Parent-Reported Motivators and Barriers to Participation in a Community-Based Intervention Designed for Children With Motor Skill Difficulties: A Qualitative Program Evaluation

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Kyrah K. Brown Department of Kinesiology, University of Texas at Arlington, Arlington, TX, USA

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Jerrise Smith Department of Kinesiology, University of Texas at Arlington, Arlington, TX, USA

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Tamaya N. Bailey School of Social Work, University of Texas at Arlington, Arlington, TX, USA

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Gennel Ortiz Department of Kinesiology, University of Texas at Arlington, Arlington, TX, USA

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Xiangli Gu Department of Kinesiology, University of Texas at Arlington, Arlington, TX, USA

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Priscila Tamplain Department of Kinesiology, University of Texas at Arlington, Arlington, TX, USA

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Introduction: Parents play a critical role in their child’s participation in community-based intervention programs. Yet, their perspectives remain largely overlooked in the literature. This qualitative program evaluation used social cognitive theory to understand parents’ motivators and barriers to participation in a community-based intervention program designed for children with motor skill difficulties. Method: Parents (n = 15) of children with motor skill difficulties enrolled in a community-based intervention program participated in semistructured interviews. Results: Thematic analysis revealed six motivators (child needs, satisfaction, perceived impact, affordability, design, and program culture) and three perceived barriers (parent knowledge, access, and accommodations). Discussion: Parents’ motivators and barriers reflected a combination of personal and environmental factors consistent with social cognitive theory. This study revealed novel insight into program-related environmental motivators and barriers. Program leaders should consider ongoing evaluation and application of parental perspectives to optimize family participation and retention in community-based interventions.

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  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).

  • Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143164. https://doi.org/10.1177/1090198104263660

    • Search Google Scholar
    • Export Citation
  • Biedenweg, K., Meischke, H., Bohl, A., Hammerback, K., Williams, B., Poe, P., & Phelan, E.A. (2014). Understanding older adults’ motivators and barriers to participating in organized programs supporting exercise behaviors. The Journal of Primary Prevention, 35(1), 111. https://doi.org/10.1007/s10935-013-0331-2

    • Search Google Scholar
    • Export Citation
  • Blank, R., Barnett, A.L., Cairney, J., Green, D., Kirby, A., Polatajko, H., Rosenblum, S., Smits-Engelsman, B., Sugden, D., Wilson, P., & Vinçon, S. (2019). International clinical practice recommendations on the definition, diagnosis, assessment, intervention, and psychosocial aspects of developmental coordination disorder. Developmental Medicine & Child Neurology, 61(3), 242285. https://doi.org/10.1111/dmcn.14132

    • Search Google Scholar
    • Export Citation
  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77101. https://doi.org/10.1191/1478088706qp063oa

    • Search Google Scholar
    • Export Citation
  • Braun, V., & Clarke, V. (2012). Thematic analysis. In APA handbook of research methods in psychology, Vol 2: Research designs: Quantitative, qualitative, neuropsychological, and biological (pp. 5771). American Psychological Association. https://doi.org/10.1037/13620-004

    • Search Google Scholar
    • Export Citation
  • Caçola, P., & Killian, M. (2018). Health-related quality of life in children with developmental coordination disorder: Association between the PedsQL and KIDSCREEN instruments and comparison with their normative samples. Research in Developmental Disabilities, 75, 3239. https://doi.org/10.1016/j.ridd.2018.02.009

    • Search Google Scholar
    • Export Citation
  • Caçola, P., Romero, M., Ibana, M., & Chuang, J. (2016). Effects of two distinct group motor skill interventions in psychological and motor skills of children with Developmental Coordination Disorder: A pilot study. Disability and Health Journal, 9(1), 172178. https://doi.org/10.1016/j.dhjo.2015.07.007

    • Search Google Scholar
    • Export Citation
  • Campbell, W.N., Missiuna, C., & Vaillancourt, T. (2012). Peer victimization and depression in children with and without motor coordination difficulties. Psychology in the Schools, 49(4), 328341. https://doi.org/10.1002/pits.21600

    • Search Google Scholar
    • Export Citation
  • Cleaton, M.A.M., Lorgelly, P.K., & Kirby, A. (2020). Developmental coordination disorder in UK children aged 6–18 years: Estimating the cost. British Journal of Occupational Therapy, 83(1), 2940. https://doi.org/10.1177/0308022619866642

    • Search Google Scholar
    • Export Citation
  • Creswell, J.W. (2013). Qualitative inquiry and research design: Choosing among five approaches (3rd ed.). Sage.

  • Denzin, N.K., & Lincoln, Y.S. (Eds.). (2017). The SAGE handbook of qualitative research (5th ed.). Sage.

