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Structured Task-Focused Occupational Therapy in the School Environment to Support Academic Performance: Fine Motor and Visual-Motor Skills

23 juli 2026 uppdaterad av: Merve Keskin, Medipol University
This randomized controlled trial will evaluate the effects of a structured, task-focused occupational therapy program delivered in the school environment on handwriting performance, fine motor skills, visual-motor integration, and academic performance in primary school children. Second- and third-grade students identified as being at risk for handwriting and manual dexterity difficulties will be randomly assigned to an intervention group or a control group. The intervention group will receive a 10-week school-based occupational therapy program consisting of two 30-minute sessions per week, for a total of 20 sessions. The control group will continue routine classroom activities without therapist-led occupational therapy. Handwriting, manual dexterity, visual-motor integration, visual perception, and motor coordination will be assessed at baseline and after the intervention. Academic grades will also be recorded, and individualized goal attainment will be evaluated in the intervention group.

Studieöversikt

Studietyp

Interventionell

Inskrivning (Beräknad)

24

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Barn

Tar emot friska volontärer

Nej

Beskrivning

Inclusion Criteria:

  • Being between 7 and 9 years of age
  • Being enrolled in the second or third grade
  • Demonstrating basic literacy skills
  • Being identified as high risk for handwriting and/or manual dexterity difficulties based on standardized assessments and teacher observations
  • Being expected to maintain regular school attendance throughout the study period
  • Written informed consent provided by a parent or legal guardian

Exclusion Criteria:

  • A diagnosed neurodevelopmental disorder, including autism spectrum disorder or attention-deficit/hyperactivity disorder
  • Significant visual or hearing impairment
  • An orthopedic or neurological condition affecting the upper extremity
  • Current receipt of occupational therapy or special education services

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Structured Task-Focused Occupational Therapy
Participants will receive a 10-week structured task-focused school-based occupational therapy program delivered twice weekly in 30-minute sessions, for a total of 20 sessions. The program will target handwriting performance, fine motor skills, visual-motor integration, visual perception, and motor coordination.
The intervention consists of a 10-week structured task-focused occupational therapy program delivered in the school environment. Participants will receive two 30-minute sessions per week, for a total of 20 sessions. The program will include task-oriented activities targeting handwriting performance, fine motor skills, manual dexterity, visual-motor integration, visual perception, and motor coordination.
Inget ingripande: Routine Classroom Activities
Participants will continue their routine classroom activities and teacher-assigned homework during the 10-week study period and will not receive therapist-led occupational therapy.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in Handwriting Performance Assessed by the Minnesota Handwriting Test
Tidsram: Baseline and within 1 week after completion of the 10-week intervention (up to Week 11)
Handwriting performance will be assessed using the Turkish version of the Minnesota Handwriting Test (MHT). The test includes 34 letters arranged in seven words and evaluates handwriting completion time, legibility, form, alignment, spacing, and size. Completion time is recorded in seconds, with shorter times indicating faster performance. Quality parameters are scored up to 34 points, with higher scores indicating better handwriting quality. Change from baseline to post-intervention will be compared between the intervention and control groups.
Baseline and within 1 week after completion of the 10-week intervention (up to Week 11)

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in Manual Dexterity Assessed by the Minnesota Manual Dexterity Test
Tidsram: Baseline and within 1 week after completion of the 10-week intervention (up to Week 11)
Manual dexterity will be assessed using the Minnesota Manual Dexterity Test (MMDT). Completion times for the placing and turning tasks will be recorded in seconds. Shorter completion times indicate better manual dexterity.
Baseline and within 1 week after completion of the 10-week intervention (up to Week 11)
Change in Visual-Motor Performance Assessed by the Beery VMI
Tidsram: Baseline and within 1 week after completion of the 10-week intervention (up to Week 11)
Visual-motor performance will be assessed using the Beery-Buktenica Developmental Test of Visual-Motor Integration. Outcomes will include the Visual-Motor Integration total score, Visual Perception subtest score, and Motor Coordination subtest score. Scores will be interpreted according to age-based normative values, with higher scores indicating better performance.
Baseline and within 1 week after completion of the 10-week intervention (up to Week 11)
Change in Academic Performance
Tidsram: Baseline and within 1 week after completion of the 10-week intervention (up to Week 11)
Academic performance will be evaluated using official school grades in Turkish Language, Mathematics, and Life Sciences. Grades range from 1 to 4, with higher grades indicating better academic performance.
Baseline and within 1 week after completion of the 10-week intervention (up to Week 11)

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in Individualized Goal Attainment Assessed by Goal Attainment Scaling
Tidsram: Baseline and within 1 week after completion of the 10-week intervention (up to Week 11)
Goal Attainment Scaling will be administered only to participants in the intervention group. Individualized SMART goals will be rated on a five-point scale ranging from -2 to +2, where -2 represents performance much lower than expected, 0 represents the expected level of achievement, and +2 represents performance much higher than expected. Higher scores indicate greater goal attainment.
Baseline and within 1 week after completion of the 10-week intervention (up to Week 11)

Samarbetspartners och utredare

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Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

27 juli 2026

Primärt slutförande (Beräknad)

12 oktober 2026

Avslutad studie (Beräknad)

12 oktober 2026

Studieregistreringsdatum

Först inskickad

20 juli 2026

Först inskickad som uppfyllde QC-kriterierna

20 juli 2026

Första postat (Faktisk)

23 juli 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

24 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

23 juli 2026

Senast verifierad

1 juli 2026

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

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Läkemedels- och apparatinformation, studiedokument

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Nej

Studerar en amerikansk FDA-reglerad produktprodukt

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