MATCH: A Simple Way to Support Participation in Everyday Life

At Joyful Journey Occupational Therapy, we know that every child’s journey looks different. Families often ask us: “How do I know the best way to help my child when something feels tricky?” One practical tool we use is the acronym MATCH. It’s a simple reminder of the different ways we can adapt an activity or environment so that children feel supported, successful, and confident.

What does MATCH stand for?

M – Modify the task: Sometimes the task itself needs to be changed. This could mean breaking it down into smaller steps, using a visual checklist, or simplifying the instructions.

A – Alter the environment: The environment can make a huge difference to success. Reducing noise, providing a clear workspace, or offering a comfortable seat can help children focus and engage.

T – Teach the skill: Direct teaching, with modelling and practice, helps children learn the skills they need. We might use role-play, guided practice, or repetition to build confidence.

C – Change the expectations: It’s okay to shift expectations based on what’s realistic and meaningful for the child right now. That might mean celebrating partial participation or recognising effort rather than outcome.

H – Help by providing support: Some children simply need a helping hand—whether that’s physical assistance, prompting, or encouragement until they build independence.

An Example: Getting Dressed

A very common goal families bring to OT is helping their child get dressed more independently. Let’s look at how we could use MATCH to support this goal:

A young child sitting on the bed whilst putting socks on independently.

• Modify the task: Start with just putting on socks, rather than the whole outfit. Use clothes with elastic waistbands or Velcro instead of buttons.

• Alter the environment: Lay clothes out in order on the bed or get dressed in a quiet room without distractions.

• Teach the skill: Show the child step by step how to put on a shirt, using modelling, mirrors, or videos. Practice together during calm, non-rushed times.

• Change the expectations: Instead of expecting full independence straight away, focus on one item of clothing, or allow extra time in the morning routine.

• Help by providing support: Offer hand-over-hand guidance at first or help them start tricky steps (like threading a button) while the child finishes.

At Joyful Journey OT, we use frameworks like MATCH to ensure therapy is flexible, practical, and tailored to each child’s unique strengths. By considering multiple pathways to success, we can make everyday activities feel achievable and joyful.