- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05795738
Visual Perceptual Motor Training on Kindergarteners
March 24, 2024 updated by: National Cheng-Kung University Hospital
Effects of Different Visual-perceptual-motor Training Courses on Kindergarten Children
The study aims to investigate the effects of different visuomotor training programs on children's visuomotor skills and handwriting performance.
Study Overview
Status
Recruiting
Conditions
Detailed Description
The purpose of this project is to investigate the effectiveness of visuomotor activities with different activity materials on fine motor, visual perception, visual-motor integration and handwriting performance of kindergarten children.
Kindergarteners will be randomized into the three groups: control, Chinese, and traditional groups.
Children in the Chinese and traditional groups will receive a visual perceptual motor training program twice every week for 12 weeks and those in the control group will not receive any intervention during the study period.
in the end of fall semester of the first grade, the effectiveness of the interventional programs on handwriting performance of participants will be examined again.
Study Type
Interventional
Enrollment (Estimated)
180
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Yea-Shwu H Hwang, ScD
- Phone Number: 5914 886-62353535
- Email: yshwang@mail.ncku.edu.tw
Study Locations
-
-
-
Tainan, Taiwan, 701
- Recruiting
- National Cheng Kung University
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
5 years to 6 years (Child)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Kindergarten children who will study the first grade in coming September
- Both parents are native Mandarin Chinese speakers
Exclusion Criteria:
- A diagnosis of significant neurological, muscular, and skeletal system disorders
- Visual or hearing problems that cannot be corrected to be normal
- Genetic or chromosomal abnormality
- Significant neurological, muscular, and skeletal damage to the trunk or upper extremities
- moderate or severe intellectual disabilities
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
No Intervention: Control group
regular kindergarten education
|
|
|
Experimental: Chinese characters-based visual-motor program
visual perceptual motor activities using Chinese characters as activity materials.
|
this program includes visual-perceptual-motor play, paper-pencil activities, and ipad games using Chinese character as activity materials
|
|
Experimental: traditional visual-motor training program
visual perceptual motor activities using commercial or self-designed toys and pencil-paper sheets as activity materials.
|
this program includes play and paper-and-pencil activities, ipad games using commercial or self-designed stuffs as activity materials
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The Chinese Handwriting Test
Time Frame: baseline, after 12-week intervention, through study completion, an average of 1 year
|
the change of the handwriting performance
|
baseline, after 12-week intervention, through study completion, an average of 1 year
|
|
The Chinese character recognition Test
Time Frame: baseline, after 12-week intervention, through study completion, an average of 1 year
|
the change of the Chinese character recognition ability
|
baseline, after 12-week intervention, through study completion, an average of 1 year
|
|
The Chinese Handwriting Evaluation Form (preschool version)
Time Frame: baseline, after 12-week intervention
|
the change of handwriting performance by kindergarten teacher's rating
|
baseline, after 12-week intervention
|
|
The Chinese Handwriting Evaluation Form (School-aged version)
Time Frame: through study completion, an average of 1 year
|
the change of handwriting skills by teacher's rating
|
through study completion, an average of 1 year
|
|
The Battery of Chinese Basic Literacy
Time Frame: through study completion, an average of 1 year
|
the change of reading and handwriting skills
|
through study completion, an average of 1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Test of Visual Perceptual Skills-Fourth Edition (TVPS-4)
Time Frame: baseline, after 12-week intervention, through study completion, an average of 1 year
|
the change of visual perceptual skills
|
baseline, after 12-week intervention, through study completion, an average of 1 year
|
|
The Bruininks-Oseretsky Test of Motor Proficiency-Second Edition (BOT-2)
Time Frame: baseline, after 12-week intervention, through study completion, an average of 1 year
|
the change of fine motor skills
|
baseline, after 12-week intervention, through study completion, an average of 1 year
|
|
The Berry-Buktenica Developmental Test of Visual-Motor Integration- Forth Edition (VMI)
Time Frame: baseline, after 12-week intervention, through study completion, an average of 1 year
|
the change of VMI
|
baseline, after 12-week intervention, through study completion, an average of 1 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Yea-Shwu Hwang, ScD, National Cheng Kung University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Volman MJ, van Schendel BM, Jongmans MJ. Handwriting difficulties in primary school children: a search for underlying mechanisms. Am J Occup Ther. 2006 Jul-Aug;60(4):451-60. doi: 10.5014/ajot.60.4.451.
- Feder KP, Majnemer A. Handwriting development, competency, and intervention. Dev Med Child Neurol. 2007 Apr;49(4):312-7. doi: 10.1111/j.1469-8749.2007.00312.x.
- Ohl AM, Graze H, Weber K, Kenny S, Salvatore C, Wagreich S. Effectiveness of a 10-week tier-1 response to intervention program in improving fine motor and visual-motor skills in general education kindergarten students. Am J Occup Ther. 2013 Sep-Oct;67(5):507-14. doi: 10.5014/ajot.2013.008110.
