International clinical practice recommendations on the definition, diagnosis, assessment, intervention, and psychosocial aspects of developmental coordination disorder
International clinical practice recommendations on the definition, diagnosis, assessment, intervention, and psychosocial aspects of developmental coordination disorder
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DOI：
10.1111/dmcn.14132
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发表时间：
2019-03-01
影响因子：
3.8
通讯作者：
Vincon, Sabine
中科院分区：
文献类型：
--
作者：
Blank, Rainer;Barnett, Anna L.;Vincon, Sabine
目标 这些针对发育性协调障碍 (DCD) 的国际临床实践建议 (CPR) 由欧洲儿童残疾学会 (EACD) 发起，旨在解决与临床实践相关的 DCD 的定义、诊断、评估、干预和心理社会方面的关键问题。方法通过文献综述和正式的专家共识来考虑五个领域的关键问题。对于基于证据的建议，自 2012 年上次建议以来，对“机制”、“评估”和“干预”的文献检索进行了更新。对“心理社会问题”和“青少年/成人”进行了新的检索。根据牛津循证医学中心对证据进行评级（证据级别 [LOE] 1-4）并转化为建议。对于基于正式共识的建议，国际多学科专家小组召开了两次会议，并进行了五轮德尔菲会议，以制定良好临床实践（GCP）建议。结果 提出了 35 条建议。八项基于文献综述的证据（三项关于“评估”，五项关于“干预”）。 22 项是根据 2012 年建议更新的。新建议涉及诊断和评估（两个 GCP）和心理社会问题（三个 GCP）。此外，一项新建议 (LOE) 反映了活跃的视频游戏作为更传统的以活动为导向和以参与为导向的干预措施的辅助手段，并且为患有 DCD 的青少年和成人提出了两项新建议（一项 GCP，一项 LOE）。解释 CPR-DCD 是对 DCD 的全面概述以及基于研究证据和专家共识的当前理解。它反映了不同学科的临床医生和科学家的最新技术水平。国际 CPR-DCD 可作为国家指南的基础。本文补充内容更新了发育性协调障碍 (DCD) 的国际临床实践指南。关于 DCD 临床评估和干预的细化和扩展建议。当前 DCD 机制研究的重要概要。 DCD 心理社会问题的重要概述，对临床实践具有影响。第一个考虑患有发展性协调障碍 (DCD) 的青少年和成人的国际建议。
Aim These international clinical practice recommendations (CPR) for developmental coordination disorder (DCD), initiated by the European Academy of Childhood Disability (EACD), aim to address key questions on the definition, diagnosis, assessment, intervention, and psychosocial aspects of DCD relevant for clinical practice. Method Key questions in five areas were considered through literature reviews and formal expert consensus. For recommendations based on evidence, literature searches on 'mechanisms', 'assessment', and 'intervention' were updated since the last recommendations in 2012. New searches were conducted for 'psychosocial issues' and 'adolescents/adults'. Evidence was rated according to the Oxford Centre for Evidence-Based Medicine (level of evidence [LOE] 1-4) and transferred into recommendations. For recommendations based on formal consensus, two meetings of an international, multidisciplinary expert panel were conducted with a further five Delphi rounds to develop good clinical practice (GCP) recommendations. Results Thirty-five recommendations were made. Eight were based on the evidence from literature reviews (three on 'assessment', five on 'intervention'). Twenty-two were updated from the 2012 recommendations. New recommendations relate to diagnosis and assessment (two GCPs) and psychosocial issues (three GCPs). Additionally, one new recommendation (LOE) reflects active video games as adjuncts to more traditional activity-oriented and participation-oriented interventions, and two new recommendations (one GCP, one LOE) were made for adolescents and adults with DCD. Interpretation The CPR-DCD is a comprehensive overview of DCD and current understanding based on research evidence and expert consensus. It reflects the state of the art for clinicians and scientists of varied disciplines. The international CPR-DCD may serve as a basis for national guidelines. What this paper addsUpdated international clinical practice guidelines on developmental coordination disorder (DCD). Refined and extended recommendations on clinical assessment and intervention for DCD. A critical synopsis of current research on mechanisms of DCD. A critical synopsis of psychosocial issues in DCD, with implications for clinical practice. The first international recommendations to consider adolescents and adults with DCD.