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Evaluating the CSAPPA subscales as potential screening instruments for developmental coordination disorder.

John Cairney1, Scott Veldhuizen, Paul Kurdyak

  • 1Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, Toronto, ON, Canada. john_cairney@camh.net

Archives of Disease in Childhood
|June 19, 2007
PubMed
Summary

The Children's Self-Perceptions of Adequacy in and Predilection for Physical Activity (CSAPPA) adequacy subscale shows promise for screening developmental coordination disorder (DCD). This shorter measure performs comparably to the full CSAPPA in identifying probable DCD cases.

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Area of Science:

  • Child Psychology
  • Motor Skill Development
  • Educational Psychology

Background:

  • Developmental Coordination Disorder (DCD) affects motor skills in children, impacting daily activities.
  • Early identification of DCD is crucial for timely intervention and support.
  • Generalised self-efficacy measures, like the CSAPPA, may offer insights into motor skill development.

Purpose of the Study:

  • To evaluate the efficacy of subscales from the Children's Self-Perceptions of Adequacy in and Predilection for Physical Activity (CSAPPA) as screening tools for DCD.
  • To compare the diagnostic performance of CSAPPA subscales against the full instrument using a validated motor proficiency test.

Main Methods:

  • Utilized the Bruininks-Oseretsky Test of Motor Proficiency short form (BOTMP-SF) to identify probable DCD cases in 590 children (grades 4-8).
  • Administered the BOTMP-SF and the CSAPPA to participants across four schools in Ontario, Canada.
  • Employed receiver operator characteristic (ROC) analysis to assess the performance of CSAPPA subscales and the full scale.

Main Results:

  • The full CSAPPA demonstrated good overall performance (AUC = 0.81).
  • The 'adequacy' (AUC = 0.79) and 'predilection' (AUC = 0.80) subscales showed statistically equivalent performance to the full scale.
  • The adequacy subscale, with a cut-point of 24, achieved a sensitivity of 0.86 and a specificity of 0.47 for DCD screening.

Conclusions:

  • The adequacy subscale of the CSAPPA is a viable alternative to the full measure for screening DCD.
  • Further research is recommended to enhance the specificity of the CSAPPA adequacy subscale for DCD screening, potentially by incorporating additional criteria.