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We12BFit!-Improving lifestyle physical activity in children aged 7-12 years with developmental coordination disorder:
Petra Braaksma1, Ilse Stuive2, Hinke Boomsma2
1Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Insights
This study introduces a family-focused intervention to boost physical activity (PA) motivation in children with developmental coordination disorder (DCD). The program uses behavior change strategies to improve lifestyle PA and rehabilitation for these children.
Area of Science:
- Pediatrics
- Developmental Psychology
- Rehabilitation Science
Background:
- Children with developmental coordination disorder (DCD) exhibit lower physical activity (PA) levels compared to typically developing peers.
- Currently, no established interventions effectively address the reduced physical activity in children with DCD.
- This gap highlights the need for targeted strategies to enhance PA motivation and participation.
Purpose of the Study:
- To design and outline a family-centered intervention aimed at increasing motivation for physical activity (PA) in children aged 7-12 years with DCD.
- To indirectly promote sustained lifestyle PA through enhanced motivation.
- To describe the methodology for evaluating the intervention's preliminary effectiveness and feasibility.
Main Methods:
- The intervention, part of the We12BFit! program, utilizes the Transtheoretical Model (TTM) of change and behavior change strategies.
- Delivery modes include pedometers, posters, parent meetings, booklets, and coaching.
- A single-arm mixed-method design will assess effectiveness using accelerometers and activity logs, and feasibility via participant and coach interviews, with at least 19 children with DCD involved.
Main Results:
- Preliminary effectiveness will be measured using ActiGraph accelerometers and activity logs at three time points.
- Feasibility will be assessed through interviews with children and coaches.
- Data collection will involve at least 19 children diagnosed with DCD, aged 7-12 years.
Conclusions:
- This intervention has the potential to enhance understanding of PA motivation in children with DCD.
- Findings may inform and improve rehabilitation programs for children with DCD.
- Successful implementation could lead to increased physical activity and improved quality of life for children with DCD.
Introduction:
Children with developmental coordination disorder (DCD) are less physically active than their typically developing peers. No substantiated interventions are available to address this issue. Therefore, this study aims to describe the design and rationale of (1) a family-focused intervention to increase motivation for physical activity (PA) and, indirectly, lifestyle PA in children aged 7-12 years with DCD and (2) the methods to examine its preliminary effectiveness and feasibility.
Methods And Analysis:
This intervention is the second part of a more comprehensive, multidisciplinary treatment called We12BFit! The intervention was developed using the steps of treatment theory which includes the concept of targets, mechanism of action and essential ingredients. The content of the intervention is based on the transtheoretical model of change (TTM). In the intervention, the motivation for PA will be targeted through application of behaviour change strategies that fit the stages of the TTM. The modes of delivery include: pedometer, poster, parent meeting, booklet and coaching. At least 19 children with DCD, aged 7-12 years, will be included from two schools for special education and two rehabilitation centres. The intervention will be evaluated using a single-arm mixed-method design. Effectiveness will be assessed at three instances by using ActiGraph accelerometers accompanied by an activity log. Feasibility will be assessed using interviews with the participants and coaches. This evaluation may add to our understanding of motivation for PA in children with DCD and may eventually improve the rehabilitation programme of children with DCD.
Ethics And Dissemination:
The study has been approved by the Medical Ethics Committee of the University Medical Center of Groningen (METc 2015.216). We will disseminate the final results to the public through journal publications and presentations for practice providers and scientists. A final study report will also be provided to funding organisations.
Protocol Version:
4, 12 April 2018.
Trial Registration Number:
NTR6334; Pre-results.
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