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How do young children with DCD participate and enjoy daily activities?
1Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 69978, Israel. o_bart@bezeqint.net
Insights
Children with Developmental Coordination Disorder (DCD) experience significantly reduced participation. Early intervention is crucial to support their independence and enjoyment in daily activities compared to peers.
Area of Science:
- Child Development
- Occupational Therapy
- Pediatric Neurology
Background:
- Developmental Coordination Disorder (DCD) can impact children's participation in daily activities.
- Understanding the multidimensional aspects of participation is crucial for early intervention.
- Preschool years are a critical period for developing foundational skills and social engagement.
Purpose of the Study:
- To evaluate and compare multidimensional participation in preschool children with and without DCD.
- To identify differences in independence, enjoyment, and parental satisfaction among groups.
- To explore the complexity of DCD using integrated diagnostic and health perception frameworks.
Main Methods:
- A comparative study involving 63 preschool children (mean age 4.96 years).
- Three groups were included: children with DCD, children with mild developmental issues, and typically developing children.
- Assessment included the Movement Assessment Battery for Children 2 (M-ABC2) and the Participation Scale Questionnaire (PSQ).
Main Results:
- Children with DCD showed significantly lower levels of independence in participation.
- Subjective measures, including child enjoyment and parental satisfaction, were significantly lower in the DCD group.
- Participation was compromised in children with DCD compared to their peers from a young age.
Conclusions:
- Preschool children with DCD face significant challenges in participation across multiple dimensions.
- Early identification and intervention are essential to enhance the participation of children with DCD.
- Integrating diagnostic criteria (DSM) with health perspectives (ICF) provides a comprehensive understanding of DCD's impact.
Abstract:
Developmental problems may decrease participation of children. The objective of this study was to evaluate multidimensional aspects of participation amongst preschool children with and without DCD. Participants included 63 children with mean age of 4.96 years (SD=0.62; range=4.02-6.35 years). Twenty one children were diagnosed with DCD, 21 children without DCD who were referred to OT due to mild developmental problems, and 21 children from mainstream public kindergartens whom did not require any developmental intervention. All three groups were matched for age, gender, and socioeconomic status. Children were administered the M-ABC2 and their parents completed the PSQ questionnaire. Results indicate significant differences in level of independence and subjective measures of participation (enjoyment and parents' satisfaction) between the DCD group and the two other groups. The results indicate that from a young age, and in comparison to their peers, the participation of children with DCD is compromised. The integration of the DSM diagnostic criteria and the ICF perception of health enables us to capture the full scope of DCD and its complexity.
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