Autism & Developmental

Aggressive interactions during free-play at preschool of children with and without developmental coordination disorder.

Kennedy-Behr et al. (2013) · Research in developmental disabilities 2013
★ The Verdict

Preschoolers with motor delays are caught in more playground fights—as puncher and as target—so BCBAs need to guard free-play.

✓ Read this if BCBAs in inclusive preschools or daycare rooms.
✗ Skip if Clinicians serving only older school-age kids.

01Research in Context

01

What this study did

Researchers watched preschoolers during free-play time. They compared kids with developmental coordination disorder (DCD) to kids without it. They counted how often each child was the aggressor or the victim.

02

What they found

Kids with DCD were both the starter and the target of aggression more often. The same child could hit one minute and get pushed the next. Play time looked riskier for them than for typical peers.

03

How this fits with other research

Boudreau et al. (2015) saw the same DCD preschool group and also found trouble—those kids felt worse during play, not just more aggressive. The 2013 aggression data and the 2015 well-being data line up: play time is rough for these children.

Dolev et al. (2023) looked at preschoolers with broader developmental delay. They found that when teachers stay hands-off during one-on-one play, kids make gains. Their positive result seems to clash with Fahmie et al. (2013), who saw only problems. The difference is teacher style: Smadar’s teachers gave quiet support, while A et al. watched pure free-for-all free-play.

Kent et al. (2020) trained peers to play better with autistic classmates. Their peer-mediated approach improved play for the helpers, showing peers can be part of the fix. Fahmie et al. (2013) only measured what goes wrong; Cally et al. show what could go right if we coach the peer group.

04

Why it matters

If you work with preschoolers who trip, drop things, or look clumsy, watch their play closely. These kids are magnets for aggression. Add structure, teach entry lines, or bring in a peer buddy. A calmer play zone can cut both the hitting they give and the hitting they get.

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Stand near the block corner at free-play and give friendly play scripts to the clumsy child and one peer: "Ask, ‘Can I play?’ then hand a block."

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
63
Population
developmental delay
Finding
negative

03Original abstract

This aim of this study was to investigate an unexpected finding from a larger study examining the play of preschool children with and without developmental coordination disorder (DCD). We found that children with DCD were more frequently involved in aggressive incidents during free-play than their peers. Children with (n=32) and without DCD (n=31) were videotaped during free-play at preschool and their play was assessed using the Play Observation Scale. A post hoc analysis was conducted using a specifically developed rating instrument to examine the aggressive incidents captured on video. Videos from 18 children with DCD and 8 typically developing children without DCD were found to contain aggressive incidents. Children with DCD were significantly more often involved as both aggressor (p=.016) and victim (p=.008) than children without DCD (p=.031). This is the first study to identify victimization and aggression as being problematic for children with DCD as young as 4 years of age and needs replication. Given the negative consequences of involvement in aggression and victimization, play-based early intervention focusing on prevention needs to be developed and implemented.

Research in developmental disabilities, 2013 · doi:10.1016/j.ridd.2013.05.033