Journeying with developmental coordination disorder: The family experience

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES
Nicola L. O’Kelly, Jean V. Fourie
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Abstract

Background: Developmental coordination disorder (DCD) is a neurodevelopmental disorder impacting 5% – 6% of children and continues into adulthood for 50% – 70% of cases. Despite the multidomain and lifelong influence of this disorder, little consideration has been given to the experiences of the family. Post-diagnostic support has been recommended however, the specific areas requiring support remain vague.Objectives: This study described the familial experiences of living with a member diagnosed with DCD.Method: A qualitative descriptive study using a phenomenological approach allowed insight into the lived experiences of families journeying with DCD. Forty-four participants representing 8 countries participated in an online questionnaire with 12 participating in an online semi-structured interview.Results: Themes generated reveal that obtaining a diagnosis and navigating the healthcare and education systems can be troublesome. Upon diagnosis, families tend to experience positive emotions such as relief. However, the daily challenges soon result in dominant negative emotional responses. DCD places significant financial burdens on families and impacts marital, parental and sibling relationships. Families often feel isolated from their communities as DCD is poorly understood.Conclusion: DCD places families at risk as daily struggles require support which targets identified motor, cognitive, academic and emotional challenges. Creating awareness in society, education and healthcare would alleviate continual frustrations.Contribution: This study provides insight into the wide-ranging impact that DCD has on families so that individualised support can be tailored, and general awareness raised.
与发育协调障碍同行:家庭经历
背景:发育协调障碍(DCD)是一种神经发育障碍,影响 5%-6%的儿童,50%-70%的病例会持续到成年。尽管这种障碍会对多个领域和终生产生影响,但很少有人考虑到家庭的经历。诊断后的支持已被推荐,但需要支持的具体领域仍然模糊不清:本研究描述了与被诊断患有 DCD 的成员共同生活的家庭经历:方法:采用现象学方法进行定性描述研究,深入了解患有 DCD 的家庭的生活经历。来自 8 个国家的 44 名参与者参与了在线问卷调查,其中 12 人参与了在线半结构化访谈:结果:所产生的主题显示,获得诊断以及在医疗保健和教育系统中游刃有余可能是件麻烦事。确诊后,患者家属往往会产生如释重负的积极情绪。然而,日常的挑战很快就会导致主要的负面情绪反应。DCD 给家庭带来沉重的经济负担,并影响婚姻、父母和兄弟姐妹的关系。由于人们对 DCD 的了解甚少,这些家庭常常感到与社区隔绝:DCD 给家庭带来风险,因为日常的挣扎需要针对运动、认知、学业和情感方面的挑战提供支持。提高社会、教育和医疗保健领域的认识将缓解持续的挫折感:本研究有助于深入了解 DCD 对家庭造成的广泛影响,从而提供量身定制的支持,并提高人们的普遍认识。
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来源期刊
African Journal of Disability
African Journal of Disability HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
5.90%
发文量
50
审稿时长
20 weeks
期刊介绍: The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.
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