly in health, education, and reducing inequalities.鈥� The findings of the four studies provided informed evidence-based rehabilitation services that have been made accessible to urban poor communities and thus addressed social disparities.
Sagun added that while the collaboration began as a crisis response by BS Occupational Therapy students to see the effectiveness of Flexicoaching, the partnership has now shown 鈥渃ontinuous development of community-tailored rehabilitation approaches.鈥�
The GCARSIH award, which looked into Filipino-developed programs that targeted an identified priority health need of a community, fetes transformative partnerships that help achieve the Sustainable Development Goals through integrated local governance, health innovation, and academic excellence. Among the selection criteria used were degree of innovativeness, significance, potential for further research and scale, inclusiveness, effectiveness, affordability, and participatory and co-owned nature.
Sagun acknowledged the invaluable support of Quezon City Mayor Hon. Ma. Josefina Belmonte, the QC Kabahagi center staff, UST College of Rehabilitation Sciences Dean Anne Marie C. Asron and Faculty of Medicine and Surgery Dean Ma. Lourdes D. Maglinao, along with the units鈥� officials, academic staff, researchers, and students. Sagun added: 鈥淭his recognition honors the power of collective innovation in healthcare delivery. From dedicated frontline workers of the government to academic partners and the participatory leadership of the city, each stakeholder has contributed to building a sustainable model of inclusive, community-based rehabilitation services. The partnership has become a launchpad for healthcare innovations while nurturing generations of professionals deeply committed to serving vulnerable communities.鈥�
