Volume 16, Issue 4 (December 2018)                   Iranian Rehabilitation Journal 2018, 16(4): 353-360 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Havaei N, Azad A, Alizadeh-Zarei M, Ebadi A. Reliability of Persian Handwriting Assessment Tool in Iranian Primary School Students. Iranian Rehabilitation Journal 2018; 16 (4) :353-360
URL: http://irj.uswr.ac.ir/article-1-871-en.html
1- Department of Occupational Therapy, Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
2- Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
3- Behavioral Sciences Research Center, School of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Abstract:   (5687 Views)

Objectives: Handwriting problems are among the most frequent reasons for case referrals to school-based occupational therapy centers. Persian Handwriting Assessment Tool (PHAT) is a valid tool available in Iran to evaluate handwriting components in school-aged children. However, its reliability has not been investigated yet. This study aimed to determine the reliability of the PHAT in Iranian primary school-aged children.
Methods: The current methodological study was performed in Tehran city, Iran during 2015-2016. In total, 208 primary school-aged students participated in this study that aimed to investigate the internal consistency of the PHAT. Forty-eight students were also recruited to examine the intra- and inter-rater reliabilities of the PHAT. Selection of the schools and sampling were conducted using the random cluster sampling method.
Results: Results suggested good to excellent internal consistency (α=0.84 to 0.99) for the measures of PHAT in dictation and copying domains. Intra-rater reliability of the PHAT ranged from 0.87 to 1.00. Furthermore, PHAT inter-rater reliability ranged from 0.7-1.00.
Discussion: The PHAT is a reliable tool to evaluate handwriting components in primary school-aged children. It can also be useful for Iranian therapists to identify primary school students with handwriting problems.

Full-Text [PDF 505 kb]   (1835 Downloads) |   |   Full-Text (HTML)  (1361 Views)  
Article type: Original Research Articles | Subject: Occupational therapy
Received: 2018/02/23 | Accepted: 2018/06/10 | Published: 2018/10/1

