Critical triangulation of a movement test, questionnaires, and observational assessment for children with DCD.

Aims: Standardised assessment tools for developmental coordination disorder (DCD) do not always seem to agree with each other, which causes problems in making clinical and research decisions. This case study research aims to first determine whether or not three standardised assessment tools converge...

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Publicado en:International Journal of Therapy & Rehabilitation Vol. 20; no. 9; pp. 435 - 443
Autores principales: Doderer, Larissa, Miyahara, Motohide
Formato: research tables/charts Journal Article
Publicado: Mark Allen Holdings Limited Sep2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2013
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      pub: Mark Allen Holdings Limited
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        10.12968/ijtr.2013.20.9.435
        90271734
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        atl: Critical triangulation of a movement test, questionnaires, and observational assessment for children with DCD.
      aug:
        au:
          Doderer, Larissa
          Miyahara, Motohide
        affil: Sports Therapist, radius Ravensburg GmbH & Co, Ravensburg, Germany
      sug:
        subj:
          Motor Skills Disorders Diagnosis
          Clinical Assessment Tools Evaluation
          Outcome Assessment Methods
          Pediatric Physical Therapy
          Motor Skills Disorders Rehabilitation
          Clinical Assessment Tools
          Motor Skills Disorders Physiopathology
          Case Studies
          Validation Studies
          Questionnaires
          Triangulation
          Nonparticipant Observation
          Child, Preschool
          Child
          Female
          Male
          Human
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Female
          Male
      ab: Aims: Standardised assessment tools for developmental coordination disorder (DCD) do not always seem to agree with each other, which causes problems in making clinical and research decisions. This case study research aims to first determine whether or not three standardised assessment tools converge on diagnostic categories of DCD and, second, examine how useful observational assessment is to understanding the intervention process and the outcomes for selected children who exhibited discrepancies between the standard assessment tools. Methods: Based on the case formulation approach, a 7-week individual intervention program was developed for seven children who had delayed motor development and did not meet the DSM diagnostic exclusion criteria for DCD. The observational assessment of this 7-week, weekly intervention was documented, and a motor performance test and two questionnaires were administered before and after the intervention program. The authors examined the consistency and the discrepancies between the assessment tools regarding diagnostic status by employing methodological triangulation of the observational assessment, the movement test and the questionnaires. Results: The three standardised assessment tools agreed on the DCD categories of four out of the seven children both before and after the intervention. The standardised assessment tools produced discrepant results in the DCD categories of four children. Insights gained from the observational assessment could explain some of the reasons behind the discrepancies. Conclusions: Clinicians and researchers need to recognise discrepancies between different standardised assessment tools, not as errors, but as reflections of multiple aspects of motor development. Critical triangulation serves this purpose. Observational assessment can be useful to reconcile the discrepancy between standardised assessment tools and to make an ultimate clinical judgement for the diagnosis of DCD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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