Family Focused Tele Intervention For Developmental Coordination Disorder V.2

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Family Focused Tele Intervention For Developmental Coordination Disorder V.2

  1. 1. Family Focused Tele- Intervention for Developmental Coordination Disorder : Preliminary Findings Motohide Miyahara School of Physical Education John E Clarkson School of Medicine, Paediatrics & Child Health Ruth Cutfield School of Physiotherapy Russell Butson Higher Education Development Centre Acknowledgements: Kate Heveldt, Robert van der Vyver, Tiffany Cone, University of Otago Research Grant
  2. 2. Background <ul><li>Insufficient intervention support for children with developmental coordination disorder (DCD) in New Zealand </li></ul><ul><ul><li>Health care systems (OT, PT) </li></ul></ul><ul><ul><li>Educational systems (Teachers, PE, GSE) </li></ul></ul><ul><li>Successful home- and school-based intervention in UK (Sugden & Chambers, 2003). </li></ul><ul><li>Effective clinical intervention at the Movement Development Clinic (Miyahara, Yamaguchi & Green, 2008). </li></ul><ul><li>Successful telehealth adaptation of the Lidcombe program of early stuttering intervention (Wilson, Onslow & Lincoln, 2004). </li></ul>
  3. 3. Tele-Intervention <ul><li>Theoretical models </li></ul><ul><ul><li>Ecological Task Analysis (Davis & Broadhead, 2007) </li></ul></ul><ul><ul><ul><li>1) Structure the physical and social environment to specify the task goal; </li></ul></ul></ul><ul><ul><ul><li>2) Provide choices to children regarding how to solve the movement problem; </li></ul></ul></ul><ul><ul><ul><li>3) Manipulate relevant task (environment )variables to elicit further responses; </li></ul></ul></ul><ul><ul><ul><li>4) Provide direct instruction in skill selection and movement form. </li></ul></ul></ul><ul><ul><li>2. Bronfenbrenner's Theory of Ecological Development (Bronfenbrenner, 1979) </li></ul></ul>
  4. 4. Tele-Intervention <ul><li>Phase 1 (Apr-Jun, 2008) </li></ul><ul><ul><li>Three boys and their families </li></ul></ul><ul><li>Phase 2 (Jul-Sep, 2008) </li></ul><ul><ul><li>three boys, one girl and their families </li></ul></ul><ul><li>Phase 3 (Oct-Dec, 2008) </li></ul><ul><ul><li>Four boys and their families </li></ul></ul>
  5. 5. Developing, Trialing, and Refining Materials <ul><li>Workbook </li></ul><ul><ul><li>Theory into practice at home </li></ul></ul><ul><ul><li>User friendly (easy language, cartoons) </li></ul></ul><ul><li>DVDs </li></ul><ul><ul><li>Tying shoelaces </li></ul></ul><ul><ul><li>Family meetings </li></ul></ul><ul><ul><li>Bike riding </li></ul></ul><ul><li>Telephone communication </li></ul><ul><li>Online support network </li></ul>
  6. 6. Telephone Communication <ul><li>Weekly contact with each child’s “teacher” </li></ul><ul><li>Aims </li></ul><ul><ul><li>To monitor progress </li></ul></ul><ul><ul><li>To provide information and advice </li></ul></ul><ul><ul><li>Encouragement/motivation </li></ul></ul><ul><li>Positive features </li></ul><ul><ul><li>Time efficient </li></ul></ul><ul><ul><li>Develop rapport with families </li></ul></ul><ul><ul><li>Encourages adherence to the program </li></ul></ul><ul><ul><li>Empowers families to problem solve </li></ul></ul>
  7. 7. <ul><li>Challenges </li></ul><ul><ul><li>Making contact with the families </li></ul></ul><ul><ul><li>Keeping the conversation focused </li></ul></ul><ul><ul><li>Identifying movement difficulties </li></ul></ul><ul><ul><li>Relying on parents for all information </li></ul></ul><ul><li>In future… </li></ul><ul><ul><li>Have a contract with parents </li></ul></ul><ul><ul><li>Encourage increased use of photos, home videos etc </li></ul></ul><ul><ul><li>Offer a clinic visit if a child is not progressing with a particular skill </li></ul></ul>Telephone Communication
  8. 11. Intervention Outcomes: Movement Assessment Battery for Children-2 (Henderson, Sugden, & Barnett, 2007)
  9. 12. Future Plan and Outstanding Issues <ul><li>Future Plan </li></ul><ul><ul><li>Feasibility study through a parent support group (N = 100). </li></ul></ul><ul><ul><li>National efficacy evaluation study </li></ul></ul><ul><ul><ul><li>e.g., Parent-focused intervention for autism (EarlyBird) administered by Autism NZ, funded by Ministry of Health (Birkin, Anderson, Moore & Seymour, 2004) </li></ul></ul></ul><ul><li>Outstanding Issues </li></ul><ul><ul><li>Funding, Access, Motivation, Staffing </li></ul></ul>

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