Rationale, design and methods for a randomised and controlled trial of the impact of virtual reality games on motor competence, physical activity, and mental health in children with developmental coordination disorder.

This is the final version of the article. Available from BioMed Central via the DOI in this record.BACKGROUND: A healthy start to life requires adequate motor development and physical activity participation. Currently 5-15% of children have impaired motor development without any obvious disorder. These children are at greater risk of obesity, musculoskeletal disorders, low social confidence and poor mental health. Traditional electronic game use may impact on motor development and physical activity creating a vicious cycle. However new virtual reality (VR) game interfaces may provide motor experiences that enhance motor development and lead to an increase in motor coordination and better physical activity and mental health outcomes. VR games are beginning to be used for rehabilitation, however there is no reported trial of the impact of these games on motor coordination in children with developmental coordination disorder. METHODS: This cross-over randomised and controlled trial will examine whether motor coordination is enhanced by access to active electronic games and whether daily activity, attitudes to physical activity and mental health are also enhanced. Thirty children aged 10-12 years with poor motor coordination (≤ 15th percentile) will be recruited and randomised to a balanced ordering of 'no active electronic games' and 'active electronic games'. Each child will participate in both conditions for 16 weeks, and be assessed prior to participation and at the end of each condition. The primary outcome is motor coordination, assessed by kinematic and kinetic motion analysis laboratory measures. Physical activity and sedentary behaviour will be assessed by accelerometry, coordination in daily life by parent report questionnaire and attitudes to physical activity, self-confidence, anxiety and depressed mood will be assessed by self report questionnaire. A sample of 30 will provide a power of > 0.9 for detecting a 5 point difference in motor coordination on the MABC-2 TIS scale (mean 17, sd = 5). DISCUSSION: This is the first trial to examine the impact of new virtual reality games on motor coordination in children with developmental coordination disorder. The findings will provide critical information to understand whether these electronic games can be used to have a positive impact on the physical and mental health of these children. Given the importance of adequate motor coordination, physical activity and mental health in childhood, this project can inform interventions which could have a profound impact on the long term health of this group of children. TRIAL REGISTRATION: Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12611000400965.This randomised and controlled trial is funded by the National Health and Medical Research Council (NHMRC) of Australia through project grant #533526. Professor Leon Straker and Doctor Anne Smith are supported by fellowships awarded from the NHMRC. No funding or other input to the study has been received from any electronic game design, manufacture or supply company

Children's place encounters : place-based participatory research to design a child-friendly and sustainable urban development

Studies over the years on human-environment relationships have revealed a strong assertion that humans learn through engagement with their local places. But due to the increasing degradation of urban environments, there has been a progressive dehumanization of urban space, a dehumanization that has impacted particularly on children and young people who have seen their place-based encounters significantly limited. This chapter reports on the Dapto Dreaming project, a place-based participatory research project in Australia, funded by Stockland urban developers. The project supported young people to take on the role of environmental change agents in order to support a sustainability project in their local area. Using participatory research methods, children and young people from the Horsley community, a small neighborhood in a suburb south of Sydney, documented themselves walking and knowing the land, learning the history and geography of their place, and engaging with the materiality of the environment through their bodies. They used cameras, drawings, and mental maps and shared stories of their encounters with the human and nonhuman world. Drawing loosely on theories of place, the study focused on children’s environmental encounters, place accessibility, and the affordances within places. Rather than impose an adult-centered theoretical deconstruction of the data, children collated, shared, and analyzed their own data. Through this process, children recognized how place could be responsive and specific to their encounters, and when planning a friendly and sustainable neighborhood, they sought to ensure it would be afforded those same qualities. More broadly, this case study reveals that children who are provided real-life place-based projects can adopt significant roles as environmental change agents