Background. Current international clinical practice guidelines indicate that children with developmental coordination disorder (DCD) should receive therapy, yet school and community-based occupational therapy is not standard of care. Purpose. To understand parent perspectives on best practice for treatment and what supports and services are required to meet their children's needs. Method. An online cross-sectional survey (impACT for DCD) was distributed to parents of children <18 years with self-reported suspected or diagnosed DCD living in British Columbia. Data analysis included descriptive statistics and contingency analyses to explore whether access to therapy differed with income, age of child, or geographical location. Open-ended questions were analyzed using content analysis. Findings. Of the 237 respondents, 194 children had suspected/confirmed DCD; however, only 20% (38/198) of the children had received therapy at school. Some parents (32/58) pursued private therapy. Geographic location and income had no relationship with therapy access (p > 0.05). Parents expressed frustration with poor awareness and understanding of the impact of DCD among educators, health-care professionals, and community members, and identified the need for funded and accessible school and community services and supports. Conclusion. Evidenced-based occupational therapy intervention should be standard of care for children with DCD as per clinical guidelines and parent-identified need.

中文翻译：

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成功还是失败？我们是否满足患有发育协调障碍儿童的需求？

背景。目前的国际临床实践指南表明，患有发育性协调障碍（DCD）的儿童应该接受治疗，但基于学校和社区的职业治疗并不是标准治疗方法。目的。了解家长对最佳治疗实践的看法以及需要哪些支持和服务来满足孩子的需求。方法。一项在线横断面调查 (impACT for DCD) 分发给居住在不列颠哥伦比亚省的 18 岁以下自我报告疑似或诊断患有 DCD 的儿童的家长。数据分析包括描述性统计和应急分析，以探讨接受治疗的情况是否因收入、儿童年龄或地理位置而异。使用内容分析来分析开放式问题。发现。在 237 名受访者中，194 名儿童疑似/确诊患有 DCD；然而，只有 20% (38/198) 的儿童在学校接受过治疗。一些家长（32/58）寻求私人治疗。地理位置和收入与治疗获取没有关系（p > 0.05）。家长们对教育工作者、医疗保健专业人员和社区成员对 DCD 的影响缺乏认识和理解表示沮丧，并确定需要资助和方便的学校和社区服务和支持。结论。根据临床指南和家长确定的需求，循证职业治疗干预应成为 DCD 儿童的护理标准。