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Guidance Notes for HDCD

17 Evidence Base

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It is recognised that there are few research-based standards and guidelines available for children with Developmental Co-ordination Disorder.

These guidelines are drawn up on an inter-agency and interdisciplinary basis involving Health, Education, Voluntary Agencies and Social Work Services. The material presented has taken into account literature searches, Internet searches, recommendations from professional colleges and networks together with the clinical practice of the members of the group and their colleagues.

17.1 Professional Colleges and Networks

These guidelines have noted the recommendations of The National Association of Paediatric Occupational Therapists Guidelines for Good Practice September 2000, (NAPOT).

The Occupational Therapist on this Steering Group (Dawn Allmond) also has involvement with the Scottish Occupational Therapists DCD Clinical Network. Occupational Therapy procedure is in line with service provision discussed by Occupational Therapists across Scotland aiming to have similarities in their approach to children with DCD.

17.2 Literature Searches

We are grateful to Rob Polson and Kathleen Irvine, Highland Health Sciences Library, Raigmore Hospital, Inverness, for his extensive search of the literature over a variety of databases including:

CINAHL 1982-2002, EMBASE 1980-2002, Medline 1966-2002, PsychInfo 1984-2002, AMED 1985-2002, Web of Science 1981-2002, ZETOC-6 current awareness services, Cochrane Library – Current edition (Internet), National Research Register – Current edition (Internet), Lis-medical and Lis-nursing e-mail discussion lists. The search strategy used varied database by database but in essence included the keywords developmental co-ordination disorder, developmental coordination disorder, developmental co-ordination difficulty, developmental coordination difficulty, clumsy child syndrome, DCD, dyspraxia, praxis, clumsy and children.

The search engines and databases used by the Speech and Language Therapist were as follows:

  • PubMed (current education)
  • Web of Science 1981-2002
  • Psychlit/Psych Info 1981-2002
  • www.inspec.bids.ac.uk
  • http://biomed.niss.ac.uk/ovidweb

Search terms used “Language”, in conjunction with disorder, difficulty, problems, impairments. Papers referring to motor measures were considered more closely.

17.3 Clinical Practice

Within Health, Occupational Therapy, Speech and Language Therapy, Physiotherapy and Community Paediatricians were consulted. Links were also made with Dr Anne O’Hare, Paediatrician in Edinburgh, who has a special interest and expertise in the disorder. Dawn Allmond, Phyllis Tulloch and Jane Austin have also visited the Borders and consulted with Dr Lynn Bryce and her colleagues who have a well-established Motor Difficulties Steering Group.

Within the Voluntary Sector, Lindsay Graham of the Highland DCD Group has a considerable knowledge of the national picture and a wide knowledge of the disorder from a parent’s perspective.

Colleagues in Education have a special remit for children with low incidence disabilities and children with special needs.

Susan Dudgeon, Educational Psychologist, has worked extensively and intensively with this client group and is developing this area as a particular specialism. She has consulted Educational Psychology colleagues and issues arising from this informed her contribution to the Steering Group.

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