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Updated: Mar 30, 2026

A Tablet-Based Curriculum-Based Measurement Protocol for Kindergarten Writing
Published on: February 7, 2025
Handwriting Without Tears(®): General Education Effectiveness Through a Consultative Approach.
1Denise K. Donica, DHSc, OTR/L, BCP, is Associate Professor, Occupational Therapy Department, East Carolina University, Greenville, NC; donicad@ecu.edu.
The Handwriting Without Tears (HWT) curriculum, with occupational therapy support, significantly improved kindergarten students' printing legibility compared to traditional methods. HWT is effective for early handwriting instruction.
Area of Science:
- Pediatric occupational therapy
- Educational psychology
- Developmental psychology
Background:
- Effective handwriting instruction is crucial for academic success.
- Occupational therapy consultation can bridge gaps in general education curriculum implementation.
- The Handwriting Without Tears (HWT) program is a widely used approach for teaching printing skills.
Purpose of the Study:
- To evaluate the effectiveness of the HWT kindergarten printing curriculum.
- To examine the role of occupational therapy in supporting HWT implementation in general education.
- To compare student printing legibility using HWT versus a control group.
Main Methods:
- A quasi-experimental design with three cohorts: one control and two experimental groups.
- Students in experimental groups received printing instruction via the HWT curriculum.
- The Test of Handwriting Skills-Revised (THS-R) was administered to assess legibility at year-end.
Main Results:
- Both experimental groups, individually and combined, significantly outperformed the control group on the THS-R.
- Statistically significant improvements (p < .05) were observed in 6-7 subtests and overall scores.
- Large treatment effects (d = 0.81-1.03) indicate substantial positive impact of the HWT curriculum.
Conclusions:
- The HWT printing curriculum is effective for kindergarten students.
- Occupational therapy consultation enhances the successful implementation of handwriting curricula in general education settings.
- HWT provides a successful framework for foundational printing instruction.
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