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Empowering schools to identify fundamental movement skill difficulties: reducing inequalities and improving outcomes for children

Lead Research Organisation: University of Bradford
Department Name: Faculty of Health Studies

Abstract

The acquisition of motor skills is an essential component of childhood development. A child's ability to use sensory information to guide their movements enables learning about the world around them. One particular group of motor skills which is known to be a risk factor for education and wellbeing outcomes is fundamental movement skills (FMS). Born in Bradford (BiB) have demonstrated that a disproportionately high proportion of children within deprived and ethnic minority communities have FMS problems, yet are less likely to access help for such difficulties. My PhD developed a school-based universal screening tool for FMS (FUNMOVES) to reduce inequalities and expedite the identification of neurodiverse children that would benefit from additional educational support. This fellowship would enable me to extend the reach of FUNMOVES, increasing the likelihood of happy and healthy lifespans for children. This fellowship would also have a significant impact on my professional development. The work within this fellowship will fall within four broad categories:

(i) Conducting further research. Data will be collected from children in Years 1-6 across 10 Primary schools in Bradford (n = ~3600). These data will be used to begin understanding what scores on FUNMOVES constitute 'normal development', so that a cut-off value can be applied to identify children with additional needs. During my PhD, children were compared against other children in their year at their school. By gathering data from Primary schools across the district, difficulties identified will be a more accurate representation of the general population. The data collected on these ~3600 children will also be fed into the Connected Bradford dataset, whereby the educational and healthcare records have been linked for all children living in the area. By integrating FUNMOVES information within this dataset, it will enable a large-scale evaluation of the role that childhood motor skills play in inequalities in education and wellbeing.

(ii) Sharing my findings. I would host a co-production event to present FUNMOVES to school staff, policy makers (e.g. the Department for Education) and relevant stakeholders. During which I would ask about lived experiences to shape how FUNMOVES can be feasibly scaled up in real-world settings. I would present my findings from the co-production event, and the further research planned at large international conferences which bring together academics from a range of disciplines including Psychology and Education. I would also write these two pieces of work up for (i) publication in leading academic journals and (ii) briefing letters for the Department for Education.

(iii) Enhance my research skills and collaborative networks. In order to analyse the data from the additional research outlined above, I would need to gain advanced quantitative analysis skills as a social science researcher. Drawing upon expertise within Computer Sciences at the University of Bradford I would attend courses to improve my data analytic abilities. I would also undertake a study visit at Stanford University within their Population Health Sciences department to improve my ability to work with large-scale datasets and learn about the latest techniques in the field. I would also attend grant writing courses, to increase the likelihood of further funding applications being successful.

(iv) Develop funding applications. During the fellowship, I would apply for two further funding schemes. The first will support national roll-out of FUNMOVES, to further increase the accuracy of cut-points for 'needing additional support', and to enable children from across the UK to benefit from expedited assessment and intervention. The second will co-develop with teachers, policy makers and relevant stakeholders, a training programme for school staff which will enable them to tailor Physical Education in response to FUNMOVES data, so that their pupils can receive targeted support.

Publications

10 25 50
 
Description There are promising signs that the school-based screening tool for fundamental movement skills I developed during my fellowship (FUNMOVES) can identify children struggling to develop age-appropriate skills in line with clinical assessments of motor skill difficulties.

Developmental Coordination Disorder - the medical term for clinical motor skill difficulties is not being diagnosed in Bradford for a multitude of reasons.

School-based screening is effective, valid and reliable.

Clinical services are able to use FUINMOVES to expedite access to support for children
Exploitation Route Researchers, schools and clinicians may use FUNMOVES and/or the data it generates to help identify children that would benefit from additional support.
Sectors Education

Healthcare

 
Description Occupational Therapy and Physiotherapy serviced in Bradford, Birmingham, Black Country and Shropshire using FUNMOVES (and universal screening and intervention in schools) as part of a triaging process to accessing clinical services for Developmental Coordination Disorder. This should reduce healthcare inequalities and help to reduce the pressure on NHS services which are being overwhelmed by referrals.
Sector Education,Healthcare
Impact Types Policy & public services

