Developmental coordination disorder in UK children aged 6–18 years: Estimating the cost / Mary Ann Megan Cleaton in The British Journal of Occupational Therapy, Vol. 83 Issue 1 (Janvier 2020)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 83 Issue 1 (Janvier 2020) . - p. 29-40 Titre : Developmental coordination disorder in UK children aged 6–18 years: Estimating the cost Type de document : texte imprimé Auteurs : Mary Ann Megan Cleaton ; Paula Kate Lorgelly ; Amanda Kirby Année de publication : 2020 Article en page(s) : p. 29-40 Note générale : doi.org/10.1177/0308022619866642 Langues : Anglais (eng) Mots-clés : Developmental coordination disorder  burden-of-illness  costs and cost analysis  Great Britain  child  motor skills disorders  occupational therapy Résumé : Introduction Developmental coordination disorder is a neurodevelopmental disorder affecting motor ability, with an estimated prevalence of between 2% and 6% in school-aged children. It is associated with considerable psychosocial impact. However, the financial cost this poses to families and society has never been assessed. We aimed to estimate the direct, indirect and out-of-pocket costs associated with developmental coordination disorder in United Kingdom school-aged children in the 6 months prior to our survey. Method Parents/guardians answered an online questionnaire adapted from the Client Service Receipt Inventory. Results Mean direct healthcare costs were approximately £700 in the 6 months prior to the survey. Almost all children were in mainstream education, but many received additional support. Among children who received therapy, the average indirect cost was £574 in the 6 months prior to the survey. However, this did not include changes to employment made to accommodate caring for the child. Notably, respondents commented that they frequently struggled to access services for their children. Thus, these figures may be a marked underestimation of true need. Conclusion This study represents the first cost-of-illness study for developmental coordination disorder. It demonstrates that developmental coordination disorder incurs a significant cost to society but particularly to families. Improvements to diagnostic pathways and post-diagnosis service provision are much needed. Permalink : ./index.php?lvl=notice_display&id=85692 [article] Developmental coordination disorder in UK children aged 6–18 years: Estimating the cost [texte imprimé] / Mary Ann Megan Cleaton ; Paula Kate Lorgelly ; Amanda Kirby . - 2020 . - p. 29-40. doi.org/10.1177/0308022619866642 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 83 Issue 1 (Janvier 2020) . - p. 29-40 Mots-clés : Developmental coordination disorder  burden-of-illness  costs and cost analysis  Great Britain  child  motor skills disorders  occupational therapy Résumé : Introduction Developmental coordination disorder is a neurodevelopmental disorder affecting motor ability, with an estimated prevalence of between 2% and 6% in school-aged children. It is associated with considerable psychosocial impact. However, the financial cost this poses to families and society has never been assessed. We aimed to estimate the direct, indirect and out-of-pocket costs associated with developmental coordination disorder in United Kingdom school-aged children in the 6 months prior to our survey. Method Parents/guardians answered an online questionnaire adapted from the Client Service Receipt Inventory. Results Mean direct healthcare costs were approximately £700 in the 6 months prior to the survey. Almost all children were in mainstream education, but many received additional support. Among children who received therapy, the average indirect cost was £574 in the 6 months prior to the survey. However, this did not include changes to employment made to accommodate caring for the child. Notably, respondents commented that they frequently struggled to access services for their children. Thus, these figures may be a marked underestimation of true need. Conclusion This study represents the first cost-of-illness study for developmental coordination disorder. It demonstrates that developmental coordination disorder incurs a significant cost to society but particularly to families. Improvements to diagnostic pathways and post-diagnosis service provision are much needed. Permalink : ./index.php?lvl=notice_display&id=85692

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Implications of DSM-5 for recognising adults with developmental coordination disorder (DCD) / Catherine Purcell in The British Journal of Occupational Therapy, Volume 78 numéro 5 (Mai 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 295-302 Titre : Implications of DSM-5 for recognising adults with developmental coordination disorder (DCD) Type de document : texte imprimé Auteurs : Catherine Purcell, Auteur ; Sally Scott-Roberts, Auteur ; Amanda Kirby, Auteur Année de publication : 2015 Article en page(s) : p. 295-302 Langues : Anglais (eng) Mots-clés : Developmental coordination disorder (DCD)  Adults DSM-5 Résumé : Introduction The latest edition of the Diagnostic and Statistical Manual of Mental Disorders has attempted to recognise the pervasiveness of developmental coordination disorder across the lifespan. However, it falls short at describing the non-motoric symptomology such as executive functioning, social, emotional and psychiatric difficulties commonly reported in adults. Consequently, at the point of entry the self-reported functional difficulties of an adult with developmental coordination disorder may not be immediately associated with an underlying deficit within a motor domain, potentially resulting in inappropriate referrals. Method This study aimed to explore the reasons why 16 adults without a previous diagnosis of developmental coordination disorder referred themselves for a clinical assessment and consider whether their significant motor difficulties would be apparent. Results The primary self-reported concerns related to executive functioning difficulties, activities of daily living, changes in routine and social interaction and engagement. The least common self-reported concerns included gross motor skills. Conclusion Practitioners at the point of entry need to be mindful that adults with significant motor difficulties may not identify motor difficulties as their primary concern. It is, therefore, important to include screening for motor difficulties and for a future clinical landscape to comprise a referral pathway to adult neurodevelopmental clinics incorporating multidisciplinary teams. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35949 [article] Implications of DSM-5 for recognising adults with developmental coordination disorder (DCD) [texte imprimé] / Catherine Purcell, Auteur ; Sally Scott-Roberts, Auteur ; Amanda Kirby, Auteur . - 2015 . - p. 295-302. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 295-302 Mots-clés : Developmental coordination disorder (DCD)  Adults DSM-5 Résumé : Introduction The latest edition of the Diagnostic and Statistical Manual of Mental Disorders has attempted to recognise the pervasiveness of developmental coordination disorder across the lifespan. However, it falls short at describing the non-motoric symptomology such as executive functioning, social, emotional and psychiatric difficulties commonly reported in adults. Consequently, at the point of entry the self-reported functional difficulties of an adult with developmental coordination disorder may not be immediately associated with an underlying deficit within a motor domain, potentially resulting in inappropriate referrals. Method This study aimed to explore the reasons why 16 adults without a previous diagnosis of developmental coordination disorder referred themselves for a clinical assessment and consider whether their significant motor difficulties would be apparent. Results The primary self-reported concerns related to executive functioning difficulties, activities of daily living, changes in routine and social interaction and engagement. The least common self-reported concerns included gross motor skills. Conclusion Practitioners at the point of entry need to be mindful that adults with significant motor difficulties may not identify motor difficulties as their primary concern. It is, therefore, important to include screening for motor difficulties and for a future clinical landscape to comprise a referral pathway to adult neurodevelopmental clinics incorporating multidisciplinary teams. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35949

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