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Aim  These international clinical practice recommendations ( CPR ) for developmental coordination disorder ( DCD ), initiated by the European Academy of Childhood Disability ( EACD ), aim to address key questions on the definition, diagnosis, assessment, intervention, and psychosocial aspects of  DCD  relevant for clinical practice.    Method  Key questions in five areas were considered through literature reviews and formal expert consensus. For recommendations based on evidence, literature searches on ‘mechanisms’, ‘assessment’, and ‘intervention’ were updated since the last recommendations in 2012. New searches were conducted for ‘psychosocial issues’ and ‘adolescents/adults’. Evidence was rated according to the Oxford Centre for Evidence‐Based Medicine (level of evidence [ LOE ] 1–4) and transferred into recommendations. For recommendations based on formal consensus, two meetings of an international, multidisciplinary expert panel were conducted with a further five Delphi rounds to develop good clinical practice ( GCP ) recommendations.    Results  Thirty‐five recommendations were made. Eight were based on the evidence from literature reviews (three on ‘assessment’, five on ‘intervention’). Twenty‐two were updated from the 2012 recommendations. New recommendations relate to diagnosis and assessment (two  GCP s) and psychosocial issues (three  GCP s). Additionally, one new recommendation ( LOE ) reflects active video games as adjuncts to more traditional activity‐oriented and participation‐oriented interventions, and two new recommendations (one  GCP , one  LOE ) were made for adolescents and adults with  DCD .    Interpretation  The  CPR – DCD  is a comprehensive overview of  DCD  and current understanding based on research evidence and expert consensus. It reflects the state of the art for clinicians and scientists of varied disciplines. The international  CPR – DCD  may serve as a basis for national guidelines.    What this paper adds    Updated international clinical practice guidelines on developmental coordination disorder (DCD).  Refined and extended recommendations on clinical assessment and intervention for DCD.  A critical synopsis of current research on mechanisms of DCD.  A critical synopsis of psychosocial issues in DCD, with implications for clinical practice.  The first international recommendations to consider adolescents and adults with DCD.

developmental medicine and child neurology

International clinical practice recommendations on the definition, diagnosis, assessment, intervention, and psychosocial aspects of developmental coordination disorder