Tuesday, November 11, 2008
George 'Shore Assessment'
Referrals from the MOH (Paediatricians etc.) highlight delays in the developmental components of handwriting i.e. fine motor skills, motor planning difficulties, muscle tone, bilateral integration etc..
In order to manage a large number of referrals for handwriting difficulties or delayed pre-writing skills, a handwriting screen is used initially. One of the handwriting screening tools available to the OT in the CDT is the SHORE Handwriting Screening for Early Handwriting Development (SHS), published by Leanne Shore in 2003.
The purpose of this screen is to identify pre-writing and handwriting difficulties in children 3-9 years of age. It prompts identifications of difficulties in the underlying components of handwriting including postural control, hand control, letter/number formation, pre-writing skills and bilateral skills. It allows the examiner to identify whether or not further assessments are necessary and whether or not intervention or adaptations are required.
Conclusion
The purpose of this assignment was to investigate the validity/effectiveness of the SHS as a screening tool for early handwriting development, to identify the need for further assessment, and to identify intervention and/or adaptations required following the screen.
Roger et al., (2003) noted that, as in the case of the SHS, no one assessment addresses all areas of skills, the clinician must determine the missing task and environmental contexts in order to identify the battery of assessments and observations needed in a comprehensive evaluation of motor and functional skills.
As discussed in the assignment, the SHS demonstrates strengths as a screening tool for early handwriting development including the following:
• It uses tasks used by other standardised assessments like the MHT, ETCH, VMI, TOLH, DRHP and CHES.
• The developmental handwriting milestones used in the SHS is supported by over 30 research articles by researchers of handwriting development including Amundson, Weil, Reisman etc.
• Although the visual samples of typical handwriting development offered in the manual, were obtained from typically developing children in the USA, the sample group was diverse with males and females from several racial orientations. Therefore representing some aspect of the children seen by the OT’s in the CDT.
• The SHS score sheet is easy to follow, quick to administer and score. It provides useful information to guide further assessment and intervention required following the screen.
• The SHS displays elements of both the most commonly used methods of evaluation of handwriting, as described by Rosenblum, Weiss and Parush, 2003, namely, a global-holistic evaluation and an analytical evaluation.
• The SHS evaluates components of handwriting researched and found to have an influence on handwriting like postural control, copying, in-hand manipulation and pencil grip.
• As discussed, the SHS facilitates the use of the three most well recognised OT approaches noted by Ideishi, (2003) using a guided score sheet including contextual approach, bottom-up approach and is supported by the professions move towards being more top-down focused in using functional tasks used by children.
• The SHS demonstrates limitations as a handwriting assessment tool in light of the following:
• It is an American based assessment and therefore references are mostly related to USA studies and age norms based on typically developing children in the USA.
• It is not a standardised test therefore it does not provide objective measures and quantitative scores; makes monitoring a child’s progress more difficult, impair clear communication with other professionals and cannot be used successfully for research to advance the field.
• It does not incorporate the link between understanding print (awareness of letters) and ability to write strongly or clearly as it does not prompt reading of copied stimuli – it only prompts the examiner to mark if the child responds spontaneously.
• A tasks/component not used in SHS is writing from memory, alphabet writing and composition.
In light of the above it can be concluded that at the least, SHS is a valid screen for early handwriting assessment. It can be used effectively to identify possible handwriting difficulties and it indicates the need for further assessment if required. It guides the examiner to identify intervention and/or adaptations required following the screen.
It is recommended that in combination with SHS, further emphasis should be made on assessing the relationship of handwriting and understanding print.
Thursday, October 16, 2008
Literacy and handwriting
This is from Nikki- She created her own framework to fit with the contextual needs of her work setting.
“The Bank Framework” consists of three stages and is based on the contextual approach and systems theory (Ideshi, 2003; Shumway-Cook & Woolacott 1995). It focuses firstly on establishing a child’s understanding of text, secondly considers the environmental influences affecting the child’s handwriting and then thirdly focuses on the intervention strategies of verbal guidance, based on aspects of the Cognitive Orientation to daily Occupational Performance model (Co-op), and multisensory approach .
