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Updated: May 28, 2026

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A Tablet-Based Curriculum-Based Measurement Protocol for Kindergarten Writing
Published on: February 7, 2025
Effectiveness of a handwriting readiness program in head start: a two-group controlled trial
Carol A Lust1, Denise K Donica
1Occupational Therapy Department, East Carolina University, Greenville, NC 27834, USA.
Summary
The Handwriting Without Tears-Get Set for School (HWT-GSS) program significantly improved prewriting, kindergarten readiness, and fine motor skills in Head Start students. This curriculum is beneficial for enhancing early handwriting abilities.
Area of Science:
- Early Childhood Education
- Developmental Psychology
- Pediatric Occupational Therapy
Background:
- Head Start programs serve preschool children from low-income families.
- Developing prewriting and fine motor skills is crucial for kindergarten readiness.
- The Handwriting Without Tears-Get Set for School (HWT-GSS) program is designed to enhance these foundational skills.
Purpose of the Study:
- To measure the impact of the HWT-GSS program on prewriting skills, kindergarten readiness, first-name writing, and fine motor skills.
- To evaluate the effectiveness of integrating HWT-GSS programming into a Head Start curriculum.
Main Methods:
- A two-group, nonrandomized controlled trial with a pretest-posttest design was employed.
- One rural Head Start preschool classroom implemented the HWT-GSS curriculum (experimental group).
- A control classroom did not receive the HWT-GSS intervention for comparison.
Main Results:
- The experimental group showed significant improvements in prewriting, kindergarten readiness, and fine motor skills compared to the control group.
- Both the experimental and control groups demonstrated significant progress in prewriting, first-name writing, and school readiness from pretesting to posttesting.
Conclusions:
- Integrating the HWT-GSS program into Head Start curricula yields significant benefits for children's handwriting readiness.
- The findings support the use of HWT-GSS to enhance crucial pre-academic and fine motor skills in early learners.