References
1. Athenes S, Sallagoity I, Zanone PG, Albaret JM. Evaluating the coordination dynamics of handwriting. Human Movement Science. 2004; 23(5):621-41. [DOI:10.1016/j.humov.2004.10.004] [DOI:10.1016/j.humov.2004.10.004]
2. Denton PL, Cope S, Moser C. The effects of sensorimotor-based intervention versus therapeutic practice on improving handwriting performance in 6-to 11-year-old children. American Journal of Occupational Therapy. 2006; 60(1):16-27. [DOI:10.5014/ajot.60.1.16] [DOI:10.5014/ajot.60.1.16]
3. Havaei N, Rezaei M, Azad A, Rafie Sh. [The relationship between hand sensory-motor function and handwriting skill in school student with developmental dysgraphia (Persian)]. The Journal of Urmia University Medical Sciences. 2010; 21(2):254-9.
4. Feder KP, Majnemer A. Handwriting development, competency and intervention. Developmental Medicine & Child Neurology. 2007; 49(4):312-7. [DOI:10.1111/j.1469-8749.2007.00312.x] [DOI:10.1111/j.1469-8749.2007.00312.x]
5. Feder KP, Majnemer A, Synnes A. Handwriting: Current trends in occupational therapy practice. Canadian Journal of Occupational Therapy. 2000; 67(3):197-204. [DOI:10.1177/000841740006700313] [DOI:10.1177/000841740006700313]
6. Case Smith J, O'Brien JC. Occupational therapy for children and adolescents. Maryland Heights: Mosby; 2015. [PMCID] [PMCID]
7. Havaei N, Azad A, Rezaei M, Hassani Mehraban A, Alizadeh Zarei M. [An overview of developmental dysgraphia (Persian)]. Journal Rehabilition Medicine. 2016; 5(1):224-34.
8. Feder KP, Majnemer A. Children's handwriting evaluation tools and their psychometric properties. Physical & Occupational Therapy in Pediatrics. 2003; 23(3):65-84. DOI: 10.1080/J006v23n03_05. [DOI:10.1080/J006v23n03_05] [DOI:10.1080/J006v23n03_05]
9. Li Tsang CWP, Wong ASK, Leung HWH, Cheng JS, Chiu BHW, Linda F, et al. Validation of the Chinese Handwriting Analysis System (CHAS) for primary school students in Hong Kong. Research in Developmental Disabilities. 2013; 34(9):2872-83. [DOI:10.1016/j.ridd.2013.05.048] [DOI:10.1016/j.ridd.2013.05.048]
10. Rosenblum S, Weiss PL, Parush S. Handwriting evaluation for developmental dysgraphia: Process versus product. Reading and Writing. 2004; 17(5):433-58. [DOI:10.1023/B:READ.0000044596.91833.55] [DOI:10.1023/B:READ.0000044596.91833.55]
11. Hamstra Bletz L, Blotte AW. A longitudinal study on dysgraphic handwriting in primary school. Journal of Learning Disabilities. 1993; 26(10):689-99. [DOI:10.1177/002221949302601007] [DOI:10.1177/002221949302601007]
12. Hadavand Khani F, Bahrami H, Behnia F, Farahbod M, Salehi M. [Handwriting evaluation in mentally retarded students: Identifying an instrument (Persian)]. Journal of Rehabilitation. 2008; 8(4):45-52.
13. Javan Tash A, Mirzakhani N, Pashazadeh Z. [The quest for exploring the normal speed of handwriting in students of grade 2-5 in Tehran (Persian)]. Journal Rehabilitation Medicine. 2012; 1(1):57-63.
14. Ragheb HHM. [A preliminary study of validity and reliability for handwriting achievement test in primary school student (grade 1) (Persian)]. Research on Exceptional Children. 2005; 11-14(4):51-62.
15. Havaei N, Rezaei M, Talebi G, Farnam AR. [Reliability of the purdue-pegboard and two-point discrimination tests in school students with developmental dysgraphia (Persian)]. Modern Rehabilitation. 2012; 6(2):20-5.
16. Portney LG, Watkins MP. Foundations of clinical research: Applications to practice. Upper Saddle River: Prentice Hall; 2009.
17. Havaei N, Azad A, Alizadeh Zarei M, Ebadi A. Development and validity of the Persian Handwriting Assessment Tool (PHAT) for primary school-aged children. Iranian Red Crescent Medical Journal. 2017; 19(3):e40508. [DOI:10.5812/ircmj.40508] [DOI:10.5812/ircmj.40508]
18. Tseng MH, Hsueh I. Performance of school aged children on a Chinese handwriting speed test. Occupational Therapy International. 1997; 4(4):294-303. [DOI:10.1002/oti.61] [DOI:10.1002/oti.61]
19. Plichta Kellar B, Kelvin EA, Munro BH. Munro's statistical methods for health care research. Philadelphia: Lippincott Williams & Wilkins, Incorporated; 2012.
20. Havaei N, Rezaei M, Rostami HR. Dexterity and two-point discrimination of the hand in school-aged children with dysgraphia. Medical Journal of The Islamic Republic of Iran. 2016; 30(1):973-9. [PMID] [PMCID]
21. Rosenblum S. Development, reliability and validity of the Handwriting Proficiency Screening Questionnaire (HPSQ). American Journal of Occupational Therapy. 2008; 62(3):298-307. [DOI:10.5014/ajot.62.3.298] [DOI:10.5014/ajot.62.3.298]
22. Duff S, Goyen TA. Reliability and validity of the Evaluation Tool of Children's Handwriting-Cursive (ETCH-C) using the general scoring criteria. American Journal of Occupational Therapy. 2010; 64(1): 37-46. [DOI:10.5014/ajot.64.1.37] [DOI:10.5014/ajot.64.1.37]
23. Joyce CS. Development and validation of a Chinese Handwriting Assessment tool (CHAS) for primary school students [Msc. thesis]. Kowloon: The Hong Kong Polytechnic University; 2009.
24. Reisman JE. Development and reliability of the research version of the Minnesota Handwriting Test. Physical & Occupational Therapy in Pediatrics. 1993; 13(2):41-55. [DOI:10.1080/J006v13n02_03] [DOI:10.1080/J006v13n02_03]
25. Rosenblum S, Weiss PL, Parush S. Product and process evaluation of handwriting difficulties. Educational Psychology Review. 2003; 15(1):41-81. [DOI:10.1023/A:1021371425220] [DOI:10.1023/A:1021371425220]
26. Graham S. The reliability, validity, and utility of three handwriting measurement procedures. The Journal of Educational Research. 1986; 79(6):373-80. [DOI:10.1080/00220671.1986.10885708] [DOI:10.1080/00220671.1986.10885708]

Send email to the article author


Designed & Developed by : Yektaweb