Developmental coordination disorder is more than a motor problem: Children describe the impact of daily struggles on their quality of life

Author:

Zwicker Jill G12345ORCID,Suto Melinda6,Harris Susan R7,Vlasakova Nikol89,Missiuna Cheryl1011

Affiliation:

1. Assistant Professor, Department of Occupational Science and Occupational Therapy and Associate Member, Department of Pediatrics (Division of Developmental Pediatrics), University of British Columbia, Vancouver, Canada

2. Associate Member, Department of Pediatrics (Division of Developmental Pediatrics), University of British Columbia, Vancouver, Canada

3. Investigator, Brain, Behaviour and Development, BC Children’s Hospital Research Institute, Vancouver, Canada

4. Clinician Scientist, Sunny Hill Health Centre for Children, Vancouver, Canada

5. Research Associate, CanChild Centre for Childhood Disability Research, Hamilton, Canada

6. Associate Professor Emerita, Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, Canada

7. Professor Emerita, Department of Physical Therapy, University of British Columbia, Vancouver, Canada

8. PhD student, Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, Canada

9. PhD student, Charles University in Prague, Czech Republic

10. Professor, School of Rehabilitation Science, McMaster University, Hamilton, Canada

11. Scientist, CanChild Centre for Childhood Disability Research, Hamilton, Canada

Abstract

Introduction Affecting 5–6% of children, developmental coordination disorder is a neurodevelopmental disorder characterized by poor motor coordination and difficulty learning motor skills. Although quantitative studies have suggested that children with developmental coordination disorder experience reduced quality of life, no known qualitative studies have reported what daily life is like from their perspective. Method Guided by an inductive realistic approach and using semi-structured, individual interviews, 13 children (8–12 years) were asked to describe what life is like in their own words. Three researchers coded interviews manually to identify relevant content. An experienced qualitative researcher conducted a second, in-depth thematic analysis using NVivo to identify patterns and themes. Findings Two themes – milestones as millstones and the perils of printing – illuminated participants’ challenges in completing everyday activities at home and at school. The third theme – more than a motor problem – revealed the social and emotional impact of these struggles and from being excluded from play. The fourth theme – coping strategies – described their efforts to be resilient. Conclusion Parents, educators, physicians, and therapists working with children with developmental coordination disorder must recognize how their quality of life is affected by the physical and emotional toll of their efforts to participate successfully in daily activities.

Publisher

SAGE Publications

Subject

Occupational Therapy

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