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Published on: March 11, 2021
Chinese handwriting performance in preterm children in grade 2
Hui-Ning Shih1, Wen-Hui Tsai2,3, Shao-Hsia Chang4
1Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Insights
Preterm boys in second grade show handwriting difficulties in speed and construction compared to full-term boys. Attention is a key factor influencing handwriting performance in preterm children, suggesting targeted interventions.
Area of Science:
- Developmental Psychology
- Pediatric Neurology
- Educational Psychology
Background:
- Preterm birth impacts first graders' handwriting speed and legibility.
- Specific legibility challenges and long-term handwriting performance in preterm children remain unclear.
- The influence of sex on handwriting in preterm children is not well-understood.
Purpose of the Study:
- To investigate the effects of prematurity and sex on second graders' handwriting.
- To identify factors contributing to handwriting performance in preterm children.
Main Methods:
- Compared handwriting of 63 preterm and 67 full-term second graders.
- Teachers completed the Chinese Handwriting Evaluation Form.
- Assessed cognitive, perceptual, motor, and behavioral factors in a subgroup of preterm children.
Main Results:
- Preterm boys had significantly poorer handwriting speed than full-term boys.
- Preterm boys showed higher difficulty in handwriting construction compared to other groups.
- Attention was a significant predictor of accuracy and speed in preterm children's handwriting.
Conclusions:
- Preterm boys are more susceptible to handwriting deficits in speed and construction.
- Assessment and intervention for attention are recommended for preterm children with handwriting issues.
Background:
First graders born prematurely perform poorly on handwriting speed and legibility. However, whether there are specific legibility factors in which preterm children demonstrate difficulty remains unknown. In addition, handwriting performance beyond the first grade and the influence of sex on handwriting performance in preterm children are still unclear. We aimed to investigate the influence of prematurity and sex on multiple dimensions of handwriting in grade two and to identify the contributors to performance.
Methods:
Sixty-three preterm (34 boys and 29 girls) and 67 full-term (27 boys and 40 girls) peers in grade two were included. Class teachers were asked to complete the Chinese Handwriting Evaluation Form. A subgroup of 39 preterm children received assessments on intelligence, visual perception, tactile and kinesthetic sensation, and fine motor skills. Their inattention behavior was rated using a maternal self-report with a behavioral scale.
Results:
Boys born prematurely exhibited poorer performance in the speed dimension than full-term boys (p = 0.008), whereas there was comparable performance in the two groups of girls (p = 0.221). In the dimensions related to legibility, preterm boys (32.4%) had a higher percentage of children with difficulty in the construction dimension than the other groups (preterm girls: 6.9%, full-term boys: 7.4%, full-term girls: 5.0%). However, no group difference was found in the dimensions of accuracy and directionality. Of the sensory-perceptual-motor factors, attention was the most significant predictor of accuracy in performance (p = 0.046) and speed dimensions (p = 0.001) in preterm children.
Conclusions:
Boys appear to be vulnerable to the adverse impacts of preterm birth in terms of performance in the dimensions of speed and construction in grade two. Based on the significant contribution of attention to handwriting performance in preterm children, assessment and intervention in the area of attention is strongly suggested for preterm children with handwriting problems.
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