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Gross Motor Skills Predict Adaptive Behavior in Institutionalized Children With Severe Intellectual Disability: A Cross-Sectional Study

NCT07358143 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 227

Last updated 2026-01-22

No results posted yet for this study

Summary

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.

Conditions

  • Severe Intellectual Disability

Interventions

DIAGNOSTIC_TEST

Test of Gross Motor Development-Second Edition (TGMD-2) Assessment

Standardized gross motor skill assessment (locomotor and object control subtests) administered at a single time point. Testing followed an instruction-demonstration-imitation protocol; sessions were video recorded and independently scored by two trained raters with adjudication by a third rater if needed. This is an assessment procedure, not a therapeutic intervention.

DIAGNOSTIC_TEST

Adaptive Behavior Questionnaire for Children (ADQ) Assessment

Caregiver-assisted administration of the Adaptive Behavior Questionnaire for Children (ADQ) to obtain the overall ADQ Index and domain scores (independence, cognition, socialization). Standardized scoring was used; ADQ Index \< 70 was used to classify low adaptive behavior for analysis. This is an assessment procedure, not a therapeutic intervention.

Sponsors & Collaborators

  • Xili Wen

    lead OTHER

Eligibility

Min Age
6 Years
Max Age
12 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2024-05-03
Primary Completion
2024-06-03
Completion
2024-06-03

Countries

  • China

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07358143 on ClinicalTrials.gov