Comprehensive search for assessment indicators that influence the level of handwriting difficulties among children in educational settings

Abstract Handwriting difficulties are a major public health problem among school-aged children worldwide, as they seriously interfere with their academic performance and well-being. Teachers’ assessments of handwriting difficulties determine whether a child should be subsequently referred for medica...

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Main Authors: Shuhei Takahata, Hiromichi Hagihara, Hiroyuki Ishihara, Daiki Enomoto, Naoto Ienaga, Haruka Noda, Shoichi Ishida, Kei Terayama
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-03634-z
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author Shuhei Takahata
Hiromichi Hagihara
Hiroyuki Ishihara
Daiki Enomoto
Naoto Ienaga
Haruka Noda
Shoichi Ishida
Kei Terayama
author_facet Shuhei Takahata
Hiromichi Hagihara
Hiroyuki Ishihara
Daiki Enomoto
Naoto Ienaga
Haruka Noda
Shoichi Ishida
Kei Terayama
author_sort Shuhei Takahata
collection DOAJ
description Abstract Handwriting difficulties are a major public health problem among school-aged children worldwide, as they seriously interfere with their academic performance and well-being. Teachers’ assessments of handwriting difficulties determine whether a child should be subsequently referred for medical or professional assistance. However, very few studies focused on teachers’ perception of handwriting difficulties and the relationship between such perception and direct assessments of children’s relevant abilities. As a result, the direction of support in educational settings remains vague and less focused. In this study, we investigate the relationship between teachers’ perceptions of children’s handwriting difficulties and children’s abilities relevant to their handwriting skills in three main areas: (1) handwriting process, (2) legibility of written letters, and (3) the cognitive and motor functions. The findings suggest that the presence of handwriting difficulties is related to clumsiness of foundational motor skills and the severity of handwriting difficulties is related to lack of carefulness. In addition, somatosensory and visuomotor integration were found to important indicators that characterize handwriting difficulties. These results can provide guidance to teachers and professionals who support children with handwriting difficulties, with individualized and optimal strategies.
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spelling doaj-art-90e79069b42144afa539861f72dc5b4d2025-08-20T03:03:27ZengNature PortfolioScientific Reports2045-23222025-07-0115111110.1038/s41598-025-03634-zComprehensive search for assessment indicators that influence the level of handwriting difficulties among children in educational settingsShuhei Takahata0Hiromichi Hagihara1Hiroyuki Ishihara2Daiki Enomoto3Naoto Ienaga4Haruka Noda5Shoichi Ishida6Kei Terayama7Department of Occupational Therapy Faculty of Health Science, Aino UniversityGraduate School of Human Sciences, University of OsakaIndependent ResearcherLITALICO Inc.Institute of Systems and Information Engineering, University of TsukubaLITALICO Inc.Graduate School of Medical Life Science, Yokohama City UniversityGraduate School of Medical Life Science, Yokohama City UniversityAbstract Handwriting difficulties are a major public health problem among school-aged children worldwide, as they seriously interfere with their academic performance and well-being. Teachers’ assessments of handwriting difficulties determine whether a child should be subsequently referred for medical or professional assistance. However, very few studies focused on teachers’ perception of handwriting difficulties and the relationship between such perception and direct assessments of children’s relevant abilities. As a result, the direction of support in educational settings remains vague and less focused. In this study, we investigate the relationship between teachers’ perceptions of children’s handwriting difficulties and children’s abilities relevant to their handwriting skills in three main areas: (1) handwriting process, (2) legibility of written letters, and (3) the cognitive and motor functions. The findings suggest that the presence of handwriting difficulties is related to clumsiness of foundational motor skills and the severity of handwriting difficulties is related to lack of carefulness. In addition, somatosensory and visuomotor integration were found to important indicators that characterize handwriting difficulties. These results can provide guidance to teachers and professionals who support children with handwriting difficulties, with individualized and optimal strategies.https://doi.org/10.1038/s41598-025-03634-zHandwriting difficultiesAssessmentElementary school childrenTeachers’ perception
spellingShingle Shuhei Takahata
Hiromichi Hagihara
Hiroyuki Ishihara
Daiki Enomoto
Naoto Ienaga
Haruka Noda
Shoichi Ishida
Kei Terayama
Comprehensive search for assessment indicators that influence the level of handwriting difficulties among children in educational settings
Scientific Reports
Handwriting difficulties
Assessment
Elementary school children
Teachers’ perception
title Comprehensive search for assessment indicators that influence the level of handwriting difficulties among children in educational settings
title_full Comprehensive search for assessment indicators that influence the level of handwriting difficulties among children in educational settings
title_fullStr Comprehensive search for assessment indicators that influence the level of handwriting difficulties among children in educational settings
title_full_unstemmed Comprehensive search for assessment indicators that influence the level of handwriting difficulties among children in educational settings
title_short Comprehensive search for assessment indicators that influence the level of handwriting difficulties among children in educational settings
title_sort comprehensive search for assessment indicators that influence the level of handwriting difficulties among children in educational settings
topic Handwriting difficulties
Assessment
Elementary school children
Teachers’ perception
url https://doi.org/10.1038/s41598-025-03634-z
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