Associations Between Motor Ability and Adaptive Behavior and Their Predictive Value in Children With Severe Intellectual Disability
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 227
研究概览
简要总结
This study examines whether gross motor skills are linked to everyday functioning (adaptive behavior) in children with severe intellectual disability (ID) living in social welfare institutions. We recruited 227 orphaned children aged 6-12 years from six welfare institutions in China.
Gross motor competence was assessed using the Test of Gross Motor Development-Second Edition (TGMD-2), which includes locomotor skills and object control skills. :contentReference[oaicite:1]{index=1} Adaptive behavior was assessed using the Adaptive Behavior Questionnaire for Children (ADQ), which provides an overall ADQ Index and scores for independence, cognition, and socialization.
Assessments were conducted on site by a trained research team between May and June 2024. TGMD-2 sessions were video recorded and scored by trained raters, and caregivers completed the ADQ with assistance to ensure completeness. :contentReference[oaicite:3]{index=3} We will evaluate associations between TGMD-2 scores and ADQ outcomes and assess whether the TGMD-2 total score can help screen for children at risk of low adaptive functioning (ADQ Index < 70).
All procedures were approved by the local university ethics committee (approval number: 102772024RT062), and informed consent was obtained from institutional administrators and caregivers.
详细描述
Background:
Children with severe intellectual disability (ID) living in institutional settings often experience substantial limitations in both motor competence and adaptive functioning. Efficient ways to identify children at higher functional risk may help guide prioritization of supportive services within resource-limited institutions.
Study Design:
This is an observational, cross-sectional study conducted in six social welfare institutions (orphanages) in China using a convenience sampling approach. A total of 227 orphaned children aged 6-12 years with severe ID were recruited. Severe ID was defined based on DSM-5 clinical diagnosis with standardized intelligence test scores ranging from 20 to 34. Additional inclusion criteria included basic auditory and visual abilities and the capacity to follow simple motor instructions. Exclusion criteria included severe musculoskeletal disorders, neurological comorbidities (e.g., active epilepsy), other physical conditions limiting motor assessment participation, or major surgery within the previous six months.
Procedures and Assessments:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 6 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1.Clinical diagnosis of severe intellectual disability according to DSM-5, with standardized intelligence test scores ranging from 20 to 34.2.Age between 6 and 12 years.3.Basic auditory and visual abilities and the capacity to understand and follow simple motor instructions.4.Orphaned children residing in social welfare institutions (orphanages) for extended periods.5.Written informed consent obtained from institutional administrators and caregivers.
排除标准
- •1.Severe musculoskeletal disorders, neurological comorbidities (e.g., active epilepsy), or other physical conditions that could restrict participation in gross motor assessments.2.History of major surgery within the previous six months.
研究者
Xili Wen
Ph.DStudent
Shanghai University of Sport