Translation of Revised Version of Developmental Coordination Disorder Questionnaire (DCDQ’07) into Kannada – Results of Validation

Srilatha Girish, Dr. Kavitha Raja, Dr. Asha Kamath


Purpose: The revised version of Developmental Coordination Disorder Questionnaire (DCDQ’07) is a widely used parent-reported screening tool for DCD. The tool is not available in any Indian language. This article reports on the results of the cross-cultural validation of DCDQ’07 into Kannada, a South Indian language.

Methods: The questionnaire was first translated into Indian English to overcome differences in phraseology between Canadian and Indian English (DCDQ’07-IE). Following this, forward translation, synthesis, back translation, expert committee review, and pre-testing of the translated version were conducted to obtain the Kannada version of the questionnaire (DCDQ’07-K). Minor examples, in keeping with local usage, were added.160 parents were recruited, among whom 80 were parents of children with motor difficulties and 80 were parents of children without motor difficulties. They rated their children on DCDQ’07-IE. After a washout period of 2 weeks, the same parents once again rated their children on DCDQ’07-K.Statistical analysis for reliability, construct validity, and Rasch diagnostics (person and item reliability, fit statistics, category functioning of scores and person-item map) were conducted.

Results: Internal consistency (Cronbach’s Alpha>0.8), parallel form test-retest reliability (ICC=0.95 at 95% CI) and floor and ceiling were acceptable. Principal component analysis (PCA) showed three factors accounting for total variance of 59.29% and 58.80% in DCDQ’07-IE and DCDQ’07-K respectively. Item reliability (<0.8) and separation index (<2) were poor in both versions. Category functioning was effective. Person-item map represented inconsistency in spread of items in difficulty and person’s abilities. Qualitative review of the parents revealed that they were unfamiliar with the performance of their children on sports-related items and hence scored their child on the basis of conjecture.

Conclusion: Translation into Kannada was fairly successful. Although traditional tool properties produced satisfactory results, Rasch analysis demonstrated problems with the tool. This could be due to cultural reasons. Hence DCDQ’07-K should be interpreted with caution when rated by parents in the local context.


Motor skill disorder; cross-cultural validation; DSM criteria; developmental coordination disorder; screening

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American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders, Fifth Edition. Arlington, VA,American Psychiatric Association.

Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine; 25(24): 3186-91.PMID:11124735

Bond TG, Fox CM (2001). Applying the Raschmodel: Fundamental measurement in the human sciences. Mahwah, New Jersey: Lawrence Erlbaum Associates, Inc.

Bruton A, Conway JH, Holgate ST (2000). Reliability: What is it, and how is it measured? Physiotherapy; 86(2): 94-9.

Camden C, Wilson B, Kirby A, Sugden D, Missiuna C (2015). Best practice principles for management of children with developmental coordination disorder (DCD): Results of a scoping review. Child Care Health Dev; 147-59. doi: 10.1111/cch.12128. Epub 2014 Jan 6.PMID:24387638

De Champlain AF (2010). A primer on classical test theory and item response theory for assessments in medical education. Med Edu; 44(1): 109-17. doi: 10.1111/j.1365-2923.2009.03425.x.PMID:20078762

DeVellisRF (2006). Classical test theory. Med Care; 44(11 Suppl 3): S50-9. PMID:17060836.

Field A (2013). Discovering statistics using IBM SPSS Statistics: SAGE Publications.

Gadotti IC, Viera ER, Magee DJ (2006). Importance and clarification of measurement properties in rehabilitation. Rev. bras. fisioter.; 10(2): 137-46.

Hays RD, Morales LS, Reise SP (2000). Item response theory and health outcomes measurement in the 21st Century. Med Care.; 38(9 Suppl): II28-II42.PMID:10982088

Herdman M, Fox-Rushby J, Badia X (1998). A model of equivalence in the cultural adaptation of HRQoL instruments: the universalist approach. Qual Life Res; 7(4): 323-35. PMID:9610216

Hill E, Brown D, Sophia Sorgardt K (2011). A preliminary investigation of quality of life satisfaction reports in emerging adults with and without developmental coordination disorder. Journal of Adult Development; 18(3): 130-4.

Hillier S (2007). Intervention for children with developmental coordination disorder: a systematic review. Internet Journal of Allied Health Sciences & Practice; 5(3): 1-11.

Kirby A, Edwards L, Sugden D (2011). Emerging adulthood in developmental co-ordination disorder: parent and young adult perspectives. Res Dev Dis; 32(4): 1351-60. doi: 10.1016/j.ridd.2011.01.041. Epub 2011 Feb 18. PMID:21334175

KomalKB, Sanjay P (2014). Indication or suspect of developmental coordination disorder in 5-15 years of school- going children in India (Dharwad, Karnataka). International Journal of Health Sciences & Research; 4(6): 117-122.

