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Design and Development of 'Building Opportunities for Optimal physical activity Skills Training in children with Down
V Megha Jain1, Bhamini K Rao1, Selvam Ramachandran1
1Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India.
Journal of Intellectual Disability Research : JIDR
|May 22, 2026
Summary
The Building Opportunities for Optimal physical activity Skills Training in children with Down Syndrome (BOOST-DS) program offers 53 validated play-based activities. This initiative aims to improve physical activity and participation for children with Down syndrome.
Area of Science:
- Pediatric Health
- Disability Studies
- Exercise Science
Background:
- Children with Down syndrome (DS) frequently fall short of recommended daily physical activity levels.
- This deficit impacts their engagement in daily life and overall well-being.
- Limited availability of accessible, participation-focused physical activity programs exacerbates this issue.
Purpose of the Study:
- To develop and validate a structured physical activity program tailored for children with Down syndrome.
- To enhance physical activity participation and associated outcomes in this population.
Main Methods:
- The Building Opportunities for Optimal physical activity Skills Training in children with Down Syndrome (BOOST-DS) program was developed through a three-phase process.
- A conceptual framework was established using existing literature.
- Content validation was achieved through expert consensus utilizing a modified Delphi method.
Main Results:
- The BOOST-DS program initially identified 62 active play items across six distinct physical activity domains.
- Following three rounds of expert review via the Delphi method, 53 play items gained consensus.
Conclusions:
- The content-validated BOOST-DS program comprises 53 play-based activities.
- These activities are categorized into six physical activity domains, designed to improve participation outcomes for children with Down syndrome.
