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The effectiveness of occupational therapy for children with developmental coordination disorder: a review of the qualitative literature
- Authors:
- MORGAN Ruth, LONG Tony
- Journal article citation:
- British Journal of Occupational Therapy, 75(1), January 2012, pp.10-18.
- Publisher:
- Sage
The aim of this review was to further evidence-based practice by identifying motor interventions judged to be effective by children with developmental coordination disorder (DCD) and their parents. Six databases were searched for qualitative studies with school-age children with DCD and their parents in order to understand which occupational therapy interventions are most effective for decreasing core symptoms and improving occupational outcomes. The Model of Human Occupation was used to structure the discussion and to illustrate how a model can be used to guide the therapeutic reasoning process about future intervention decisions. For many families, intervention that addressed everyday occupations and the social consequences for children with DCD was of the utmost importance. Both child-centred and parent-centred interventions for DCD were valued but allowing children to be active in goal setting was considered vital. Most parents wanted to maximise their child's social participation and motivation whereas children were more concerned about their ability to engage in self-care and play activities. The authors conclude that there is a need for practitioners to incorporate the priorities of parents and children in order to optimise the outcomes of intervention. Parental and teacher education was highly valued by parents to help manage the uncertainty and worry associated with raising a child with DCD.