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Understanding physical activity and motivations for children with developmental coordination disorder: an
Matthew Y W Kwan1, John Cairney, John A Hay
1Department of Family Medicine, McMaster University, Hamilton, ON, Canada; Departments of Kinesiology, Psychiatry and Behavioural Neurosciences and Clinical Epidemiology and Biostatistics, CanChild Centre for Childhood Disability Research, and Offord Centre for Child Studies, McMaster University, Hamilton, ON, Canada.
Insights
Boys with Developmental Coordination Disorder (DCD) are less physically active. Their attitudes and perceived social norms partially explain this activity deficit, suggesting intervention targets for children with motor difficulties.
Area of Science:
- Neuroscience
- Pediatrics
- Kinesiology
Background:
- Developmental Coordination Disorder (DCD) affects 5-6% of children, often linked to reduced physical activity.
- Psychosocial factors influencing physical activity in children with DCD remain under-researched.
Purpose of the Study:
- To investigate the impact of theory-based physical activity cognitions on behavior in boys with and without DCD.
- To identify psychosocial mediators of physical activity differences between boys with and without DCD.
Main Methods:
- A cohort of 61 boys (19 with DCD, 42 typically developing) completed psychosocial questionnaires.
- Objective physical activity was measured using accelerometers over one week.
Main Results:
- Boys with DCD exhibited significantly lower physical activity levels.
- Children with DCD also showed poorer physical activity cognitions.
- Attitudes and subjective norms partially mediated the association between DCD and physical activity.
Conclusions:
- Confirms an activity deficit in boys with DCD, partly explained by cognitive factors.
- Interventions should address social approval and personal evaluations of physical activity for boys with motor challenges.
- Highlights the need for understanding psychological factors to bridge the activity gap in boys with DCD.
Abstract:
Developmental coordination disorder (DCD) is a neurodevelopmental condition, affecting approximately 5-6% of children. Previous research has consistently found children with DCD being less physically active compared to typically-developing (TD) children; however, the psychosocial factors associated with physical activity for children with DCD are poorly understood. The purpose of this study was to examine how theory-based physical activity cognitions impacts physical activity behaviors for children with and without DCD. Participants included a sample of boys (N=61, Mage=13.25 ±.46) with DCD (n=19) and without DCD (n=42), drawn from a larger prospective cohort study. A questionnaire with psychosocial measures was first administered, and accelerometers were used to assess their physical activity behavior over the subsequent week. Findings indicate that DCD was significantly associated with lower physical activity (F(1,58)=6.51, p<.05), and poorer physical activity cognitions (F(4,56) Wilks Lambda=2.78, p<.05). Meditational analyses found attitudes (B=.23, p<.05) and subjective norms (B=.31, p<.05) partially mediating the relationship between DCD and physical activity. Overall, this study further confirms that the activity deficit that exists among boys with DCD, and that the relationship is partially mediated through some physical activity cognitions. Interventions should target the perceived approval of influential people, and the personal evaluations of physical activity for boys with motoric difficulties. These findings further emphasizes the discrepancy in physical activity that exist between boys with DCD and TD boys, and highlight the need to better understand the psychological factors related to physical activity for children with DCD.
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