Cross-cultural validation and reference norms for the DCDDaily-Q questionnaire Chinese version (DCDDaily-Q-CN): evaluating children’s motor performance in activities of daily living

BackgroundThe DCDDaily-questionnaire (DCDDaliy-Q) evaluates children’s performance and participation in motor-based activities of daily living (ADLs), meeting diagnostic criterion B for developmental coordination disorder (DCD). Currently, there are no Chinese translations or growth references avail...

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Main Authors: Meihuan Huang, Yujun Zhan, Haishan Zhou, Ping Song, Yanping Fan, Yang Lu, Yijing Chen, Zhen Lv, Qing Liu, Guojun Yun, Jianguo Cao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1522816/full
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author Meihuan Huang
Yujun Zhan
Haishan Zhou
Ping Song
Yanping Fan
Yang Lu
Yijing Chen
Zhen Lv
Qing Liu
Guojun Yun
Jianguo Cao
author_facet Meihuan Huang
Yujun Zhan
Haishan Zhou
Ping Song
Yanping Fan
Yang Lu
Yijing Chen
Zhen Lv
Qing Liu
Guojun Yun
Jianguo Cao
author_sort Meihuan Huang
collection DOAJ
description BackgroundThe DCDDaily-questionnaire (DCDDaliy-Q) evaluates children’s performance and participation in motor-based activities of daily living (ADLs), meeting diagnostic criterion B for developmental coordination disorder (DCD). Currently, there are no Chinese translations or growth references available. Thus, this study aimed to culturally adapt, validate, and establish reference norms for the DCDDaily-Q in Chinese children.MethodsThe original scale was translated and culturally adapted into Chinese (DCDDaily-Q-CN) following international guidelines. Normative data of typically developing children (n = 1936, aged 5–10) were gathered from 14 randomly chosen mainstream schools in a large migrant city. Thirty children (aged 5–10 years) diagnosed with DCD were recruited through clinical referrals, and a matched control group (n = 30) was randomly selected from the reference group. Reference norms with growth curves and psychometric properties were analyzed.ResultsSex-specific growth curves with percentiles and cut-off values of the DCDDaily-Q-CN in children aged 5–10 years were established. The instrument demonstrated excellent internal consistency across the total and the three subscales (Cronbach’s alpha = 0.83–0.91). The confirmatory factor analysis showed a good fit for the original three-factor model (CFI = 0.936, RMSEA = 0.049). Moderate to strong correlations were found between the DCDDaily-Q-CN performance total score and the DCDQ-R (rs = −0.54) and MABC-2 total scores (rs = −0.68). The total performance score effectively differentiated between children with DCD and controls (U = 9.0, p < 0.001), with a cutoff score of 45, demonstrating a sensitivity of 93% (95%CI: 77–99%) and specificity of 90% (95%CI: 74–98%).ConclusionThe findings support that the DCDDaily-Q-CN is a reliable and valid measure to assess participation and performance in motor-based ADLs and fulfill criterion B of the diagnostic criteria for DCD.
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spelling doaj-art-299924bf5ec74d2e8f83db24340de6c12025-01-09T05:10:24ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.15228161522816Cross-cultural validation and reference norms for the DCDDaily-Q questionnaire Chinese version (DCDDaily-Q-CN): evaluating children’s motor performance in activities of daily livingMeihuan Huang0Yujun Zhan1Haishan Zhou2Ping Song3Yanping Fan4Yang Lu5Yijing Chen6Zhen Lv7Qing Liu8Guojun Yun9Jianguo Cao10Department of Rehabilitation Medicine, Shenzhen Children’s Hospital, Shenzhen, Guangdong, ChinaDepartment of Pediatric Neurorehabilitation, Shenzhen Dapeng New District Maternity and Child Health Hospital, Shenzhen, Guangdong, ChinaDepartment of Child Healthcare, Pingshan District Maternal and Child Healthcare Hospital of Shenzhen, Shenzhen, Guangdong, ChinaDepartment of Pediatric Neurorehabilitation, Shenzhen Dapeng New District Maternity and Child Health Hospital, Shenzhen, Guangdong, ChinaDepartment of Pediatric Neurorehabilitation, Shenzhen Dapeng New District Maternity and Child Health Hospital, Shenzhen, Guangdong, ChinaChild Healthcare Department, Shenzhen Maternity & Child Healthcare Hospital Co-construction Hospital, Shenzhen, Shenzhen, Guangdong, ChinaDepartment of Rehabilitation Medicine, Shenzhen Children’s