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Graphomotor Intervention Program for Handwriting Difficulties Prevention in Preschool Age

Sponsor
University of Évora (Other)
Overall Status
Completed
CT.gov ID
NCT03699787
Collaborator
(none)
63
Enrollment
1
Location
2
Arms
14.5
Actual Duration (Months)
4.3
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

12-30% of children present handwriting difficulties, which has negative repercussions on their school career. For this reason, it is fundamental to bet on their prevention. The aim of present study is to examine the effects of a graphomotor intervention program on graphomotor competences in children in the last year of preschool education. This experimental study is a randomized controlled trial. The program will run for 8 weeks (2 sessions/week of 30 minutes), followed by 6 months of follow-up without intervention. Participants will be assessed 1) at baseline, 2) at the end of the program, and 3) after the follow-up. Participants will be randomly allocated to two groups: experimental group (graphomotor intervention program) and control group.

Condition or Disease Intervention/Treatment Phase
  • Other: Graphomotor intervention program
 N/A

Detailed Description

According to estimates, 12 to 30% of children have handwriting difficulties (1), which has negative consequences for school success (2). In addition, this is one of the main reasons for referral and consultation in psychomotricity in school-age (3), which reflects the urgency of acting in this field.

The need for prevention and early intervention is indisputable (4). Several studies indicate that both outweigh the benefits of late intervention, because as time goes on it is increasingly difficult to correct handwriting difficulties (5-6).

Graphomotor skills include the trait, the drawing and the formal handwriting and are related to long and complex learning, which requires several years of learning (7-9).

Today it is known that preschool education represents a very important period for the development of these skills (10). In preschool, children spend 42% of the day on paper and pencil tasks (11) and it is during this period that handwriting readiness skills are developed (12), being a predictor of future school success (12-15). For Beery (16) children are not apt to learn to handwrite without first copying the first nine figures of the Beery-Buktenica Developmental Test of Visual-Motor Integration (VMI).

It is based on this that intervention programs have been developed with the aim of promoting the development of handwriting readiness skills in preschool age and of preventing possible handwriting difficulties at school age (14, 17). These intervention programs have shown favourable results in improving the graphomotor skills of preschool children (12, 17-18).

In most cases only something is done, once the handwriting difficulties are installed. In addition, there are few studies dedicated to intervention in graphomotor skills at preschool age and to my knowledge, there is no study whose intervention is based on a psychomotor approach. Based on this, a graphomotor intervention program with a psychomotor approach was developed, by Matias and Vieira (19), who will apply in this study to children in the last year of preschool education.

Study Design

Study Type:
Interventional
Actual Enrollment :
63 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
The Effects of a Graphomotor Intervention Program According to a Psychomotor Approach on Graphomotor Competences in Preschool Children: A Randomized Controlled Trial
Actual Study Start Date :
Oct 15, 2018
Actual Primary Completion Date :
Dec 31, 2019
Actual Study Completion Date :
Dec 31, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: Graphomotor intervention program

The experimental group (EG) intervention comprises a graphomotor intervention program according to a psychomotor approach. The program integrates two group sessions (6-8 children)/week of 30 minutes for 8 weeks (16 sessions).

Other: Graphomotor intervention program
The graphomotor intervention program aims to promote the development and reinforcement, different skills involved in the learning process of handwriting and has a preventive character. It follows a bodily, playful, multisensory, exploratory (sensory integration) and neuromotor task training approach and focuses on the following intervention domains: segmental awareness, passive relaxation, trunk-limb dissociation, interdigital coordination, attention, planning, spatial organization/orientation and perception.
No Intervention: Control Group

The control group (CG) participants will maintain their normal classroom activities. After the study, control group participants will be offered the opportunity to integrate a similar graphomotor intervention program.

Outcome Measures

Primary Outcome Measures

  1. Change from Baseline, between and within groups comparison, in Manual Preference [0, 4, 10 months]

    Outcome Measure - Manual Preference Questionnaire to assess manual preference

  2. Change from Baseline, between and within groups comparison, in Motor Performance [0, 4, 10 months]

    Outcome Measure - Movement Assessment Battery for Children - Second Edition to assess manual dexterity, aiming and catching and balance

  3. Change from Baseline, between and within groups comparison, in Visual-Motor Integration [0, 4, 10 months]

    Outcome Measure - Beery-Buktenica Developmental Test of Visual-Motor Integration, Sixth Edition to assess visual-motor integration, visual perception and motor coordination

  4. Change from Baseline, between and within groups comparison, in Computerized Handwriting Process Measures [0, 4, 10 months]

    Outcome Measure - The MovAlyzeR to assess spatial, temporal and kinematic variables of handwriting

Secondary Outcome Measures

  1. Sociodemographic characteristics [0 months]

    The Sociodemographic Questionnaire collects data on the identification of the child, the parents, the sociodemographic context and the socioeconomic status of the family based on the Graffar Social Classification Scale Adapted

Eligibility Criteria

Criteria

Ages Eligible for Study:
5 Years to 5 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:

  • Children in the last year of preschool education (aged 5 years old);

  • Participation agreement.

Exclusion Criteria:

  • Diagnosed or suspected of neurological disabilities (e.g., cerebral palsy, epilepsy), psychiatric and/or behavioural disorders;

  • Presence of uncorrected vision and hearing problems;

  • Referenced by Special Education/National Service of Early Intervention in Childhood;

  • Native language is not Portuguese;

  • Children with direct intervention in graphomotor skills or who had a similar intervention to that proposed less than 1 year ago;

  • Participation in the intervention program of less than 80%;

  • Children undergoing drug therapy (e.g., antihistamines) that interfere with the study variables;

  • Do not wish to participate in the study.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Helena Isabel Falcão Coradinho Évora Portugal 7040

Sponsors and Collaborators

  • University of Évora

Investigators

  • Principal Investigator: Helena IF Coradinho, MSc,

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:
Helena Isabel Falcão Coradinho, Principal Investigator, University of Évora
ClinicalTrials.gov Identifier:
NCT03699787
Other Study ID Numbers:
  • 05102018
First Posted:
Oct 9, 2018
Last Update Posted:
Mar 27, 2020
Last Verified:
Mar 1, 2020
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Helena Isabel Falcão Coradinho, Principal Investigator, University of Évora
Graphomotor intervention program
Preschool children
Graphomotor competences
Prevention
Additional relevant MeSH terms:
Agraphia

Study Results

No Results Posted as of Mar 27, 2020