Services for children with developmental co-ordination disorder: an evaluation against best practice principles

Area of Science:

• Pediatric rehabilitation
• Occupational therapy
• Physiotherapy

Background:

• The National Health Service in Scotland developed a best practice framework for pediatric developmental coordination disorder (DCD) services.
• Adherence to this framework by occupational therapists and physiotherapists is variable.
• This study aimed to identify areas for service improvement by comparing a current DCD care pathway with the established framework.

Purpose of the Study:

• To compare the care pathway of a pediatric DCD service with the NHS Scotland best practice framework.
• To identify gaps and areas for development in current DCD service provision.
• To inform strategies for enhancing the effectiveness of DCD services.

Main Methods:

• A qualitative study involving 37 participants (13 interviews, 24 workshops).
• The DCD service care pathway was mapped against the NHS framework.
• Data were analyzed using qualitative analysis software to identify gaps.

Main Results:

• Core principles for guiding future DCD service development were identified, aligning with the NHS framework.
• Key areas for improvement include family involvement, clear service pathways, and enhancing children's participation.
• Potential strategies suggested include community-based interventions and improved information provision.

Conclusions:

• Confusing service pathways and inadequate partnership working present challenges in pediatric DCD services.
• Clinicians should prioritize collaborative strategies that support children's participation.
• Engaging parents and educational professionals throughout the care pathway is crucial for optimal service delivery, with community-based approaches offering significant benefits.