"系统有点坏了"...是对诊断发育协调障碍途径中的障碍的定性探索
Lucy H Eddy1, Nat K Merrick2, Cara E Staniforth3
1School of Psychology, Northumbria University, Newcastle, Tyne and Wear, United Kingdom.
PloS one
|March 3, 2026
概括
患有发育协调障碍 (DCD) 的儿童在评估和支持途径方面面临重大障碍,原因是知识不一致和服务分散. 改善沟通和协作对于及时干预和更好的结果至关重要.
科学领域:
- 儿科神经发育 儿童神经发育
- 运动技能的障碍 运动技能的障碍
- 医疗保健路径分析
背景情况:
- 发育协调障碍 (DCD) 影响大约5%的儿童,影响健康和教育.
- 现有的诊断系统 (DSM-V,ICD-10) 根据感觉运动技能缺陷来定义DCD.
- 父母对DCD服务的不满很高,对从业者的观点的研究有限.
研究的目的:
- 识别DCD评估和支持途径中从业人员的障碍和促进者.
- 探索英国一个多元化的地区 (布拉德福德) 的临床和教育视角.
主要方法:
- 与DCD途径的利益相关者进行半结构化采访.
- 使用理论主题分析分析的定性数据与COM-B模型保持一致.
主要成果:
- 在能力 (术语,知识,推),机会 (资源,优先级,服务连接) 和动机 (角色重叠,资格标准) 中发现的障碍.
- 在实践者采访中没有发现一致的辅导员.
结论:
- 家庭在获得DCD诊断和支持方面遇到许多障碍.
- 调查结果可能反映了DCD途径的国内和国际挑战.
- 迫切需要明确的服务间沟通,以及对DCD护理的协作,综合方法.
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