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Participation of children with developmental coordination disorder
Sara Izadi-Najafabadi1, Nikki Ryan2, Gelareh Ghafooripoor2
1Graduate Programs in Rehabilitation Science, University of British Columbia, Vancouver, Canada; BC Children's Hospital Research Institute, Vancouver, Canada.
Insights
Children with developmental coordination disorder (DCD) show reduced participation in activities due to environmental barriers. Interventions should address both motor skills and environmental modifications for improved participation.
Area of Science:
- Pediatric Occupational Therapy
- Child Psychology
- Developmental Pediatrics
Background:
- Children with developmental coordination disorder (DCD) exhibit lower participation rates and activity diversity compared to peers.
- Previous research focused on motor skill deficits, neglecting environmental influences on DCD participation.
- Environmental factors' impact on participation for children with DCD remains under-examined.
Purpose of the Study:
- To investigate participation patterns of children with DCD across home, school, and community settings.
- To analyze the roles of personal and environmental factors in DCD participation.
- To compare participation and environmental support in children with DCD versus typically developing children.
Main Methods:
- Utilized the Participation and Environment Measure-Child and Youth (PEM-CY) survey.
- Collected data from parents of 81 children diagnosed with DCD, aged 4-12 years.
- Compared findings with existing data from typically developing children.
Main Results:
- Children with DCD demonstrated significantly less frequent participation in school and community settings.
- Children with DCD experienced reduced overall environmental support across all assessed settings (home, school, community).
- Environmental support was lower for children with DCD compared to typically developing children.
Conclusions:
- Environmental factors significantly impede participation for children with DCD.
- Effective interventions require a dual approach: motor skill development and environmental modification.
- Addressing environmental barriers is crucial for enhancing participation in home, school, and community settings for children with DCD.
Abstract:
Children with developmental coordination disorder (DCD) participate less frequently and in less diverse activities compared to typically-developing children. Participation restrictions have been attributed to poor motor skills, but no studies have examined the influence of the environment on participation of children with DCD. This study examined participation in children with DCD at home, school and in the community, considering both personal and environmental factors. Eighty-one parents of 4- to 12-year-old children with DCD (M = 8.3, SD = 2.1) completed the Participation and Environment Measure-Child and Youth (PEM-CY). Our data were compared to previously published data on typically-developing children. Children with DCD participated less frequently than typically-developing children in school and community settings and had less overall environmental support in all three settings. Regarding improvement in participation, children with DCD would benefit from motor interventions that also focus on modification of the environment to support their participation in home, school, and community settings.
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