Feasibility of a home-based program to improve handwriting after stroke: a pilot study

Purpose: To test the feasibility of a handwriting retraining program with adults after stroke; specifically the feasibility of: (i) recruiting people with stroke to the study, (ii) delivering the handwriting retraining program and (iii) outcome measures of handwriting performance. Method: A quasi-ex...

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Main Authors: Simpson, B., McCluskey, A., Lannin, N., Cordier, Reinie
Format: Journal Article
Published: Informa Healthcare 2015
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/11133
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author Simpson, B.
McCluskey, A.
Lannin, N.
Cordier, Reinie
author_facet Simpson, B.
McCluskey, A.
Lannin, N.
Cordier, Reinie
author_sort Simpson, B.
building Curtin Institutional Repository
collection Online Access
description Purpose: To test the feasibility of a handwriting retraining program with adults after stroke; specifically the feasibility of: (i) recruiting people with stroke to the study, (ii) delivering the handwriting retraining program and (iii) outcome measures of handwriting performance. Method: A quasi-experimental pre-test post-test design was used. A four-week, home-based handwriting retraining program was delivered by an occupational therapist using task-specific practice. Legibility, speed, pen control and self-perception of handwriting were measured at baseline and completion of the program. Legibility was scored by a blinded rater. Results: Seven adults with stroke were recruited (eligibility fraction 43% of those screened, and enrolment fraction 78% of those eligible). There were no dropouts. Although, recruitment was slow the intervention was feasible and acceptable to adults with stroke. No statistically or clinically significant changes in legibility were reported in this small sample, but a ceiling effect was evident for some outcome measures. The study was not powered to determine efficacy. Conclusions: Delivery of a four-week handwriting intervention with eight supervised sessions in the community was feasible; however, recruitment of an adequate sample size would require greater investment than the single site used in this pilot.
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spelling curtin-20.500.11937-111332018-03-29T09:05:57Z Feasibility of a home-based program to improve handwriting after stroke: a pilot study Simpson, B. McCluskey, A. Lannin, N. Cordier, Reinie task-specific practice occupational therapy Legibility writing task-specific training rehabilitation Purpose: To test the feasibility of a handwriting retraining program with adults after stroke; specifically the feasibility of: (i) recruiting people with stroke to the study, (ii) delivering the handwriting retraining program and (iii) outcome measures of handwriting performance. Method: A quasi-experimental pre-test post-test design was used. A four-week, home-based handwriting retraining program was delivered by an occupational therapist using task-specific practice. Legibility, speed, pen control and self-perception of handwriting were measured at baseline and completion of the program. Legibility was scored by a blinded rater. Results: Seven adults with stroke were recruited (eligibility fraction 43% of those screened, and enrolment fraction 78% of those eligible). There were no dropouts. Although, recruitment was slow the intervention was feasible and acceptable to adults with stroke. No statistically or clinically significant changes in legibility were reported in this small sample, but a ceiling effect was evident for some outcome measures. The study was not powered to determine efficacy. Conclusions: Delivery of a four-week handwriting intervention with eight supervised sessions in the community was feasible; however, recruitment of an adequate sample size would require greater investment than the single site used in this pilot. 2015 Journal Article http://hdl.handle.net/20.500.11937/11133 10.3109/09638288.2015.1059495 Informa Healthcare restricted
spellingShingle task-specific practice
occupational therapy
Legibility
writing
task-specific training
rehabilitation
Simpson, B.
McCluskey, A.
Lannin, N.
Cordier, Reinie
Feasibility of a home-based program to improve handwriting after stroke: a pilot study
title Feasibility of a home-based program to improve handwriting after stroke: a pilot study
title_full Feasibility of a home-based program to improve handwriting after stroke: a pilot study
title_fullStr Feasibility of a home-based program to improve handwriting after stroke: a pilot study
title_full_unstemmed Feasibility of a home-based program to improve handwriting after stroke: a pilot study
title_short Feasibility of a home-based program to improve handwriting after stroke: a pilot study
title_sort feasibility of a home-based program to improve handwriting after stroke: a pilot study
topic task-specific practice
occupational therapy
Legibility
writing
task-specific training
rehabilitation
url http://hdl.handle.net/20.500.11937/11133