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Published on: February 7, 2025
Development, reliability, and validity of the Handwriting Proficiency Screening Questionnaire (HPSQ)
1Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa 31905, Israel. rosens@research.haifa.ac.il
Summary
This study developed the Handwriting Proficiency Screening Questionnaire (HPSQ) to identify handwriting difficulties in school-aged children. The HPSQ demonstrates strong reliability and validity for clinical and academic use.
Area of Science:
- Occupational therapy
- Pediatric assessment
- Educational psychology
Background:
- Handwriting difficulties are common in school-aged children, impacting academic performance.
- Accurate screening tools are essential for early intervention by occupational therapists.
- Existing tools may lack comprehensive validation for diverse populations.
Purpose of the Study:
- To develop and validate the Handwriting Proficiency Screening Questionnaire (HPSQ).
- To establish the reliability and validity of the HPSQ for identifying handwriting difficulties.
- To provide occupational therapists with a dependable screening tool for school-aged children.
Main Methods:
- Content validity was established for the HPSQ.
- Internal consistency, interrater, test-retest, concurrent, and construct validity were assessed.
- The study included 230 typically developing children aged 7–14 years.
Main Results:
- The HPSQ showed excellent internal consistency (alpha = .90).
- High test-retest reliability (ICC = .84) and interrater reliability (ICC = .92) were found.
- Construct and concurrent validity were confirmed, supporting the HPSQ's accuracy.
Conclusions:
- The Handwriting Proficiency Screening Questionnaire (HPSQ) is a reliable and valid tool for occupational therapists.
- The HPSQ is suitable for identifying handwriting deficiencies in school-aged children across academic and clinical settings.
- Further research with larger, diverse samples is recommended to enhance the HPSQ's evidence base.

