Jasmin Emmanuelle, Tétreault Sylvie, Joly Jacques
1Occupational Therapy, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Québec, Canada.
Phys Occup Ther Pediatr. 2014 Nov;34(4):424-42. doi: 10.3109/01942638.2014.899284. Epub 2014 Mar 20.
This study explored the needs of children with developmental coordination disorder (DCD) from an ecosystemic viewpoint as part of a theory-driven program evaluation process. A multiple case study needs assessment was conducted. Participants included ten children with DCD, their parents (n = 12), teachers (n = 9), and service providers (n = 6). Data collection involved semi-structured interviews, validated questionnaires, and a review of the children's records. The results support the relevance of using an ecosystemic model to assess the needs of children with DCD in their life and social contexts. More specifically, the results highlight the need to provide additional services at school, such as occupational therapy and special education, as well as information and training regarding DCD for parents and teachers. The results also point to the relevant variables to consider in an intervention program based on theory-driven evaluations. This study shows how employing an ecosystemic frame of reference provides a better understanding of the needs of children with DCD. Future research should document the ecosystemic profiles and evolution of the needs of children with DCD with a larger sample from diverse socioeconomic backgrounds using a longitudinal study design.
作为理论驱动的项目评估过程的一部分，本研究从生态系统视角探讨了发育性协调障碍（DCD）儿童的需求。开展了一项多案例研究需求评估。参与者包括10名患有DCD的儿童、他们的父母（n = 12）、教师（n = 9）和服务提供者（n = 6）。数据收集包括半结构化访谈、经过验证的问卷以及对儿童记录的审查。结果支持使用生态系统模型来评估DCD儿童在其生活和社会环境中的需求的相关性。更具体地说，结果强调需要在学校提供额外服务，如职业治疗和特殊教育，以及为家长和教师提供有关DCD的信息和培训。结果还指出了在基于理论驱动评估的干预项目中需要考虑的相关变量。本研究表明，采用生态系统参照框架如何能更好地理解DCD儿童的需求。未来的研究应使用纵向研究设计，从不同社会经济背景的更大样本中记录DCD儿童的生态系统概况和需求演变。