Kourtessis T, Tsougou E, MaheridouM, Tsigilis N, Psalti M, Kioumourtzoglou E (2008). Developmental coordination disorder in early childhood - A preliminary epidemiological study in Greek schools. The International Journal of Medicine; 1 (2): 95-99.

Lincare JM (2014). A user's guide to facets Rasch-model computer programmes - Programme Manual 3.71.4.

Lingam R, Hunt L, Golding J, Jongmans M, Emond A (2009). Prevalence of developmental coordination disorder using the DSM-IV at 7 years of age: A UK population-based study. Paediatrics; 123(4): e693-700. doi: 10.1542/peds.2008-1770. PMID:19336359

Liu X, Kalman CS (2010). Using and developing measurement instruments in science education: A Rasch Modelling Approach (Hc), Information Age Publishing.

Miller LT, Missiuna CA, Macnab JJ, Malloy-Miller T, Polatajko HJ (2001). Clinical description of children with developmental coordination disorder. Can J OccupTher; 68(1): 5-15. PMID:11233688

Missiuna C, Gaines R, McLean J, Delaat D, Egan M, Soucie H (2008). Description of children identified by physicians as having developmental coordination disorder. Dev Med Child Neurol.; 50(11): 839-44. doi: 10.1111/j.1469-8749.2008.03140.x. Epub 2008 Sep 22. PMID:18811713

Morgan R, Long T (2012). The effectiveness of occupational therapy for children with developmental coordination disorder: a review of the qualitative literature. Brit J OccupTher.; 75(1): 10-8.

Portney LG (2015). Foundations of clinical research: applications to practice: F A Davis Company.

Rivard L, Missiuna C, McCauley D, Cairney J (2012). Descriptive and factor analysis of the developmental coordination disorder questionnaire (DCDQ'07) in a population-based sample of children with and without developmental coordination disorder. Child Care, Health Dev; 40(1): 42-9. doi: 10.1111/j.1365-2214.2012.01425.x. Epub Aug 29.PMID:22928492

Sankar UG, Saritha S (2011). A study of prevalence of developmental coordination disorder (DCD) at Kattankulathur, Chennai. Indian Journal of Physiotherapy & Occupational Therapy; 5(1): 63-5.

Schoemaker MM, Flapper B, Verheij NP, Wilson BN, Reinders-Messelink HA, de Kloet A (2006). Evaluation of the developmental coordination disorder questionnaire as a screening instrument. Dev Med Child Neurol.; 48(8): 668-73. PMID:16836779

Smits-Engelsman BC, Blank R, van der Kaay AC et al (2013). Efficacy of interventions to improve motor performance in children with developmental coordination disorder: a combined systematic review and meta-analysis. Dev Med Child Neurol.; 55(3): 229-37. doi: 10.1111/dmcn.12008. Epub 2012 Oct 29. PMID:23106530., (2015). Login | Laerd Statistics Premium. [online] Available at: [Accessed 25 Aug. 2015].

Stevelink SA, van Brakel WH (2013). The cross-cultural equivalence of participation instruments: a systematic review. DisabilRehabil.; 35(15): 1256-68. doi:10.3109/09638288.2012.731132. PMID:23789790

Sylvestre A, Nadeau L, Charron L, Larose N, Lepage C (2013). Social participation by children with developmental coordination disorder compared to their peers. DisabilRehabil; 35(21): 1814-20. doi:10.3109/09638288.2012.756943. Epub 2013 Apr 19. PMID:23600713

Tal-Saban M, Ornoy A, Parush S (2014). Young adults with developmental coordination disorder: A longitudinal study. AmJ of OccupTher; 68(3): 307-16. doi: 10.5014/ajot.2014.009563 PMID:24797194

Valentini NC, Coutinho MTC, Pansera SM et al (2012). Prevalence of motor deficits and developmental coordination disorders in children from South Brazil. RevistaPaulista de Pediatria; 30(3): 377-384.

Wang TN, Tseng MH, Wilson BN, Hu FC (2009). Functional performance of children with developmental coordination disorder at home and at school. Dev Med Child Neurol.; 51(10): 817-25. doi: 10.1111/j.1469-8749.2009.03271.x. Epub 2009 Mar 12. PMID:19416344

Wilson BN, Crawford SG, Green D, Roberts G, Aylott A, Kaplan BJ (2009). Psychometric properties of the revised developmental coordination disorder questionnaire. PhysOccupTherPediatr.; 29(2): 182-202. doi: 10.1080/01942630902784761. PMID:19401931

Wright HC, Sugden DA (1996). A two-step procedure for the identification of children with developmental co-ordination disorder in Singapore. DevMedChildNeurol; 38(12): 1099-105. PMID:8973295

Zwicker JG, Harris SR, Klassen AF (2013). Quality of life domains affected in children with developmental coordination disorder: A systematic review. Child: Care, Health & Development. 39(4): 562-80. doi: 10.1111/j.1365-2214.2012.01379.x. Epub 2012 Apr 20. PMID:22515477.



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