Validating the Use of the Evaluation Tool of Children's Handwriting-Manuscript to Identify Handwriting Difficulties and Detect Change in School-Age Children

被引:12
作者
Brossard-Racine, Marie [1 ,2 ]
Mazer, Barbara [2 ,3 ]
Julien, Marilyse [4 ]
Majnemer, Annette [2 ,5 ]
机构
[1] Childrens Natl Med Ctr, Adv Paediat Brain Imaging Res Lab, Washington, DC 20010 USA
[2] McGill Univ, Sch Phys & Occupat Therapy, Montreal, PQ, Canada
[3] Jewish Rehabil Hosp, Ctr Interdisciplinary Res Rehabil Greater Montrea, Laval, PQ H7V 1R2, Canada
[4] Ctr Hosp Univ St Justine, Montreal, PQ, Canada
[5] McGill Univ, Montreal Childrens Hosp, Ctr Hlth, Montreal, PQ H3H 1P3, Canada
关键词
discriminant analysis; handwriting; occupational therapy; child; validation studies; MINIMALLY IMPORTANT DIFFERENCES; QUALITY-OF-LIFE; RELIABILITY;
D O I
10.5014/ajot.2012.003558
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
In this study we sought to validate the discriminant ability of the Evaluation Tool of Children's Handwriting-Manuscript in identifying children in Grades 2-3 with handwriting difficulties and to determine the percentage of change in handwriting scores that is consistently detected by occupational therapists. Thirty-four therapists judged and compared 35 pairs of handwriting samples. Receiver operating characteristic (ROC) analyses were performed to determine (1) the optimal cutoff values for word and letter legibility scores that identify children with handwriting difficulties who should be seen in rehabilitation and (2) the minimal clinically important difference (MCID) in handwriting scores. Cutoff scores of 75.0% for total word legibility and 76.0% for total letter legibility were found to provide excellent levels of accuracy. A difference of 10.0%-12.5% for total word legibility and 6.0%-7.0% for total letter legibility were found as the MCID. Study findings enable therapists to quantitatively support clinical judgment when evaluating handwriting.
引用
收藏
页码:414 / 421
页数:8
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