  • Fair, K.N., Williams, K.D.S., Warren, J., McKyer, E.L.J., & Ory, M.G. (2018). The influence of organizational culture on school-based obesity prevention interventions: A systematic review of the literature. Journal of School Health, 88(6), 462473. https://doi.org/10.1111/josh.12626

    • Search Google Scholar
    • Export Citation
  • Farhat, F., Hsairi, I., Baati, H., Smits-Engelsman, B.C.M., Masmoudi, K., Mchirgui, R., Triki, C., & Moalla, W. (2016). The effect of a motor skills training program in the improvement of practiced and non-practiced tasks performance in children with developmental coordination disorder (DCD). Human Movement Science, 46, 1022. https://doi.org/10.1016/j.humov.2015.12.001

    • Search Google Scholar
    • Export Citation
  • Fossey, E., Harvey, C., Mcdermott, F., & Davidson, L. (2002). Understanding and evaluating qualitative research. Australian & New Zealand Journal of Psychiatry, 36(6), 717732. https://doi.org/10.1046/j.1440-1614.2002.01100.x

    • Search Google Scholar
    • Export Citation
  • Guba, E., Lincoln, Y., & Lynham, S. (2017). Paradigmatic controversies, contradictions, and emerging confluences. In Y.S. Lincoln & E.G. Guba (Eds.), The SAGE Handbook of Qualitative Research (5th ed., p. 26). Sage.

    • Search Google Scholar
    • Export Citation
  • Haigh, F., Kemp, L., Bazeley, P., & Haigh, N. (2019). Developing a critical realist informed framework to explain how the human rights and social determinants of health relationship works. BMC Public Health, 19(1), 1571. https://doi.org/10.1186/s12889-019-7760-7

    • Search Google Scholar
    • Export Citation
  • Heitzman, M., Weitzel, J., Kroll, S., & Zabler, B. (2019). Client experiences in a prenatal home visiting program: A prenatal care coordination program evaluation. Public Health Nursing, 36(5), 653659. https://doi.org/10.1111/phn.12631

    • Search Google Scholar
    • Export Citation
  • Henderson, S.E., Sugden, D.A., & Barnett, A. (2007). Movement assessment battery for children (2nd ed.). The Psychological Corporation.

  • Higashionna, T., Iwanaga, R., Tokunaga, A., Nakai, A., Tanaka, K., Nakane, H., & Tanaka, G. (2017). Relationship between motor coordination, cognitive abilities, and academic achievement in Japanese children with neurodevelopmental disorders. Hong Kong Journal of Occupational Therapy, 30(1), 4955. https://doi.org/10.1016/j.hkjot.2017.10.002

    • Search Google Scholar
    • Export Citation
  • Hung, W.W.Y., & Pang, M.Y.C. (2010). Effects of group-based versus individual-based exercise training on motor performance in children with developmental coordination disorder: A randomized controlled pilot study. Journal of Rehabilitation Medicine, 42(2), 122128. https://doi.org/10.2340/16501977-0496

    • Search Google Scholar
    • Export Citation
  • Jasmin, E., Tétreault, S., Larivière, N., & Joly, J. (2018). Participation and needs of children with developmental coordination disorder at home and in the community: Perceptions of children and parents. Research in Developmental Disabilities, 73, 113. https://doi.org/10.1016/j.ridd.2017.12.011

    • Search Google Scholar
    • Export Citation
  • Kaiser, M.-L., Schoemaker, M.M., Albaret, J.-M., & Geuze, R.H. (2015). What is the evidence of impaired motor skills and motor control among children with attention deficit hyperactivity disorder (ADHD)? Systematic review of the literature. Research in Developmental Disabilities, 36, 338357. https://doi.org/10.1016/j.ridd.2014.09.023

    • Search Google Scholar
    • Export Citation
  • Lammers, E.J., Zickafoose, J.S., Peterson, G.G., Blue, L., Stewart, K.A., & Kranker, K. (2019). Parent partners: Evaluation of a novel peer-support intervention for caregivers of children hospitalized for behavioral health conditions. Academic Pediatrics, 19(8), 908916. https://doi.org/10.1016/j.acap.2019.06.001

    • Search Google Scholar
    • Export Citation
  • Levers, M.J.D. (2013). Philosophical paradigms, grounded theory, and perspectives on emergence. SAGE Open, 3(4), Article 2158244013517243. https://doi.org/10.1177/2158244013517243

    • Search Google Scholar
    • Export Citation
  • Licari, M.K., Alvares, G.A., Varcin, K., Evans, K.L., Cleary, D., Reid, S.L., Glasson, E.J., Bebbington, K., Reynolds, J.E., Wray, J., & Whitehouse, A.J.O. (2020). Prevalence of motor difficulties in autism spectrum disorder: Analysis of a population-based cohort. Autism Research, 13(2), 298306. https://doi.org/10.1002/aur.2230