- Ratzon NZ, Efraim D, Bart O. A short-term graphomotor program for improving writing readiness skills of first-grade students. Am J Occup Ther. 2007 Jul-Aug;61(4):399-405. doi: 10.5014/ajot.61.4.399.
- Chen YN, Lin CK, Wei TS, Liu CH, Wuang YP. The effectiveness of multimedia visual perceptual training groups for the preschool children with developmental delay. Res Dev Disabil. 2013 Dec;34(12):4447-54. doi: 10.1016/j.ridd.2013.09.023. Epub 2013 Oct 11.
- Chang SH, Yu NY. Visual and Haptic Perception Training to Improve Handwriting Skills in Children With Dysgraphia. Am J Occup Ther. 2017 Mar/Apr;71(2):7102220030p1-7102220030p10. doi: 10.5014/ajot.2017.021311.
- Dankert HL, Davies PL, Gavin WJ. Occupational therapy effects on visual-motor skills in preschool children. Am J Occup Ther. 2003 Sep-Oct;57(5):542-9. doi: 10.5014/ajot.57.5.542.
- Daly CJ, Kelley GT, Krauss A. Relationship between visual-motor integration and handwriting skills of children in kindergarten: a modified replication study. Am J Occup Ther. 2003 Jul-Aug;57(4):459-62. doi: 10.5014/ajot.57.4.459.
- Feder KP, Majnemer A, Bourbonnais D, Platt R, Blayney M, Synnes A. Handwriting performance in preterm children compared with term peers at age 6 to 7 years. Dev Med Child Neurol. 2005 Mar;47(3):163-70. doi: 10.1017/s0012162205000307.
- Hwang YS, Su PF, Hsiao YL, Tsai WH, Hung JY. Developing a Nomogram Model to Predict the Risk of Poor Chinese Handwriting in First Grade. Am J Occup Ther. 2020 Sep/Oct;74(5):7405205080p1-7405205080p8. doi: 10.5014/ajot.2020.038711.
- Lee TI, Howe TH, Chen HL, Wang TN. Predicting Handwriting Legibility in Taiwanese Elementary School Children. Am J Occup Ther. 2016 Nov/Dec;70(6):7006220020p1-7006220020p9. doi: 10.5014/ajot.2016.016865.
- Poon KW, Li-Tsang CW, Weiss TP, Rosenblum S. The effect of a computerized visual perception and visual-motor integration training program on improving Chinese handwriting of children with handwriting difficulties. Res Dev Disabil. 2010 Nov-Dec;31(6):1552-60. doi: 10.1016/j.ridd.2010.06.001.
- Prunty M, Barnett AL, Wilmut K, Plumb M. Visual perceptual and handwriting skills in children with Developmental Coordination Disorder. Hum Mov Sci. 2016 Oct;49:54-65. doi: 10.1016/j.humov.2016.06.003. Epub 2016 Jun 18.
- Taverna L, Tremolada M, Dozza L, Zanin Scaratti R, Ulrike D, Lallo C, Tosetto B. Who Benefits from An Intervention Program on Foundational Skills for Handwriting Addressed to Kindergarten Children and First Graders? Int J Environ Res Public Health. 2020 Mar 24;17(6):2166. doi: 10.3390/ijerph17062166.
- Tse LF, Thanapalan KC, Chan CC. Visual-perceptual-kinesthetic inputs on influencing writing performances in children with handwriting difficulties. Res Dev Disabil. 2014 Feb;35(2):340-7. doi: 10.1016/j.ridd.2013.11.013. Epub 2013 Dec 11.
- Tseng MH, Chow SM. Perceptual-motor function of school-age children with slow handwriting speed. Am J Occup Ther. 2000 Jan-Feb;54(1):83-8. doi: 10.5014/ajot.54.1.83.
- van Hartingsveldt MJ, Cup EH, Hendriks JC, de Vries L, de Groot IJ, Nijhuis-van der Sanden MW. Predictive validity of kindergarten assessments on handwriting readiness. Res Dev Disabil. 2015 Jan;36C:114-124. doi: 10.1016/j.ridd.2014.08.014. Epub 2014 Oct 16.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
November 1, 2022
Primary Completion (Estimated)
August 31, 2026
Study Completion (Estimated)
August 31, 2026
Study Registration Dates
First Submitted
March 5, 2023
First Submitted That Met QC Criteria
March 20, 2023
First Posted (Actual)
April 3, 2023
Study Record Updates
Last Update Posted (Actual)
March 26, 2024
Last Update Submitted That Met QC Criteria
March 24, 2024
Last Verified
May 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- A-ER-111-161
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
IPD are to be shared with other researchers
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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