The effect of a play-centered SPARK physical education program on motor proficiency and self-efficacy in children with developmental coordination disorder
摘要
Children with DCD often lack the motor proficiency essential to perform daily activities which may in turn lead to psychosocial problems. This study aimed to determine the efficacy of a play-based group motor program in improving self-efficacy and motor proficiency in children with DCD.
Methods30 girls aged 10–12 years who met the DSM-V criteria for DCD with substantially low motor performance were randomly assigned to experimental (N = 15) and control groups (N = 15). The experimental group underwent 24 sessions of SPARK (Sports, Play and Active Recreation for Kids), a structured physical education program designed to enhance motor skills. Participants were assessed pre- and post-intervention using the Bruininks-Oseretsky Test of Motor Proficiency (BOT) and Self-Efficacy Questionnaire for Children (SEQ-C).
Results2 × 2 mixed ANOVA analysis revealed significant improvements in the experimental group for motor performance, including upper limb coordination (P < 0.001, d = 1.926), Fine Motor Proficiency (P < 0.001, d = 2.689), Gross Motor Proficiency (P < 0.001, d = 2.181), and Total Motor Proficiency (P < 0.001, d = 3.798). Self-efficacy also increased significantly in the experimental group (P < 0.001, d = 2.622). No significant between-group difference was observed in strength (P = 0.069).
ConclusionResults suggest the SPARK program as a play-based group motor intervention enhance gross and fine motor function and self-efficacy in girls with DCD. However, the short-term nature of this study and its focus on girls limit generalizability.