    • Search Google Scholar
    • Export Citation
  • Lillvis, D.F., Willison, C., & Noyes, K. (2020). Normalizing inconvenience to promote childhood vaccination: A qualitative implementation evaluation of a novel Michigan program. BMC Health Services Research, 20(1), 683. https://doi.org/10.1186/s12913-020-05550-6

    • Search Google Scholar
    • Export Citation
  • Lincoln, Y.S., & Guba, E.G. (1986). But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New Directions for Program Evaluation, 1986(30), 7384. https://doi.org/10.1002/ev.1427

    • Search Google Scholar
    • Export Citation
  • Lu, C.J., & Shulman, S.W. (2008). Rigor and flexibility in computer-based qualitative research: Introducing the coding analysis toolkit. International Journal of Multiple Research Approaches, 2(1), 105117. https://doi.org/10.5172/mra.455.2.1.105

    • Search Google Scholar
    • Export Citation
  • Lucas, B.R., Elliott, E.J., Coggan, S., Pinto, R.Z., Jirikowic, T., McCoy, S.W., & Latimer, J. (2016). Interventions to improve gross motor performance in children with neurodevelopmental disorders: A meta-analysis. BMC Pediatrics, 16(1), 193. https://doi.org/10.1186/s12887-016-0731-6

    • Search Google Scholar
    • Export Citation
  • Luecking, C.T., Dobson, P., & Ward, D.S. (2020). Barriers and facilitators of parent engagement with health promotion in child care: A mixed-methods evaluation. Health Education & Behavior, 47(6), 914926. https://doi.org/10.1177/1090198120952040

    • Search Google Scholar
    • Export Citation
  • Maciver, D., Owen, C., Flannery, K., Howden, S., Shepherd, C., & Rush, R. (2011). Services for children with developmental co-ordination disorder: The experiences of parents. Child: Care, Health, and Development, 37(3), 422429. https://doi.org/10.1111/j.1365-2214.2010.01197.x

    • Search Google Scholar
    • Export Citation
  • Maxwell, J.A. (2011). A realist approach for qualitative research. Sage.

  • Missiuna, C., Moll, S., King, S., King, G., & Law, M. (2007). A trajectory of troubles: Parents’ impressions of the impact of developmental coordination disorder. Physical & Occupational Therapy in Pediatrics, 27(1), 81101. https://doi.org/10.1080/J006v27n01_06

    • Search Google Scholar
    • Export Citation
  • Missiuna, C., Moll, S., Law, M., King, S., & King, G. (2006). Mysteries and mazes: Parents’ experiences of children with developmental coordination disorder. Canadian Journal of Occupational Therapy, 73(1), 717. https://doi.org/10.2182/cjot.05.0010

    • Search Google Scholar
    • Export Citation
  • Morgan, R., & Long, T. (2012). The effectiveness of occupational therapy for children with developmental coordination disorder: A review of the qualitative literature. British Journal of Occupational Therapy, 75(1), 1018. https://doi.org/10.4276/030802212X13261082051337

    • Search Google Scholar
    • Export Citation
  • Nachshen, J.S. (2005). Empowerment and families: Building bridges between parents and professionals, theory and research. Journal of Developmental Disabilities, 11(1), 6775.

    • Search Google Scholar
    • Export Citation
  • Norman, Å., Nyberg, G., & Berlin, A. (2019). School-based obesity prevention for busy low-income families—Organisational and personal barriers and facilitators to implementation. PLoSOne, 14(11), Article e0224512. https://doi.org/10.1371/journal.pone.0224512

    • Search Google Scholar
    • Export Citation
  • Novak, C., Lingam, R., Coad, J., & Emond, A. (2012). “Providing more scaffolding”: Parenting a child with developmental co-ordination disorder, a hidden disability. Child: Care, Health, and Development, 38(6), 829835. https://doi.org/10.1111/j.1365-2214.2011.01302.x

    • Search Google Scholar
    • Export Citation
  • Ogden, T., & Fixsen, D.L. (2014). Implementation science: A brief overview and a look ahead. Zeitschrift Für Psychologie, 222(1), 411. https://doi.org/10.1027/2151-2604/a000160

    • Search Google Scholar
    • Export Citation
  • Patton, M.Q. (2014). Qualitative research & evaluation methods: Integrating theory and practice (4th ed.). Sage.

