Beyond Effectiveness and Intervention: The Continued Value of Home Practice for Children with DCD
摘要
This review explores how home practice is integrated into interventions for children with Developmental Coordination Disorder (DCD). While professionals are often credited with driving outcomes, informal, self-directed practice in existing infrastructure—such as, home, school, or community—has received less attention. This review aims to examine how home practice has been scheduled, instructed, monitored, and adhered to in intervention studies, offering insights for families, clinicians, and researchers.
Recent FindingsOf the 10 studies identified, the two most recent, published in 2021, consist of a randomized clinical trial and a multiple case study, both examining center- and home-based interventions. The trial found no significant effect of parental coaching on children’s outcomes. In contrast, the case study revealed variability in home program engagement and outcomes, highlighting the need for tailored strategies and individualized support.
SummaryAchieving active engagement has been highlighted as a challenge in some studies, with compliance data suggesting similar difficulties in others. Rather than replicating center-based routines at home, informal and naturalistic home practices should be recognized, valued, and supported as opportunities for voluntary, holistic development that emphasizes the meaningfulness and enjoyment of home practice.