Hospital, Shenzhen, Guangdong, ChinaDepartment of Rehabilitation Medicine, Shenzhen Children’s Hospital, Shenzhen, Guangdong, ChinaDepartment of Rehabilitation Medicine, Shenzhen Children’s Hospital, Shenzhen, Guangdong, ChinaDepartment of Rehabilitation Medicine, Shenzhen Children’s Hospital, Shenzhen, Guangdong, ChinaDepartment of Rehabilitation Medicine, Shenzhen Children’s Hospital, Shenzhen, Guangdong, ChinaBackgroundThe DCDDaily-questionnaire (DCDDaliy-Q) evaluates children’s performance and participation in motor-based activities of daily living (ADLs), meeting diagnostic criterion B for developmental coordination disorder (DCD). Currently, there are no Chinese translations or growth references available. Thus, this study aimed to culturally adapt, validate, and establish reference norms for the DCDDaily-Q in Chinese children.MethodsThe original scale was translated and culturally adapted into Chinese (DCDDaily-Q-CN) following international guidelines. Normative data of typically developing children (n = 1936, aged 5–10) were gathered from 14 randomly chosen mainstream schools in a large migrant city. Thirty children (aged 5–10 years) diagnosed with DCD were recruited through clinical referrals, and a matched control group (n = 30) was randomly selected from the reference group. Reference norms with growth curves and psychometric properties were analyzed.ResultsSex-specific growth curves with percentiles and cut-off values of the DCDDaily-Q-CN in children aged 5–10 years were established. The instrument demonstrated excellent internal consistency across the total and the three subscales (Cronbach’s alpha = 0.83–0.91). The confirmatory factor analysis showed a good fit for the original three-factor model (CFI = 0.936, RMSEA = 0.049). Moderate to strong correlations were found between the DCDDaily-Q-CN performance total score and the DCDQ-R (rs = −0.54) and MABC-2 total scores (rs = −0.68). The total performance score effectively differentiated between children with DCD and controls (U = 9.0, p < 0.001), with a cutoff score of 45, demonstrating a sensitivity of 93% (95%CI: 77–99%) and specificity of 90% (95%CI: 74–98%).ConclusionThe findings support that the DCDDaily-Q-CN is a reliable and valid measure to assess participation and performance in motor-based ADLs and fulfill criterion B of the diagnostic criteria for DCD.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1522816/fullDCDDailly-Q Chinese versiondevelopmental coordination disordernormative dataactivities of daily life (ADL)children
spellingShingle Meihuan Huang
Yujun Zhan
Haishan Zhou
Ping Song
Yanping Fan
Yang Lu
Yijing Chen
Zhen Lv
Qing Liu
Guojun Yun
Jianguo Cao
Cross-cultural validation and reference norms for the DCDDaily-Q questionnaire Chinese version (DCDDaily-Q-CN): evaluating children’s motor performance in activities of daily living
Frontiers in Public Health
DCDDailly-Q Chinese version
developmental coordination disorder
normative data
activities of daily life (ADL)
children
title Cross-cultural validation and reference norms for the DCDDaily-Q questionnaire Chinese version (DCDDaily-Q-CN): evaluating children’s motor performance in activities of daily living
title_full Cross-cultural validation and reference norms for the DCDDaily-Q questionnaire Chinese version (DCDDaily-Q-CN): evaluating children’s motor performance in activities of daily living
title_fullStr Cross-cultural validation and reference norms for the DCDDaily-Q questionnaire Chinese version (DCDDaily-Q-CN): evaluating children’s motor performance in activities of daily living
title_full_unstemmed Cross-cultural validation and reference norms for the DCDDaily-Q questionnaire Chinese version (DCDDaily-Q-CN): evaluating children’s motor performance in activities of daily living
title_short Cross-cultural validation and reference norms for the DCDDaily-Q questionnaire Chinese version (DCDDaily-Q-CN): evaluating children’s motor performance in activities of daily living
title_sort cross cultural validation and reference norms for the dcddaily q questionnaire chinese version dcddaily q cn evaluating children s motor performance in activities of daily living
topic DCDDailly-Q Chinese version
developmental coordination disorder
normative data
activities of daily life (ADL)
children
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1522816/full
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