1. Establishing Knowledge of Text.
Occupational Therapists in schools often work with children who have cognitive impairments in addition to their physical impairment. Cognitive impairments, as much as physical impairments can have considerable effect on handwriting performance. (Jongman et al., 2003). Handwriting is more than just a visual motor task and involves the understanding of a number of literacy concepts to enable meaningful learning (Clay, 1991). Studies by Graham, Harris, MacArthur & Fink (2002) and Hammerschmidt & Sudsawad (2004) found teacher’s theoretical perspectives were valuable for understanding effective writing instruction. Occupational Therapists should consider these as well as focusing on the sensorimotor aspects of handwriting.
Jongman (et al., 2003) and Clay (1991) suggest that in order for a child to write and form letters they need to have some basic concepts of text. That is; they understand messages can be written and that you ‘construct’ the message in speech, that the letters and words form a left to right sequence, there are spaces between letters/words and that the visual forms of their writing attempts have correlation with their oral message. As found by Clay (1970), 2% of 6½ year olds still confused print and pictures as the source of a story. The Ministry of Education Literacy document also suggests children need some basic phonemic knowledge to understand that spoken sounds have letters to represent them (MoE, 2003).
Establishing a child’s understanding of text can effectively be done through liaising with the teacher and observing the child in a writing task. “What the child writes is a rough indicator of how he views printed language” (Clay, 1991, p.97
Sunday, September 21, 2008
Cursive or printing - what shall it be?
This following blurb is from Colleen's assignment
......Addy presents the use of cursive style of writing as being an important aspect of development of speed and fluency. This viewpoint is represented by the New Zealand Department of Education (1985) supplement on teaching handwriting in which they state that the use of ligatures to join letters will increase the speed of writing but that a full cursive style was not necessary to do so. Ziviani and Watson-Will also concluded that cursive writing produced faster output in students (Summers & Cattaro, 2003) In contrast, various authors have disputed this as fact. Graham, Weintraub and Berninger (1998) found that a mixed style of cursive and manuscript was found to be the fastest (Summers & Cattaro, 2003) In their own study of university students, Summers and Cattaro found that no difference was found between writing style and amount of output in an exam situation and supported findings of Graham et al that a mixed style proved to be the fastest.
In my own practice with older students I have suggested learning cursive, mostly I have used Handwriting without Tears (Olsen) programe. My reasoning behind this being that often the children coming to see me have been battling with poor handwriting and inefficient method of writing for years. A new way of writing offers an opportunity to start learning new habits (I especially like HWT for this as the letter style starts from the bottom, and therefore is quite different from how we form printing). However, they will be slower to start off with as they are learning a new habit, and it will take more effort. I do not imagine the students ending up with a handwriting that looks like HWT - however I aim for them to blend towards developing there own mixed style. Therefore I often trade out some of the letters to match more closely to the NZ system , the letters s and f being two examples.
I also feel that cursive writing encourages chunking segments of letters together and as mentioned in a earlier post this can help with increasing speed, and awareness of segments within words.
Rita
Monday, September 8, 2008
Occupational Performance Coaching
The OPC has three enabling domains, these include 1) Emotional support 2) Information Exchange 3) Structured Process.
Emotional Support includes, Listen, Empathise Reframe, Respect and Encourage
Information Exchange includes, performance analysis, typical development, health conditions and impairment, teaching and learning strategies, enabling tricks and community resources and entitlements.
Structures process includes, set goals, explore options, plan actions carry out plan, check performance.
I feel that many of these three domains are used in the telephone conversations I have with parents, and therefore are excited to see them described in the OPC intervention approach. Fi has one article published currently with more on the way. For those interested, Graham, F,. Rodger, S. & Ziviani, J. (2008). Coaching parents to enable childrens particpation: An approach for working with parents and their children. Austrailian Occuaptional Therapy Journal doi:10.1111/j.1440-1630.2008.00736.x
Take Care Rita
Sunday, August 24, 2008
Spelling and Handwriting
Joy has some really interesting links connecting to articles about learning and literacy.