 
Description Children's Development Service
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Contribution to new or improved professional practice
Impact The waiting list for Developmental Coordination Disorder is much shorter. Children are seen more quickly, and receive universal intervention resources, regardless of whether or not they are eligible for a diagnosis.
URL https://www.bradfordhospitals.nhs.uk/childrens-therapy/physiotherapy-2/#Coord
 
Description Involvement in Parliamentary Reports
Geographic Reach National 
Policy Influence Type Implementation circular/rapid advice/letter to e.g. Ministry of Health
 
Description Removing neurodevelopmental barriers to physical activity
Amount £64,716 (GBP)
Funding ID 2766-5413 
Organisation The Waterloo Foundation 
Sector Charity/Non Profit
Country United Kingdom
Start 01/2024 
End 08/2025
 
Description Occupational Therapy Black Country 
Organisation Black Country Partnership NHS Foundation Trust
Department Children's occupational therapy
Country United Kingdom 
Sector Hospitals 
PI Contribution Black country OTs are trialing the FUNMOVES approach. We trained the team of OTs on how to use the FUNMOVES screening tool. The team are sending us their data to produce reports for children to understand who is struggling to develop age appropriate skills.
Collaborator Contribution Black Country OTs are training schools across their area to deliver the FUNMOVES tool.
Impact This is still in the early phase of roll out but they are trialing embedding universal screening in their pathway for Developmental Coordination Disorder
Start Year 2024
 
Description Occupational Therapy Services Birmingham 
Organisation Birmingham Community Healthcare NHS Trust
Country United Kingdom 
Sector Public 
PI Contribution Birmingham OTs are trialing the FUNMOVES approach. We trained the team of OTs on how to use the FUNMOVES screening tool. The team are sending us their data to produce reports for children to understand who is struggling to develop age appropriate skills.
Collaborator Contribution Birmingham OTs are training schools across their area to deliver the FUNMOVES tool.
Impact This is still in the early phase of roll out but they are trialing embedding universal screening in their pathway for Developmental Coordination Disorder
Start Year 2024
 
Description Occupational Therapy Shropshire 
Organisation Shropshire Community Health NHS Trust
Country United Kingdom 
Sector Public 
PI Contribution Shropshire OTs are trialing the FUNMOVES approach. We trained the team of OTs on how to use the FUNMOVES screening tool. The team are sending us their data to produce reports for children to understand who is struggling to develop age appropriate skills.
Collaborator Contribution Shropshire OTs are training schools across their area to deliver the FUNMOVES tool.
Impact This is still in the early phase of roll out but they are trialing embedding universal screening in their pathway for Developmental Coordination Disorder
Start Year 2024
 
Description Blog on Parliamentary Evidence Week 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact I wrote a blog to advise Early Career Researchers on five things I learnt from my trip to Parliament
Year(s) Of Engagement Activity 2023
URL https://www.timeshighereducation.com/campus/five-things-i-learned-my-trip-parliament-early-career-re...
 
Description Parliamentary Evidence Week 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact In November 2022, I was given the opportunity to present my PhD and postdoctoral research at parliamentary evidence week alongside my colleagues Liam Hill and Nick Preston from the University of Leeds. We spoke to 9 MPs and one media representative on the day.
Year(s) Of Engagement Activity 2022
URL https://eprints.whiterose.ac.uk/192961/1/PolicyLeeds-Note8_Supporting-movement-skills-to-improve-hea...
 
Description Podcast on my research 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact I recorded a podcast episode for the 'Let's talk University of Bradford' podcast about the development of FUNMOVES (a school-based screening tool for fundamental movement skills) and how we are trialling its use as part of a triaging process for accessing OT and physio services, as well as how moving away from a diagnosis led model may help children that are falling behind to improve without the need for specialist support. This has sparked interest from NHS trusts beyond Bradford in using this approach
Year(s) Of Engagement Activity 2023
URL https://open.spotify.com/episode/27LW5Z0Boj8CuTwJDCITyL?si=805f3905d9484c88&nd=1&dlsi=8c492d51b1644d...
 
Description Radio interview about Parliamentary Evidence Week 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Media (as a channel to the public)
Results and Impact I was interviewed by BCB radio on my trip to Parliament
Year(s) Of Engagement Activity 2022