Background.Little is known about the impact of developmental coordination disorder (DCD) during adolescence and young adulthood. Purpose.This study explored the lived experiences of a nonclinical sample of nine university students who reported having significant coordination difficulties. Methods.A phenomenological approach was used that included two in-depth interviews asking participants to recall retrospectively their experiences throughout adolescence. Transcripts were coded to identify themes, and member-checking supported the credibility of findings. Findings.Strong pathways of resilience were found with participants who employed cognitive and behavioural strategies to manage their motor differences. Key themes emerged related to managing coordination differences including avoidance/withdrawal/adaptation, seeking compatible activities, using humour, and persevering. As adolescents matured, changing social contexts affected their self-efficacy and others' perceptions of them. Implications.The findings of this study challenge occupational therapists to move beyond impairment-based interventions to ecological interventions that facilitate social and community participation.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed. text revision). Washington, DC: Author.
2.
AppletonP. L., MinchomP. E., EllisN. C., ElliottC. E., BollV., & JonesP. (1994). The self-concept of young people with spina bifida: A population-based study. Developmental Medicine and Child Neurology, 36, 198–215.
CantellM. H., SmythM. M., & AhonenT. (1994). Clumsiness in adolescence: Educational, motor and social outcomes of motor delay at five years. Adapted Physical Activity Quarterly, 11, 115–129.
5.
CantellM. H., SmythM. M., & AhonenT. P. (2003). Two distinct pathways for developmental coordination disorder: Persistence and resolution. Human Movement Science, 22, 413–431.
6.
CousinsM., & SmythM. M. (2005). Progression and development in developmental coordination disorder. In SugdenD. A. & ChambersM. (Eds.), Children with developmental coordination disorder (pp. 119–134). London and Philadelphia: Whurr Publishers.
7.
CresswellJ. W. (1998). Qualitative inquiry and research design: Choosing among five traditions. Thousand Oaks, CA: Sage.
8.
CrockerJ., & MajorB. (1989). Social stigma and self-esteem: The self-protective properties of stigma. Psychological Review, 96, 608–630.
9.
FitzpatrickD., & WatkinsonJ. E. (2003). The lived experience of physical awkwardness: Adults' retrospective views. Adapted Physical Activity Quarterly, 20, 279–297.
10.
GeuzeR., & BorgerH. (1993). Children who are clumsy: Five years later. Adapted Physical Activity Quarterly, 10, 10–21.
11.
HallD. M. B. (1988). Clumsy children. British Medical Journal, 296, 375–376.
12.
HellgrenL., GillbergC., GillbergI. C., & EnerskogI. (1993). Children with deficits in attention, motor control and perception (DAMP) almost grown up: General health at 16 years. Developmental Medicine and Child Neurology, 35, 881–892.
13.
KingG., CathersT., BrownE., & MacKinnonE. (2003). Turning points: Emotionally compelling life experiences. In KingG., BrownE., & SmithL. (Eds.), Resilience: Learning from people with disabilities and turning points in their lives (pp. 31–88). Westport, CT: Praeger.
14.
KingG., CathersT., BrownE., SpechtJ. A., WilloughbyC., PolgarJ. Miller, et al. (2003). Turning points and protective processes in the lives of people with chronic disabilities. Qualitative Health Research, 13, 184–206.
15.
KirbyA., SugdenD., BeveridgeS., & DwardsL. (2007). How do we define DCD in emerging adulthood? [Abstract]. Proceedings of the International DCD-VII Conference (pp. 68). Melbourne, Australia, 68.
16.
KnightE., HendersonS. E., LosseA., & JongmansM. (1992). Clumsy at six, still clumsy at sixteen: The educational implications of long term clumsiness in children. In WilliamsT., AlmondL., & SparksA. (Eds.), Sport and physical activity: Moving towards excellence. (pp. 249–259). London: E. Spon.
17.
KnuckeyN. W., & GubbayS. S. (1983). Clumsy children: A prognostic study. Australian Paediatric Journal, 19 (1), 9–13.
18.
LosseA., HendersonS. E., EllimanD., HallD., KnightE., & JongmansM. (1991). Clumsiness in children–do they grow out of it? A 10-year follow-up study. Developmental Medicine and Child Neurology, 33, 55–68.
19.
LutharS. S. (2006). Resilience in development: A synthesis of research across five decades. In CicchettiD. & CohenD. J. (Eds.), Develomental psychopathology: Risk, disorder, and adaptation (2nd ed., pp. 739–795). New York: Wiley.
20.
MastenA. S., BestK. M., & GarmezyN. (1990). Resilience and development: Contributions from the study of children who overcome adversity. Development and Psychopathology, 2, 425–444.
21.
MissiunaC., GainesR., & SoucieH. (2006). Why every office needs a tennis ball: A new approach to assessing the clumsy child. Canadian Medical Association Journal, 175, 471–473.
22.
MissiunaC., MollS., KingS., LawM., & KingG. (2006). “Missed and misunderstood”: Children with developmental coordination disorder in the school system. International Journal of Special Education, 21 (1), 53–67.
23.
PiekJ. P., BaynamG. B., & BarrettN. C. (2006). The relationship between fine and gross motor ability, self-perceptions and self-worth in children and adolescents. Human Movement Science, 25, 65–75.
24.
PousenA. A., ZivianiJ. M., & CuskellyM. (2006). General self-concept and life satisfaction for boys with differing levels of physical coordination: The role of goal orientations and leisure participation. Human Movement Science, 25, 839–860.
25.
RasmussenP., & GillbergC. (2000). Natural outcome of ADHD with developmental coordination disorder at age 22 years: A controlled, longitudinal, community-based study. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1424–1431.
SchoemakerM. M., & KalverboerA. F. (1994). Social and affective problems of children who are clumsy: How early do they begin?Adapted Physical Activity Quarterly, 11, 130–140.
28.
SkinnerR. A., & PiekJ. P. (2001). Psychosocial implications of poor motor coordination in children and adolescents. Human Movement Science, 20, 73–94.
29.
SmokowskiP. R., ReynoldsA. J., & BezruczkoN. (1999). Resilience and protective factors in adolescence: An autobiographical perspective from disadvantaged youth. Journal of School Psychology, 37, 425–448.
30.
SpechtJ. A., KingG., & FrancisP. V. (1998). A preliminary study of strategies for maintaining self-esteem in adolescents with physical disabilities. Canadian Journal of Rehabilitation, 11 (3), 109–116.
31.
StewartD., StavnessC., KingG., AntleB., & LawM. A. (2006) A critical appraisal of literature reviews about transition to adulthood for youth with disabilities. Physical and Occupational Therapy in Paediatrics, (26)5–24.
32.
StraussA., & CorbinJ. (1998). Basics of qualitative research: Techniques and procedures of developing grounded theory. Thousand Oaks, CA: Sage.
33.
WilloughbyC., BrownE., KingG., SpechtJ., & SmithL. (2003). The resilient self - what helps and what hinders? In KingG., BrownE., & SmithL. (Eds.), Resilience: Learning from people with disabilities and turning points in their lives (pp. 89–128). Westport, CT: Praeger.
34.
WilsonB. N., KaplanB. J., CrawfordS. G., CampbellA., & DeweyD. (2000). Reliability and validity of a parent questionnaire on childhood motor skills. American Journal of Occupational Therapy, 54, 484–493.
35.
WrightB. A. (1983). Physical disability-a psychosocial approach (2nd ed.). New York: Harper and Row.