Hope you are all well. Rita
Saturday, August 16, 2008
Handwriting Speed
Therefore he has the motivation to work on this issue. What I did next was write out the "lazy dog jumps over" sentence, and asked him to copy it as fast as possible but still tidy enough that I or his teacher would growl at him. His first attempt he wrote 10 letters in 15 seconds. I then re-wrote the sentence so that he would have a tidy model to copy from and encouraged him to do it again. We did this several times however after the third try I created different sentences so that it was still novel. However this time I asked him if he knew how to spell a word to only look at it once from the model, and write it down. If it was a harder word that he didn't know I showed him how to break the word into segments , scanning the word, copying three letters down and then re-looking at the word. My thinking being that copying words in chunks would be quicker than copying a word letter by letter.
By the end of six practices he has increased to 17 letters per fifteen seconds. An improvement of seven letters with the quality of his writing still being tidy. During the practices he did drop in his rate of writing, we noted that this was when he wrote larger, or when he looked away. Therefore his strategies to be a faster writer include writing with small (normal size) letters, to spell from memory if he knows the word, and to break the words down into chunks if it is a word he doesn't know how to spell. That and just increasing his awareness that actively trying to write faster and staying focused on the task assists in speed of writing.
This was a few hours ago that we did this task. I think I will get him to copy a novel sentence again and see if he has stayed stable in his ability.
Rita
Friday, August 1, 2008
Handwriting program for a 6 year old
This boy will not get ongoing GSE help, probably will only get about four visits from a therapist, there is however a RTLB to work in with, mum is supportive, however no teacher aide.
Following is what I recommended off the top of my head to the therapist who requested some assistance. Next week I will resubmitt this posting and add my reasoing behind each suggestion.
Hi, Hmmmmmm, your 6 year old boy. Needs a structured program. Try and use the teachers program first if she has one, however if your feel that it is a bit hap hazard. Suggest her using a commercial one for her class. Possibly if you show her a range she and you could discuss them....pull the RTLB in as well see what she uses with kids.........and choose one that mets her way of teaching.
You could create a handwriting program, but for the amount of time you have, finding a commercial one is probably easier. Go to the education resource shop and see what you can find. Since you are only at the school for a short while, supplying some sort of program that is all there for them may work best. If the teacher does already use a structured program like jolly phonics or whatever, use this as a base.......then get mum doing the same pages for homework at night with one on one feedback, modeling and coaching. For each letter the boy learns, get him to name it eg H is for Harry G is for ghosts, then from there on the mum and teacher could use that word to cue his memory ...I need you to write me a "h" like in harry. ....or "it starts with the same letter as ghost starts with , what letter is that"?
Use a reward system, working with good effort and attention with mum at night equals = something important to him, eg mum reading some of Harry Potter or watching ten minutes of Harry Potter........or after five nights of really trying hard with handwriting -watching the DVD of Harry. Use the whole sticker chart motivation thing......
Another way of approaching handwriting is through spelling. At six he needs to learn some basic spelling words. So handwriting and spelling could be done together. His handwriting could be copying spelling words, learning the letter names within a word and how to spell them. Work through the first core reading words, and use these as his spelling words. Let me know if you need a list.
He could learn three words a week, focusing on one word each night, then Thursday night review all of the words. Writing the word out with mums hand over hand support if needed ten times, saying the letters as he writes them (block practice) Learning letters through words would help give him something more concrete to pin his memory onto. At the end of learning the spelling word he could use it in a sentence about Harry Potter in which mum writes down, and he reads back to her. eg spelling word is 'is'. The boy may come up with the sentence. Harry is making a spell with his wand. His mum writes it down. They then read it together pointing to each word as they read. Mum then asks the boy to circle the word is. The boy circles the word is, and then mum says how do you spell is. With mums support the boys says I S. Randomly during the next day the teacher asks the boy to spell his word, or to say the letters within the word. The teacher is aware of the word as mum has written it on his hand. If the boy needs to look at his hand during the spelling and reading of the word that is ok. As they move through the day they encourage the boy to spell it verbally or in writing without looking at the model on his hand. That night mum teaches a new word, then reviews the old word and then finishes the session with the new word.