  • Raz-Silbiger, S., Lifshitz, N., Katz, N., Steinhart, S., Cermak, S.A., & Weintraub, N. (2015). Relationship between motor skills, participation in leisure activities and quality of life of children with Developmental Coordination Disorder: Temporal aspects. Research in Developmental Disabilities, 38, 171180. https://doi.org/10.1016/j.ridd.2014.12.012

    • Search Google Scholar
    • Export Citation
  • Richards, L., & Morse, J.M. (2013). Readme first for a user’s guide to qualitative methods. Sage.

  • Robinson, L.E., Stodden, D.F., Barnett, L.M., Lopes, V.P., Logan, S.W., Rodrigues, L.P., & D’Hondt, E. (2015). Motor competence and its effect on positive developmental trajectories of health. Sports Medicine, 45(9), 12731284. https://doi.org/10.1007/s40279-015-0351-6

    • Search Google Scholar
    • Export Citation
  • Rose, E., Larkin, D., Parker, H., & Hands, B. (2015). Does motor competence affect self-perceptions differently for adolescent males and females? SAGE Open, 5(4), Article 215824401561592. https://doi.org/10.1177/2158244015615922

    • Search Google Scholar
    • Export Citation
  • Scarpa, S., Carraro, A., Gobbi, E., & Nart, A. (2012). Peer-victimization during physical education and enjoyment of physical activity. Perceptual and Motor Skills, 115(1), 319324. https://doi.org/10.2466/06.05.10.PMS.115.4.319-324

    • Search Google Scholar
    • Export Citation
  • Schein, E. (2016). Organizational culture and leadership (5th ed.). Wiley.

  • Schoemaker, M.M., & Kalverboer, A.F. (1994). Social and affective problems of children who are clumsy: How early do they begin? Adapted Physical Activity Quarterly, 11(2), 130140. https://doi.org/10.1123/apaq.11.2.130

    • Search Google Scholar
    • Export Citation
  • Simpson, L.A., Eng, J.J., & Tawashy, A.E. (2011). Exercise perceptions among people with stroke: Barriers and facilitators to participation. International Journal of Therapy and Rehabilitation, 18(9), 520529. https://doi.org/10.12968/ijtr.2011.18.9.520

    • Search Google Scholar
    • Export Citation
  • Soriano, C.A., Hill, E.L., & Crane, L. (2015). Surveying parental experiences of receiving a diagnosis of developmental coordination disorder (DCD). Research in Developmental Disabilities, 43–44, 1120. https://doi.org/10.1016/j.ridd.2015.06.001

    • Search Google Scholar
    • Export Citation
  • Sugden, D.A., & Chambers, M.E. (2003). Intervention in children with developmental coordination disorder: The role of parents and teachers. British Journal of Educational Psychology, 73(4), 545561. https://doi.org/10.1348/000709903322591235

    • Search Google Scholar
    • Export Citation
  • Sugden, D., Kirby, A., & Dunford, C. (2008). Issues surrounding children with developmental coordination disorder. International Journal of Disability, Development and Education, 55(2), 173187. https://doi.org/10.1080/10349120802033691

    • Search Google Scholar
    • Export Citation
  • Tamplain, P., & Miller, H.L. (2021). What can we do to promote mental health among individuals with Developmental Coordination Disorder? Current Developmental Disorders Report, 8(1), 2431. https://doi.org/10.1007/s40474-020-00209-7

    • Search Google Scholar
    • Export Citation
  • Tayabas, L.M.T., León, T.C., & Espino, J.M. (2014). Qualitative evaluation: A critical and interpretative complementary approach to improve health programs and services. International Journal of Qualitative Studies on Health and Well-Being, 9(1), Article 24417. https://doi.org/10.3402/qhw.v9.24417

    • Search Google Scholar
    • Export Citation
  • U.S. Department of Health & Human Services. (2020, June 23). Human subjects’ regulations decision charts: 2018 requirements. https://www.hhs.gov/ohrp/regulations-and-policy/decision-charts-2018/index.html

    • Search Google Scholar
    • Export Citation
  • Williams, N.J., & Glisson, C. (2014). The role of organizational culture and climate in the dissemination and implementation of empirically supported treatments for youth. In R.S. Bedias & P.C. Kendall (Eds.), Dissemination and implementation of evidence-based practices in child and adolescent mental health (pp. 6181). Oxford University Press.

    • Search Google Scholar
    • Export Citation
  • Yarbrough, D.B., Shulha, L.M., Hopson, R.K., & Caruthers, F.A. (2011). The program evaluation standards: A guide for evaluators and evaluation users. Sage.

    • Search Google Scholar
    • Export Citation
  • Zitomer, M.R., & Goodwin, D. (2014). Gauging the quality of qualitative research in adapted physical activity. Adapted Physical Activity Quarterly, 31(3), 193218. https://doi.org/10.1123/apaq.2013-0084

    • Search Google Scholar
    • Export Citation
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