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Evaluation of a screening instrument for developmental coordination disorder

Evaluation of a screening instrument for developmental coordination disorder

Journal of Adolescent Health 34(4): 308-313

To validate the Children's Self-Perceptions of Adequacy in, and Predilection for Physical Activity (CSAPPA) scale as a proxy for the BOTMP test in diagnosing DCD. A sample of 209 children (M = 121; F = 87) consented to the BOTMP test, CSAPPA scale, Participation Questionnaire, Léger 20-meter Shuttle Run, and body fat using bioelectric impedance. Receiver Operating Characteristic (ROC) curve analysis and Kappa statistic were used to validate the CSAPPA scale as a predictor for significant clumsiness on the BOTMP test. Prevalence of DCD was.09 +/-.03 of both males and females, all previously undiagnosed. A positive cutoff of < 47 and < 53 for DCD on the CSAPPA scale was identified in male and females, respectively. Both gender cut-offs demonstrated significant agreement (p <.01) with a positive BOTMP test. Males' results indicated a sensitivity and specificity values of.90 (CI =.18) and.89 (CI =.22). Likewise, the female subject cutoff demonstrated high sensitivity [.88 (CI =.05)] and specificity [75 (CI =.09)]. Gender specific analysis of variance (ANOVA) indicated that students identified as clumsy were not significantly different in age or height from their peers, but demonstrated significantly (p <.01) lower self-efficacy, aerobic fitness, and had significantly (p <.01) higher relative body fat. These results held true for both genders. These findings are consistent with the characteristics of children with DCD. These results suggest that the CSAPPA scale is a promising instrument for use in screening children for developmental coordination disorder.

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Accession: 048993973

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PMID: 15041000

DOI: 10.1016/s1054-139x(03)00268-4

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