Time his concentration for handwriting tasks. If it is a minute get mom to do the handwriting page, one minute at a time then go do something else like play with lego of hand skills activities, and then come back and do another minutes work, with the plan to build up his sustained concentration for 5 minutes.
Attention, try and work out what distracts him the most during tasks. Modify the environment, seating place etc. Does the teacher move closer to him when she is giving directions, standing closer to someone can help increase there attention. Attention is a skill that can be influenced by teaching the skill of attention, Find out his understanding about this task of attending. Explicitly teach him what to do, eg stop look and listen. What did the teacher say to do? Can you tell it back to me, if you haven't heard what the teacher said, what else can we do to work out what we need to do?
Reinforcing attending skills may be something the RTLB can follow up with?
As he is a bit socially challenged, it is highly likely that he doesn't work life out by watching others. He needs someone to spell it out for him. Set routines and rules are probably or possibly helpful for this boy. Consider visual schedule type of supports?
Hand skills.........
A very simple hand skills task is coloring on the wall, holding a small coin in his fourth and fifth fingers, while holding the paper still with his stabilizing hand. Do this at eye level hight. Us a small piece of tape in the center of the paper to hold it to the wall, This helps encourage the child to hold the paper as it moves if they don't stabilize with the other hand. Colouring in Harry Potter pictures, can get some off internet. .
See what the RTLB is working on, work in with her. As he is almost six he may be able to get reading recovery - if there school does this, they also work on writing skills.
Plant sprayer in the bath at bath time is another easy one, kids love it.
An obvious suggestions, but have you had his eyes tested?
Rita
Sunday, July 27, 2008
Canchild hwt protocol
I think the protocol is great and I will recommend it as a reading next time the 'Language by Hand ' paper is run. However I was disappointed by this statement under the heading of Behavioural Observations page 6. " The impact of attention to task and motivation on handwriting performance has received considerable attention and is beyond the scope of this assessment tool". I was disappointed as they did not lead the reader to be able to follow this line of inquiry.
My thinking about this being.......
Attention is vital to learning as without attending to the task at hand, sensory information does not enter the working memory, and without moving into the working memory knowledge can not then undergo the next step of further processing to then get stored in long term memory.
As many of the children I work with have difficulty with the actual recall of letter shapes, names and sounds, thus connects back to this skill of attending, and memory, more knowledge of these areas could or should be included in a handwriting protocol.
I feel that by increasing my understanding about attention, working memory and storage into long term memory, and then communicating this understanding either through discussions / collaboration with those key workers of the child I'm working with or the child themselves improvement not only to the task of handwriting will occur but also the larger occupation of the child's ability to learn. I also feel that this knowledge affects how I structure my program, therefore improving the effectiveness of handwriting intervention I provide.
Therefore, the task of learning not being included in more detail within the protocol, continues to make this protocol be more motor based rather than literacy and learning based. For New Zealand this emphasis as we discussed in the Language by Hand ' paper is important to the teachers who teach the children we see, especially in these early years of schooling.
Remember to leave a comment........Rita
Wednesday, July 23, 2008
Check this blog out!
This blog is amazing!
Occupational Therapy for Kids - Handwriting
"Designed by a school based occupational therapist, this blog provides activities that promote increased handwriting skill and performance. Solutions may come from a variety of sources including personal experiences, books or coursework"
http://otforkids-handwriting.blogspot.com/
Great resourse i thought
Oh and these blogs below are from it's links list - also valuable!
http://otforkids-autism.blogspot.com/
http://otforkids-sensory.blogspot.com/
http://otforkids-finemotor.blogspot.com/
Jess
P.S Does everyone like the new template???? got sick of black - hope thats ok. I hear black is hard to read anyways
Saturday, June 28, 2008
This is really cool!
http://www.handwritingworksheets.com/
Jess
Wednesday, June 25, 2008
Merrolee's Blog
The link is listed..
