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Digital Handwriting Analysis of Characters in Chinese Patients with Mild Cognitive Impairment
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Letter Tracing: a Serious Game to Teach Handwriting and Assess Proficiency through Machine Learning.

Linda Greta Dui, Chiara Piazzalunga, Stefania Fontolan

    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
    |March 5, 2025
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    Summary

    A new serious game, "Letter Tracing," aids in teaching correct letter formation and assesses handwriting development in children. It accurately predicts grade level and handwriting delay risk using machine learning models.

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    Area of Science:

    • Pediatric occupational therapy
    • Educational technology
    • Developmental psychology

    Background:

    • Handwriting is a crucial skill for academic success.
    • Assessing handwriting development and identifying delays can be challenging.
    • Digital tools offer potential for objective assessment and intervention.

    Purpose of the Study:

    • To introduce and evaluate the "Letter Tracing" serious game for teaching letter formation.
    • To assess the game's ability to capture the evolution of handwriting abilities and proficiency in children.
    • To utilize machine learning for predicting grade level and handwriting delay risk.

    Main Methods:

    • Co-design of the "Letter Tracing" game with clinicians and technicians.
    • Testing with 35 first- and second-grade children (9 first-graders, 26 second-graders).
    • Children traced letters in a gamified environment; indicators from raw data trained machine learning models.

    Main Results:

    • Machine learning models achieved 71% accuracy in predicting grade level.
    • Models also achieved 71% accuracy in predicting the risk of handwriting delay.
    • The game effectively modeled the maturation of children's handwriting skills.

    Conclusions:

    • The "Letter Tracing" game shows promise as an effective training and assessment tool.
    • It can objectively measure handwriting development and identify potential delays.
    • This serious game offers a novel approach to supporting children's handwriting proficiency.