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Health-related quality of life of children with Developmental Coordination Disorder
Heather C Karras1, Danita N Morin1, Kamaldeep Gill2
1Department of Occupational Science & Occupational Therapy, University of British Columbia, Vancouver, Canada.
Insights
Children with Developmental Coordination Disorder (DCD) report lower health-related quality of life (HRQOL). Motor and attention issues predict this reduced HRQOL, informing new therapeutic targets beyond motor skills.
Area of Science:
- Pediatric Health
- Developmental Psychology
- Quality of Life Research
Background:
- Developmental Coordination Disorder (DCD) impacts motor, emotional, and psychosocial functioning.
- Children with DCD often experience a lower quality of life than peers.
- Limited research has specifically investigated the health-related quality of life (HRQOL) in children with DCD.
Purpose of the Study:
- To describe the HRQOL of children with DCD compared to typically developing children.
- To compare HRQOL from the perspectives of children with DCD and their parents.
- To explore predictors of HRQOL for children with DCD.
Main Methods:
- Data collected from 50 children with DCD and their parents using KidScreen-52 and Strength and Difficulties Questionnaire.
- Comparison of collected data against published normative data.
- Analysis of HRQOL perceptions from both child and parent viewpoints.
Main Results:
- Children with DCD and their parents reported significantly lower HRQOL than norms.
- Parental perception of child's HRQOL was significantly lower than child's self-report across many domains.
- Parents reported more emotional and behavioral disturbances in children with DCD compared to norms.
- Poor motor function and attentional difficulties were identified as predictors of HRQOL.
Conclusions:
- DCD is associated with lower perceived HRQOL in children.
- Findings suggest therapeutic targets for DCD should extend beyond motor skill interventions.
- Addressing emotional and behavioral aspects alongside motor skills may improve HRQOL for children with DCD.
Background:
Although Developmental Coordination Disorder (DCD) is primarily a motor disorder, it can also impact emotional and psychosocial functioning of children with this condition. Evidence suggests that children with DCD experience lower quality of life than their peers, but few studies have explicitly examined the health-related quality of life (HRQOL) of these children.
Aims:
To: (1) describe HRQOL of children with DCD compared to typically-developing children; (2) compare HRQOL from the perspectives of children with DCD and their parents; and (3) explore predictors of HRQOL for children with DCD.
Methods:
Data from the KidScreen-52 and Strength and Difficulties Questionnaire were collected from 50 children with DCD [Mean(SD) age: 9.8 (1.2) years] and their parents and compared to normative data.
Results:
Children with DCD and their parents report significantly lower HRQOL compared to published norms. Caregivers have a significantly lower perception of their child's HRQOL than their child's self-report in many domains. Parents of children with DCD report that their children experience significantly more emotional and behavioral disturbances compared to norms. Poor motor function and attentional difficulties predict HRQOL.
Conclusion And Implications:
DCD appears to contribute to lower perceived HRQOL. Findings inform therapeutic targets for children with DCD, beyond motor skill intervention.
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