title: Development and psychometric properties of the DCDDaily: a new test for clinical assessment of capacity in activities of daily living in children with developmental coordination disorder.
abstract: OBJECTIVE
  To develop the DCDDaily, an instrument for objective and standardized clinical assessment of capacity in activities of daily living (ADL) in children with developmental coordination disorder (DCD), and to investigate its usability, reliability, and validity.
  
  
  METHODS
  Five to eight-year-old children with and without DCD.
  
  
  METHODS
  The DCDDaily was developed based on thorough review of the literature and extensive expert involvement. To investigate the usability (assessment time and feasibility), reliability (internal consistency and repeatability), and validity (concurrent and discriminant validity) of the DCDDaily, children were assessed with the DCDDaily and the Movement Assessment Battery for Children-2 Test, and their parents filled in the Movement Assessment Battery for Children-2 Checklist and Developmental Coordination Disorder Questionnaire.
  
  
  RESULTS
  459 children were assessed (DCD group, n = 55; normative reference group, n = 404). Assessment was possible within 30 minutes and in any clinical setting. For internal consistency, Cronbach's α = 0.83. Intraclass correlation = 0.87 for test-retest reliability and 0.89 for inter-rater reliability. Concurrent correlations with Movement Assessment Battery for Children-2 Test and questionnaires were ρ = -0.494, 0.239, and -0.284, p < 0.001. Discriminant validity measures showed significantly worse performance in the DCD group than in the control group (mean (SD) score 33 (5.6) versus 26 (4.3), p < 0.001). The area under curve characteristic = 0.872, sensitivity and specificity were 80%.
  
  
  CONCLUSIONS
  The DCDDaily is a valid and reliable instrument for clinical assessment of capacity in ADL, that is feasible for use in clinical practice.
authors.affiliation: Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. B.W.van.der.Linde@umcg.nl
authors.forename: Berdien W
authors.initials: BW
authors.lastname: van der Linde
authors.forename: Jaap J
authors.initials: JJ
authors.lastname: van Netten
authors.forename: Bert E
authors.initials: BE
authors.lastname: Otten
authors.forename: Klaas
authors.initials: K
authors.lastname: Postema
authors.forename: Reint H
authors.initials: RH
authors.lastname: Geuze
authors.forename: Marina M
authors.initials: MM
authors.lastname: Schoemaker
mesh_terms: D000203:Activities of Daily Living; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D004185:Disability Evaluation; D016002:Discriminant Analysis; D005260:Female; D006801:Humans; D008297:Male; D019957:Motor Skills Disorders / Q000503:physiopathology*; D011594:Psychometrics; D012372:ROC Curve; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity
keywords: Developmental coordination disorder (DCD); activities of daily living (ADL); assessment; reliability; test design; usability; validity