Strengthening School-Based Support Systems for Children and Youth With Developmental Coordination Disorder: A National Survey of Canadian Parents.

Over-representation of parents with university education and above-average income; the authors note that if these families struggle to access services, lower-income families likely face even greater barriers, so the true gap is probably understated. Recruitment relied on snowball and convenience sampling, which introduces selection bias and makes it impossible to calculate a response rate or generalise to all Canadian families with DCD. The survey was online-only and limited to English and French, excluding families without internet access or without fluency in either language. Only parent-reported data were collected; the children's own perspectives on school services were not captured. Cross-sectional design: a single time-point snapshot, so it cannot show whether access is improving or worsening over time. Denominators vary across questions (488, 435, 434, 364, 322, 163) due to missing-data deletion, so percentages are not directly comparable across items.

The authors declare no conflicts of interest. Funding came from the Canadian Institutes of Health Research, the BC Children's Hospital Research Institute and Foundation, the Canada Research Chairs Program, and the Canada Excellence Research Chairs (Government of Canada). No industry or commercial sponsor is named.

Do not read the Discussion section's advocacy for the Partnering for Change (P4C) tiered model as evidence that P4C works for this population. The survey describes current gaps in school-based services; it does not test, pilot, or evaluate P4C or any other intervention. The P4C references in the Discussion are the authors' recommendation, not a finding of this study. Additionally, because the sample is skewed toward higher-education, higher-income parents, the 17% school-based therapy figure likely overstates access for lower-income families rather than understating it.