Jess
Tuesday, June 24, 2008
Monday, June 23, 2008
Handwriting assesment protocol
The Can Child website (www.canchild.ca) has a new handwriting assessment protocol which is free to download. Just look in the area for service providers and researchers – it is at the top of the list of announcements on the right side of the page.
moderate contract
Saturday, June 21, 2008
This first bit is what some on emailed me......
I have another one of those children I need you help with this 6 year old won't make it onto our case load he has a diagnosis of ADHD.???. he is a neat kid..one of those children born at 26 weeks so always been behind.. great family and classroom teacher they have some teacher aide time for him.. he is a classic in that he can't focus very long very superficial thinking not really able to perservere and consolidate his learning .. you can see he wants to try and get on with it very directable back onto task but so distractable......... He does not yet know all the alphabet but can copy the leters not too bad he is one of those kids who no doubt is spending all his time just thinking how to draw the letter and can't move no spelling/expressing ideas.. I don't think he has a big cognitive delay but his learning is very affected by his inability to sustain attention.. So what can I suggest i don't just want to say he doesn't meet our criteria and do nothing...
This boy like dinosaurs & tanks wondered if I could some how link a topic such as this that he really likes to his hand writing. Any idea where you can get resources with the alphabet if there is such a thing eg.. Army tank shaped letters of the alphabet?? any quick ideas you have would be great.
Then this is what I answered....
Hi - off the top of my head, I'm thinking that giving him and the key people in his life some knowledge around attention , how it develops and how it is so important to memory would be information that they could then apply through out his learning career. In particular the use of chunking and using association.
Then find out which letters he doesn't know and only target these within handwriting, TA time. Go for three at a time, anything that is a tall letter call a dinasour letter, anything that is short like e or n call a tank letter, then come up something important to him that could be used for letters that go under the line. Then encourage someone to do a search on clip art to find a shape of a dinasaour tank etc. Then the TA could either shrink the pictures and he writes inside them for example he has a worksheet with a line of tanks a line of dinosaurs etc, blocked practice, starting dots could be inside the spaces, tracing moving to independent forming etc. Then a line of tank , dinosaurs, etc. With the teaching asking him questions like " dinosaurs are tall, today we learnt three letters which letter was tall ? Is h tall ? What is tallest a dinosaur or a tank? Where would h fit best as a tank letter or a dinosaurs letter? This way you would assist his memory by chunking letters into three groups dinosaurs tanks and submarines (?). Finish the lesson with him writing a basic sight word that used some of these letters. e.g he. Get him to sight read the word he and move on learning to spell it. Get the TA to write the word on his hand, through out the day mum and dad and the teacher ask him to read the word to them and to say what the letters are. Varying the question, either the letters or reading so that he truely has to think of the answer not just rote learn without processing it. The next day encourage the child through prompting questions to tell as much about the lesson as he can remember. Get him to practice accessing his memory.
Rita
Note this moving between tanks and dinosaurs and letters takes divided attention and may be a challenge, however it is a skill he needs to learn.........
Friday, June 20, 2008
How could we use this blog?
Ive been giving some thought to how we could use the blog other than just to keep in contact.
I think i would be useful to post questions regarding practice or reflect on practice that is more than "in action reflection". In action refection is what we think about when we are puzzling over what to do, and it is also useful to reflect on why we did something in practice and how we could do it different next time. Having a blog helpful when you can puzzle over or query ideas to do with simple or complex problems - it can really expland you thinking and get other peoples input along the way.
Does everyone think it would be helpful to post questions to get other peoples point of view on a scenario or case study? It would not only help you to get a broader set of ideas, but it would help others to think about what they would do in that situation.
Just an idea
Jess
Tuesday, June 17, 2008
Assignments
Monday, June 16, 2008
Wednesday, June 11, 2008
Welcome everyone
Set this up initially to see what you think of using a blog - i realise not everyone will be interested - however for those who are - choice!!
So how does everyone feel now the course is over?? Im a bit lost - having handed in 4 assignments!! but i have another one in 2nd semester..Anyone else doing the AMPS course??
What things from the course have been useful for practice??
Jess