Diagnostic services for developmental coordination disorder: Gaps and opportunities identified by parents

Author:

Klein Erin S.12ORCID,Licari Melissa3ORCID,Barbic Skye4ORCID,Zwicker Jill G.2456ORCID

Affiliation:

1. Graduate Programs in Rehabilitation Sciences University of British Columbia Vancouver Canada

2. Brain, Behaviour, & Development Theme, BC Children's Hospital Research Institute Vancouver Canada

3. Telethon Kids Institute and University of Western Australia Perth Australia

4. Department of Occupational Science & Occupational Therapy University of British Columbia Vancouver Canada

5. Department of Pediatrics (Division of Developmental Pediatrics) University of British Columbia Vancouver Canada

6. CanChild Centre for Childhood Disability Research Hamilton Canada

Abstract

AbstractBackgroundAffecting one in 20 children, Developmental Coordination Disorder (DCD) is a common neurodevelopmental disorder impacting a child's ability to learn motor skills. Despite its high prevalence, DCD is under‐recognized and under‐diagnosed, causing unnecessary frustration and stress for families who are seeking help for their child. This study aimed to understand how parents procure diagnostic services and their perspectives on needed supports and services to improve early identification and diagnosis of DCD.MethodsUsing a multi‐pronged recruitment strategy, we circulated the impACT for DCD online questionnaire to parents of children (<18 years) in British Columbia with suspected or diagnosed DCD. Data were analysed descriptively using medians/interquartile ranges for continuous data and frequencies/percentages for categorical data. Open‐ended questions were analysed using exploratory content analysis.ResultsA total of 237 respondent data were analysed. Parents identified poor awareness and understanding of health care professionals and educators regarding aetiology, symptomology, and impacts of DCD, affecting timely access to diagnostic services. Long waitlists were also a barrier that often led families with financial means to procure private diagnostic assessments.ConclusionA standard of care is needed for streamlined diagnostic services, enabling early identification and early intervention. A publicly funded, family‐centred, collaborative care approach is critical to assess, diagnose, and treat children with this disorder and to mitigate the secondary physical and mental health consequences associated with DCD.

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,Developmental and Educational Psychology,Pediatrics, Perinatology and Child Health

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